Dental Insurance Plans. The parties agree that the choice of dental plans offered to employees will be as follows:
Dental Insurance Plans. The Dental Plan gives employees the option to choose between one of two types of plans to help meet dental expenses. Coverage begins on the employee’s first day at work Plan provisions differ, but some procedures are provided at little or no cost in both plan types. Some procedures, such as orthodontia, require a fee or co-payment. The employee is responsible for 35% of the projected self-funded dental cost and fully insured dental premium. The Corporation is responsible for the remainder of the self-funded cost and 65% of the fully insured dental premium. The employee, their spouse or domestic partner and the employees or domestic partners dependent children are eligible for coverage. DELTA DENTAL PLAN These plans pay a percentage of usual, reasonable, and customary dental fees for diagnostic and preventive procedures, without any deductible. After a yearly per person deductible is paid, the plan pays a percentage of usual, reasonable, and customary dental fees for oral surgery, endodontic, periodontic, restorative, orthodontic and prosthodontics procedures. Cleanings are covered twice in a calendar year. Sealants are also covered up to age 19. There is an annual limit toward reimbursement of covered charges for each eligible person. The plan pays a lower benefit level for orthodontic expenses for dependent children, up to a lifetime limit for each child. Delta Dental Premium Plan Provisions of service Direct reimbursement: after deductible, plan pays 100% / 80% / 50% for preventive/diagnostic, basic, and major services, respectively Annual deductible per person None for PPO network; $25 for Premier network; $75 for out-of-network. Deductible does not apply for diagnostic or preventive services Annual maximum benefit per person $2,000, does not apply for diagnostic or preventive services Orthodontic coverage/charge 50% up to lifetime maximum of $2000 for children only Delta Dental Basic Plan Provisions of service Direct reimbursement: after deductible, plan pays 100% / 80% / 40% for preventive/diagnostic, basic, and major services, respectively Annual deductible per person None for PPO network; $25 for Premier network; $75 for out-of-network. Deductible does not apply for diagnostic or preventive services Annual maximum benefit per person $1,000, does not apply for diagnostic or preventive services Orthodontic coverage/charge Not covered PREPAID DENTAL PLAN A prepaid dental plan provides dental care for its members through a number of contracting dental o...
Dental Insurance Plans. 1. Effective January 1, 2022, and each calendar year thereafter, the Employer shall strive to provide at least two (2) dental insurance plan options.
