DENTAL
PLAN OVERVIEW
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| IN-NETWORK COVERAGE | ||
| Annual deductible (individual/family) | $50/$150 | |
| Diagnostic & Preventative |
Covered 100% | |
| Basic Services |
20% | |
| Major Services | 50% | |
| Maximum Payment |
$1,500 | |
| Orthodontics No age limit |
50% up to a lifetime maximum of $1,500 per person | |
| EMPLOYEE BI-WEEKLY CONTRIBUTIONS | ||
| FTE 0.75-1.0 |
PTE 0.5-.74 |
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| Employee Only | ||
| Employee + Spouse | ||
| Employee + Child(ren) | ||
| Employee + Family | ||
BENEFIT SUMMARY
DELTA DENTAL
Benefits summary for your dental plan, demonstrating how much you will pay for dental services.
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