Page 6 - 2018 OCLC Recruitment Guide

DENTAL BENEFITS

OCLC partners with Delta Dental to offer employee dental coverage. Our
plans give you access to two networks of dentists with over 200,000 dentists
nationwide. Choose the Base Plan as a low-cost option or the Buy-Up Plan for
higher annual and lifetime maximums.

Employee Monthly Cost for Dental Benefits

Base Plan Buy-Up Plan
Full-Time Part-Time Full-Time Part-Time
Employee $9.00 $22.00 $16.00 $40.00
Employee + Spouse/ $18.00 $44.00 $32.00 $80.00
Domestic Partner
Employee + Child(ren) $20.00 $50.00 $36.00 $90.00
Family $27.00 $66.00 $48.00 $120.00

Dental Benefits At-a-Glance

Base Plan Buy-Up Plan
Out-of-
Out-of-
In-Network Network In-Network Network
Deductible Single: $50 Single: $50
Family: $150 Family: $150
Calendar Year
Maximum $3,000 $6,000
Preventive Care 100% 100% 100% 100%
covered covered* covered covered*
Basic Care 80% 70%* 80% 70%*
Major Care 50% 50%* 50% 50%*
Orthodontia
Coinsurance 60% 50%* 60% 50%*
Lifetime Maximum $1,250 $2,500

Benefit Applies to Enrolled dependents under age 19

* Out-of-network coinsurance is based off the allowed amount.

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