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
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.