| Northeast Delta Dental | |
| - | Toll Free 1-800-832-5700 |
| - | Web Site www.nedelta.com |
The College provides one dental coverage plan through Northeast Delta Dental which includes an orthodontia benefit.
The following illustrates the monthly employee/college cost sharing for 2010.
| Option | Employee Contribution |
SMC Contribution |
Total Cost |
| Employee Only | $8 | $33 | $41 |
| Employee + 1 | $18 | $67 | $85 |
| Family | $24 | $119 | $143 |
The dental plan year is from January 1 to December 31 of each year.
Delta Dental Plan Comparison
| Outline of Covered Services | ||
| Plan A | DIAGNOSTIC
a 3-year period, bitewing X-Rays once in a 12-month period, X-Rays of individual teeth as necessary PREVENTIVE FOUR during a consecutive 12-month period period to age 19 replacement allowed every 3 years; to age 19 |
100% |
| Plan B | RESTORATIVE
ORAL SURGERY ENDODONTICS PERIODONTICS DENTURE REPAIR condition EMERGENCY PALLIATIVE TREATMENT |
80% |
| Plan C | PROSTHODONTICS
complete dentures* *Note: Teeth missing before the effective date of a Delta plan are not considered a pre-existing condition. Full contract benefits are provided. |
50% |
| Plan D | ORTHODONTICS
|
$2,000 |
| Contract Year Maximum for services covered under A, B and C (excluding orthodontics) | $2,000 | |
| Lifetime Orthodontics Maximum (per person) | $2,000 | |
| Contract Year Deductible (applies to Coverage B & C) | $50 Per Person
$150 Per Family | |
Eligibility: An employee who is scheduled to work a minimum of 32 hours per week for a minimum of 40 weeks per year is considered eligible for benefits.
Important Note: Information regarding benefit enrollment, effective dates of coverage, and policy specifics are available at the Office of Human Resources. The College reserves the right to amend, change, or terminate any benefit plan at any time. The descriptions above are intended to provide a brief summary of the benefit plans. If there is any discrepancy between the language in this summary and the actual policy or contract held in the Office of Human Resources, the actual policy or contract governs.