Dental Insurance

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Delta Dental
P.O. Box 828
Stevens Point, WI 54481-0828
(800) 236-3712
www.deltadentalwi.com
Dental Provider Search

PPO Plan – Preferred Provider Option Plan
Teacher Summary Plan Description
Non-Teaching Staff Summary Plan Description

Eligibility
Employees hired to work at least 30 hours per week
Coverage begins first of the month following date of hire
Dependent eligibility – Spouse/Domestic Partner and Dependents up to age 26

Benefit Period
January through December

Plan Year
October through September

Maximum Benefit Per Person Per Benefit Period
$1000

Maximum Lifetime Benefit Per Person – Orthodontia (to age 25)
$1500

DENTAL RATES

Enrollment Form

Please contact the Benefits Specialist if you are a new hire and would like to enroll or if you are an existing plan participant needing to update your coverage status.