Dental Insurance
Summary of Dental Benefits - January 1, 2008
- Benefits Provided by United Healthcare (Dental Benefits Provider Inc.)
- $1500 Calendar Year Maximum per insured
- Preventive and diagnostic services are covered at 100%
- Simple extractions, restorations and oral surgery are covered as Basic Services
- Exams limited to one time in any 6 consecutive month period
- Cleanings limited to one time in any 6 consecutive month period
- Endodontic and periodontic treatments are covered as Major Services
| Coverage | 12 Month Employee Cost | 10 Month Employee Cost |
|---|---|---|
| Employee | $ 0.00 | $ 0.00 |
Employee w/ Spouse | $32.41 | $38.89 |
Employee w/ Children* Only | $38.38 | $46.06 |
Employee w/ Family* | $74.45 | $89.34 |
*Dependent children up to age 19 or age 26 if full-time student
Forms
Dental Insurance Enrollment Form - Please contact Human Resources
Locate a Dental Provider
United Healthcare Dental Options PPO Provider Directory Search
Feel free to contact your HR benefits staff.
Joanette West, Benefits Coordinator (704) 330-6759
Carolyn Pence, HR Technician II (704) 330-6311

