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May 17, 2012
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Official Site of St. Louis County Minnesota
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Dental
Please be aware that the Employee and Dependent dental plans are two separate plans. What does this mean?
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Different coverages for the employee and dependents (refer to Plan Summary information).
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Different deductibles, copays, waiting periods and annual benefit amounts.
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Different group and subscriber ID numbers.
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Delta Dental subscriber cards will come in the employee's name for both plans.
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Family members should use the card that says "dependent dental" in the corner
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Employee coverage Group Number is 0610
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Dependent coverage Group Number is 097991
| Eligibility | Dental Cards | Forms | Cost | Coverage | Networks |
Employee Dental Plan: There is no option to add family members to the self-insured employee-only dental plan.
Dependent Dental Plan: There is no coverage for the employee in the fully-insured dependent-only dental plan. A dependent is defined as a spouse or a child(under age 26) of the employee; no student or dependency requirements.
Effective Date of Coverage (both dental plans):
- First day of the calendar month that follows the month in which initial eligiblity requirements are met and enrollment form is submitted. Full-time employees are eligible upon completing six (6) continuous full calendar months. Part-time employees are eligible upon working 1,000 hours.
- January 1st of the year following the open enrollment period in which an enrollment form is submitted. Open enrollment generally begins the first business day in November and ends the last business day of November each year.
- First day of the calendar month that follows the month in which enrollment forms were submitted for a child who has not yet reached his/her 3rd birthday.
- First day of the calendar month that follows the month in which other dental coverage was lost as long as enrollment form was submitted within 30 days of loss of other coverage.
- Date of birth/adoption or marriage as long as enrollment form was submitted within 30 days of the birth/adoption or marriage.
Employees who separate from employment with the County for reasons other than gross misconduct may be eligible to extend coverage to their dependents for up to 18 months. A child who loses dependent status, a divorced or surviving spouse and a surviving dependent(s) may be eligible to extend coverage for up to 36 months. A disability may further extend benefits whether it is the employee or the dependent who suffers it. Please inquire with your Employee Relations Department.
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Employee Dental Cards: you will likely receive your Delta Dental card prior to the effective date of your coverage. Remember that the effective date is the first of the calendar month following the completion of six (6) full calendar months for full-time employees or 1,000 hours for part-time employees. To replace a lost or misplaced Employee Delta Dental Card call 1-800-531-6676
Dependent Dental Cards: This card will come in the employee's name with a notation of dependent dental in the corner. The dependent dental card must be in the employee's name in order to facilitate proper billing processes. To replace a lost or misplaced Delta Dental Card call 1-800-553-9536.
Both Dental Cards: The claims administrator is Delta Dental of Minnesota. |
Employee Dental Plan:
Dependent Dental Plan:
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2011 Employee Dental Rates (paid 100% by employer for FT):
$37.01/month for St. Louis County employees
$33.54/month for Arrowhead Regional Corrections employees
2011 Dependent Dental Rates (paid 100% by employee):
$45.35/month for a spouse or an adult child
$31.30/month for one child
$79.70/month for family (2 or more dependents) |
| Quick Plan Summary (One page summary of covered services):
Full Plan Summary (Detailed booklet of covered services)
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Search for a dentist by network and/or specialty near you: Delta Dental Dentist Search
Delta Dental Premier Network:
Delta Dental Premier is Delta's largest fee-for-service network. In Minnesota, Delta Dental Premier has more than 2,700 participating dentists (136,800 nationwide). Payment of the dental plan is made directly to the participating dentist. The plan's payment is based on the allowed amount after deductibles and coinsurance. The allowed amount is determined by taking the lesser of the submitted amount, the dentists' pre-filed fee allowance, and the maximum fee for the particular procedure code. Delta Dental of Minnesota participating dentists accept the allowed amount as payment in full for services covered under the plan.
Delta Dental PPO Network:
In Minnesota, Delta Dental PPO has approximately 1,600 participating dentists (76,000 practicing in 138,000 locations nationwide). It offers additional cost savings to plan members. Participation in the Delta Dental PPO network requires an additional agreement between Delta Dental and the dentist. The agreement states that the participating dentist will accept payments based on the Delta Dental PPO fee maximum, which is discounted, rather than Delta Dental's standard reimbursement. Subscribers of either option will have an employee ID card that identifies the subscriber as participating in the plan.
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GOVERNMENT Employment Benefits Dental
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