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Dental Care Plans

Dental Care Plans

  All DE MD ND NU OP PH PS SW VM
  #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc.
Total 841 129,311 * * 32 321 532 2,194 816 107,470 611 8,674 468 2,978 352 1,603 573 6,046 * *

Plan provided

Yes 826 127,917 * * 30 302 521 2,190 804 106,123 611 8,674 468 2,978 352 1,603 572 6,022 * *
As part of a flexible benefit package * * - - * * - - - - - - - - - - - - - -
No 14 1,392 - - * * * * 13 1,346 - - - - - - * * - -

Eligibility

All employees 541 59,226 * * 22 235 313 1,284 446 45,732 383 5,416 180 1,029 313 1,495 358 4,011 * *
Only employees who meet the service requirement (months) 468 68,692 - - 9 68 208 906 373 60,392 228 3,258 288 1,949 40 108 214 2,011 * *

Eligibility - Number of months of service required

1 203 11,335 - - * * 11 33 111 10,202 12 145 115 851 * * 11 85 - -
3 214 50,706 - - 6 23 122 683 200 44,764 139 2,807 111 956 37 82 127 1,390 - -
6 86 6,633 - - * * 75 190 80 5,426 77 306 62 142 * * 76 536 * *
12 * * - - - - - - - - - - - - * * - - - -

Nature of participation
Compulsory participation 304 21,014 - - 10 88 154 603 123 15,488 181 2,072 229 1,196 28 120 170 1,439 * *
Compulsory if not covered by spouse's plan 408 68,312 * * 9 43 218 902 404 59,735 231 3,421 214 1,602 135 347 240 2,244 * *
Voluntary participation 309 38,593 - - 13 172 149 685 286 30,900 199 3,181 25 180 189 1,135 162 2,339 - -

Employer's contribution to the premium

Percentage of premium cost 819 119,076 * * 31 303 512 2,009 795 98,428 602 7,963 465 2,975 352 1,603 563 5,771 * *
Dollar amount - - - - - - - - - - - - - - - - - - - -
Other 9 8,842 - - - - 9 181 9 7,696 9 711 * * - - 9 251 - -

Percentage of premium paid by employer

0% 264 31,568 - - - - 120 540 250 24,280 169 2,752 92 734 172 1,068 146 2,194 - -
50% 63 7,621 - - 14 173 32 154 58 6,461 31 497 22 174 17 79 6 82 - -
65% 39 6,601 - - - - 30 114 39 5,470 27 395 27 144 23 88 39 391 - -
75% 262 52,875 * * - - 190 679 262 46,149 211 2,684 201 1,315 108 231 219 1,813 - -
80% to 90% 9 725 - - - - 7 118 7 195 8 171 6 168 7 19 * * * *
100% 231 19,688 - - 17 130 134 405 217 15,873 156 1,463 116 440 26 118 153 1,251 * *

Employer's contribution to the premium - Other
$26.45 for single coverage and $76.86 for family coverage 7 1,585 - - - - 7 43 7 1,217 7 249 * * - - 7 73 - -
Other * * - - - - * * * * * * - - - - * * - -

Basic Dental Plans

  All DE MD ND NU OP PH PS SW VM
  #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc.

Basic dental services

Yes 827 127,918 * * 31 303 521 2,190 804 106,123 611 8,674 468 2,978 352 1,603 572 6,022 * *
No - - - - - - - - - - - - - - - - - - - -

Annual deductible

Dollar amount 30 8,262 - - - - 11 177 30 7,218 * * - - * * * * * *
Deductible stated per individual and per family 16 297 - - - - 6 5 16 190 8 56 6 5 - - * * - -
No deductible 800 119,359 * * 31 303 503 2,008 776 98,715 599 8,133 462 2,973 352 1,583 567 5,626 * *

Annual deductible - Amount

$10 7 65 - - - - - - 7 65 - - - - - - - - - -
$25 21 7,558 - - - - 10 174 21 6,743 * * - - - - * * - -
$100 * * - - - - * * * * * * - - * * * * * *

Percentage of dental costs paid by the plan

67% to 75% 13 152 - - - - 12 17 7 53 5 23 - - - - 12 46 * *
80% 315 30,013 * * 16 197 189 1,012 100 19,973 251 4,243 74 553 234 1,236 211 2,796 - -
85% to 90% 4 737 - - - - * * 4 424 4 102 - - 4 25 * * * *
100% 696 97,004 - - 15 106 318 1,158 692 85,662 350 4,307 394 2,425 115 342 347 3,004 * *

Maximum annual coverage

Maximum for plan 28 3,311 - - - - * * 28 2,849 11 232 11 87 11 25 11 116 - -
Maximum per insured person 384 29,832 - - * * 224 1,070 167 18,316 270 4,527 173 1,144 233 1,296 261 3,441 * *
No 631 94,776 * * 29 279 291 1,119 625 84,958 329 3,914 284 1,747 108 282 300 2,465 * *

Maximum coverage - Annual maximum amount per insured person

$1,000 301 20,299 - - - - 143 760 77 11,532 187 3,440 111 810 179 1,081 172 2,675 - -
$1,125 to $1,475 8 1,930 - - * * 8 65 6 1,429 8 276 6 46 * * 7 73 - -
$1,500 98 6,587 - - * * 60 177 81 4,647 60 655 52 277 48 174 69 657 - -
$1,750 to $2,500 26 1,016 - - - - 14 67 24 708 17 157 5 11 4 23 14 37 * *

Major Restorative Services

  All DE MD ND NU OP PH PS SW VM
  #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc.

