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Dental Insurance
Summary of Dental Benefits
January 1, 2009 - December 31, 2010
- 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 | $35.43 | $42.52 |
Employee w/ Children* Only | $41.96 | $50.35 |
Employee w/ Family* | $81.40 | $97.68 |
*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.
Carolyn Pence, HR Technician II (704) 330-6311
Joanette West, Assistant Director for Employee Benefits (704) 330-6759