Voluntary Dental Benefit Plan
All employess can enroll in a payroll-deduction dental program provided by IMS. The plan provides a variety of benefits and allows your family to use any dentist or specialist you choose. Ten-month payroll deductions and a summary of benefits are included below. You can review the plan on the Pierce Group Benefits Website. If you have a qualifying event and need to change your coverage, please visit the online enrollment site within 30 days of event.
|
10-Month Payroll Deduction |
|
|
Employee |
$45.64 |
|
Employee + Spouse |
$90.16 |
|
Employee + Child(ren) |
$105.13 |
|
Employee + Family |
$163.25 |
|
Summary of Benefits |
|
|
Plan Year Benefit Maximum: |
|
|
Per Person, Per Plan Year |
$1,000 |
|
Coinsurance Percentage: |
|
|
Preventive Dental Services |
100% |
|
Basic Dental Services |
80% |
|
Major Dental Services |
50% |
|
Deductible: |
|
|
Per Person, Per Plan Year |
$25 |
|
Family Member Limit |
3x |
|
Waived for Preventive Services |
Yes |
|
Child Orthodontia Benefit: |
|
|
Orthodontic Deductible |
$0 |
|
Orthodontic Coinsurance |
50% |
|
Lifetime Orthodontia Maximum |
$1,500 |
