Page 9 - 2016 Enrollment
P. 9
Dental Benefits To enroll, change, or decline
benefits, login to ADP located
on Mission Control or
Dental Coverage—Delta Dental https://workforcenow.adp.com
Dental coverage remains with Delta Dental effective July 1,
2016. Benefits will remain the same. The semi-monthly
contributions to the plan are as follows.
Semi-Monthly Dental Plan
Employee only $15.00
Employee + 1 $30.00
Family (employee + 2+) $46.00
Dental Plan Overview
PPO Premier Out-of-
Network
Calendar Year Deductible
Individual $0 $50 $50
Family $0 $150 $150
Calendar Year Maximum
$1,500 $1,500 $1,500
Coinsurance
Preventive services 100% 100% 100% Dental Provider Search
Basic services 90% 80% 80% To access the online dentist
Major services 60% 50% 50% directory, visit:
Orthodontia www.deltadental.com.
Coinsurance 50%, no deductible Click on the “Patients” tab,
Lifetime maximum $1,000 $1,000 $1,000 then “Find a Dentist” link on
Applies to Children to age 19 the right side of the page.
For more detailed information about Dental, an online benefits
enrollment presentation can be viewed on
Mission Control under Human Resources or visit 2016 - 17 Benefits
https://www.brainshark.com/LocktonSTL/1617EmmausDental
benefits, login to ADP located
on Mission Control or
Dental Coverage—Delta Dental https://workforcenow.adp.com
Dental coverage remains with Delta Dental effective July 1,
2016. Benefits will remain the same. The semi-monthly
contributions to the plan are as follows.
Semi-Monthly Dental Plan
Employee only $15.00
Employee + 1 $30.00
Family (employee + 2+) $46.00
Dental Plan Overview
PPO Premier Out-of-
Network
Calendar Year Deductible
Individual $0 $50 $50
Family $0 $150 $150
Calendar Year Maximum
$1,500 $1,500 $1,500
Coinsurance
Preventive services 100% 100% 100% Dental Provider Search
Basic services 90% 80% 80% To access the online dentist
Major services 60% 50% 50% directory, visit:
Orthodontia www.deltadental.com.
Coinsurance 50%, no deductible Click on the “Patients” tab,
Lifetime maximum $1,000 $1,000 $1,000 then “Find a Dentist” link on
Applies to Children to age 19 the right side of the page.
For more detailed information about Dental, an online benefits
enrollment presentation can be viewed on
Mission Control under Human Resources or visit 2016 - 17 Benefits
https://www.brainshark.com/LocktonSTL/1617EmmausDental