Major restorative services
Yes 790 127,607 * * 31 303 521 2,190 766 105,811 611 8,674 468 2,978 352 1,603 572 6,022 * *
No 38 312 - - - - - - 38 312 - - - - - - - - - -

Percentage of dental costs paid by the plan

50% 549 77,759 * * 9 43 332 1,352 531 63,708 406 5,700 204 1,367 294 1,383 373 4,194 * *
60% 88 11,401 - - * * 50 176 88 9,782 66 821 44 195 23 69 64 335 - -
67% to 75% 86 12,989 - - 9 65 68 265 71 11,094 69 750 66 152 - - 69 649 * *
80% 150 14,542 - - 13 172 49 237 54 11,774 46 748 133 1,006 36 151 43 454 - -
100% 40 10,917 - - - - 22 160 40 9,453 23 655 20 258 - - 23 390 - -

Maximum annual coverage

Maximum for plan 117 21,553 - - 7 24 29 165 117 19,117 47 963 40 486 18 72 46 719 * *
Maximum per insured person 512 57,415 * * 4 43 358 1,572 259 41,869 413 6,236 304 1,919 301 1,407 390 4,353 * *
No 430 48,639 - - 20 236 134 453 427 44,826 151 1,476 124 573 33 124 135 950 * *

Maximum coverage - Annual maximum for plan

$1,000 35 4,923 - - - - 17 34 35 3,873 29 540 23 202 11 25 29 248 - -
$1,200 to $2,000 88 16,630 - - 7 24 12 131 88 15,244 18 422 17 284 7 46 18 471 * *

Maximum coverage - Annual maximum per insured person

$1,000 292 19,227 - - * * 152 792 64 10,266 193 3,534 130 855 185 1,099 164 2,680 - -
$1,125 to $1,475 8 1,930 - - * * 8 65 6 1,429 8 276 6 46 * * 7 73 - -
$1,500 170 27,000 - - * * 143 433 137 23,007 136 1,611 111 594 60 185 148 1,169 - -
$1,750 to $2,500 20 818 - - * * 14 73 13 472 18 147 - - 5 25 14 71 * *
$3,000 59 8,440 * * - - 41 209 59 6,694 59 668 59 424 48 81 59 360 - -

Orthodontic Services

  All DE MD ND NU OP PH PS SW VM
  #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc. #Est. #Inc.

Orthodontic services

Yes 707 105,117 * * 17 130 348 1,279 700 92,473 404 4,820 437 2,625 169 474 390 3,292 * *
No 339 22,801 - - 14 173 173 911 115 13,651 207 3,854 31 353 184 1,130 182 2,730 - -

Percentage of dental costs paid by the plan

50% 605 91,567 * * 11 70 285 1,024 601 81,184 324 3,645 383 2,375 145 398 312 2,859 * *
60% 87 11,046 - - - - 49 175 87 9,464 65 815 43 194 22 63 64 335 - -
67% to 75% 20 761 - - 7 60 5 11 13 608 5 51 5 11 - - 5 6 * *
100% 9 1,744 - - - - 9 69 7 1,217 9 309 5 45 * * 9 92 - -

Maximum lifetime coverage

Yes, maximum for plan 339 44,648 - - 7 24 19 138 338 42,647 37 781 29 371 19 74 35 605 * *
Yes, maximum per insured person 496 60,240 * * 11 106 329 1,141 372 49,756 363 3,942 408 2,254 145 377 353 2,647 * *
No 5 229 - - - - - - 4 70 4 97 - - 4 23 * * - -

Maximum lifetime coverage - Maximum for plan

$1,000 271 25,742 - - - - 5 6 260 25,168 17 323 11 87 11 25 17 133 - -
$1,500 77 18,222 - - 6 23 12 130 76 17,039 18 432 17 284 7 19 17 294 - -
$3,000 * * - - * * * * * * * * - - * * * * * *

Maximum lifetime coverage - Maximum per insured person

$1,000 to $1,125 28 1,880 - - - - 15 74 26 1,282 15 344 24 75 * * 9 92 - -
$1,500 296 34,772 - - * * 171 530 193 30,000 170 1,674 233 1,370 29 85 176 1,112 - -
$1,675 to $2,500 72 3,712 - - * * 53 154 43 2,206 53 430 51 191 44 134 47 562 * *
$2,750 87 11,046 - - - - 49 175 87 9,464 65 815 43 194 22 63 64 335 - -
$3,000 76 8,831 * * 9 82 41 209 69 6,805 61 678 59 424 49 83 60 546 * *

Coverage for immediate family members

Spouse only - - - - - - - - - - - - - - - - - - - -
Spouse and dependants 821 126,138 * * 31 303 515 2,138 798 104,633 605 8,552 462 2,937 352 1,603 566 5,947 * *
Dependants only - - - - - - - - - - - - - - - - - - - -
No 6 1,781 - - - - 6 52 6 1,491 6 122 6 41 - - 6 75 - -

Coverage for retired employees

As an option at employee's full cost 226 49,820 - - 15 196 167 644 217 44,551 171 2,212 160 892 30 109 143 1,217 - -
Employer contributes to premium cost 33 4,030 - - 8 42 25 157 32 2,487 24 521 22 335 8 48 25 419 * *
No 620 74,069 * * 9 65 329 1,389 571 59,086 415 5,941 285 1,751 315 1,446 404 4,387 * *

Coverage for retired employees - Employer's contribution

50% 8 78 - - - - 7 6 7 53 - - - - - - 7 6 * *
75% 17 2,710 - - 6 23 11 33 17 1,882 17 370 17 167 - - 17 236 - -
90% 6 563 - - - - 6 116 6 139 6 122 6 168 6 17 - - - -
100% * * - - * * * * * * * * - - * * * * * *

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