2019 Dental Open Enrollment, November 7 through December 7, 2018

The Dental Benefit Plan has a "passive" Open Enrollment.  Only those employees who wish to enroll, drop coverage, or change their existing coverage need to complete an Enrollment / Change form to make their desired change.  If you do not complete an enrollment form, your existing coverage will continue through 2019.

For those of you who were not able to attend a meeting on 2019 benefit plan changes, Open Enrollment period, and Wellness Program, view a recorded session here:
2019 Benefit Plan and Well Program Employee Meeting -  http://youtu.be/RlEF67lygSY

  1. Dental Enrollment / Change Form (PDF)
  2. Dental Plan Summary (PDF)
  3. 2019 Health & Dental Premiums (PDF)
  4. Finding a Network Dentist (PDF)
  5. Evidendce Based Integrated Care Plan- EBICP (PDF)
  6. Checkup Plus (PDF)

 

Delta Dental PPO Plan

  • Summary Plan Document with Addendum (PDF)
  • 2018 PPO Dental Plan Summary (PDF)
  • 2018 Health & Dental Premiums (PDF)
  • Finding a Network Dentist (PDF)
  • Delta Dental Enrollment Guide (PDF)
  • Delta Dental Enrollment Form (PDF)
  • Dental Plan Cancellation Form (PDF)
  • Evidence Based Integrated Care Plan (EBICP) (PDF)
  • Expanded Sealant Coverage (PDF)
  • Reduced X-Ray Frequency (PDF)

 

Delta Dental Premier Plan Summary Plan Document (PDF) - (Plan available to enrolled Deputy Sheriff's and Sheriff's Department Lieutenants Ordinance Association Employees only)