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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
Monthly Payroll Deductions
Coverage12 Month Employee Cost10 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

Dental Insurance Claim Form

Dental Benefits Plan Booklet

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


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