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County of Sonoma, California

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Dental Benefits and Premiums for Employees

Contact:
Delta Dental Premier
Website:
http://www.deltadentalins.com
All Employees Group #:
3126-0124
Member Services:
(888) 335-8227 Work
List of Dentists:
(800) 427-3237 Work

Employee dental insurance is provided through Delta Dental Premier to eligible employees and their dependents (unmarried children under age 19, or 23 if a full time student). This is family coverage, your eligible dependents are automatically covered if you are covered. There is a $3,000 annual maximum per family member. Coverage limits and copayments will apply for all procedures. See the plan booklet for details.

Insurance Coverage

Group Number: 3126-0124

Coverage Percentage

The County provides a certain level of coverage for each type of dental procedure, part of which is paid by the insurance company and the remainder is paid by the employee. With an 80/20 plan, the dental insurance will pay for 80% of "reasonable and customary" charges, the other 20% will be paid by the employee.

Diagnostic & Preventative
80/20
Basic
80/20
Crowns, Jackets & Cast Restorations
80/20
Prosthodontics
80/20
Orthodontics
50/50

Deductibles

None

Maximum Lifetime Coverage

Orthodontics
$3,000

Employee Premiums and Contributions

Resources

Delta Dental Notice of Privacy Policy and other important documents

Glossary of Benefits Terms

HIPAA Notice of Privacy Practices

COBRA Continuation Coverage

COBRA Rates

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