Dental Benefits

You and your eligible dependents may be eligible for State-sponsored dental insurance, available from one of several dental plans. Eligible employees may enroll in a dental plan within the first 60 days of employment or eligibility, or during the annual open enrollment period. Changes in coverage also are permitted during open enrollment.

Your collective bargaining designation determines which plans are available to you. The State will pay all or part of your premium, depending on the plan you select and the number of dependents you wish to cover.

If you are in Bargaining Units 1, 3, 4, 5, 6, 9, 10, 11, 12, 13, 14, 15, 20, and 21 and have dental coverage through another source, such as your spouse, you may choose to receive cash in lieu of the State's dental benefit. This additional cash is treated as taxable income. You may enroll in this "cash option" when you are hired, during the annual open enrollment, or when you experience a permitting event which makes you newly eligible. The cash option also is available in lieu of health benefits.

If you are in Bargaining Units 2, 7, 8, 16, 17, 18, 19, or an excluded employee, you can receive cash in lieu of health benefits, or in lieu of health and dental combined, but you cannot receive cash in lieu of just dental benefits.

For more information please use links below:

• Active State Employees
• Retirees and Annuitants

Active State Employees

Changes for 2012

• Premiums will increase for Delta Premier and Delta Preferred Provider Option (PPO). These increases will be effective January 1, 2012

Important Reminders

• If you have children, they are eligible for dependent coverage with the Health, Dental up to the age of 26.
• A dependent child, who is a State employee and eligible for a State-sponsored dental plan in his or her own right, is now eligible to enroll in their parent's State sponsored dental plan. This is a change from previous years and will bring the State into compliance with the new federal health care reform requirements.
• State employees, who are dependents on their parent's benefits, whether or not the parent(s) is/are a State employee(s), are now eligible to receive the cash in lieu of dental coverage. This is a change from previous years and will bring the State into compliance with the new federal health care reform requirements.
• DeltaCare no longer provides services in the following counties: Butte, Humboldt, Merced, San Luis Obispo, Shasta, and Sutter

For more information please use links below:

• Eligibility
• Enrollment
• Dental Plans
• 2012 State-Sponsored Dental Plan Premiums
• Comparison of Benefits and Covered Services
• Union-Sponsored Dental Plans - Bargaining Units 5 and 6
• Dental and Vision Plan COBRA Premiums

2011 Plan Year Information:

• Dental Plans
• 2011 State-Sponsored Dental Plan Premiums
• Comparison of Dental Plan Procedure Costs
• Union-Sponsored Dental Plans - Bargaining Units 5 and 6
• Dental and Vision Plan Premiums
• Dental and Vision Plan COBRA Premiums

Publications

• Dental Benefits Handbook for Active and Retired Employees

Forms

All forms are PDFs unless otherwise noted.

• Dental Plan Enrollment Authorization - STD 692
• Dental Plan Direct Payment Authorization - STD 696
• Affidavit for Economic Dependent Children - DPA 025 - Word Document
• Affidavit for Domestic Partners or Same-Sex Spouses Being Claimed as Economic Dependents - DPA 680

COBRA Forms

• COBRA Initial General Notice (Word Document)
• COBRA Initial General Notice Log (Word Document)
• COBRA Election Notice (Word Document)
• COBRA Election Notice Log (Word Document)
• COBRA Election Form (PDF)
• COBRA Notice of Unavailability of Continuation Coverage (Word Document)
• COBRA Monthly Status Report (Word Document)
• COBRA Calendar (PDF)
• COBRA Premium Assistance and Election Notice - American Reinvestment and Recovery Act of 2009 (PDF)

More Information

Please contact your personnel office if you have any questions.

Updated December 29, 2011 at 5:58 PM.