Benefits Eligible Faculty and Administrators

Dental Benefits for Faculty and Administrators

For complete descriptions of your benefit options, as well as an explanation of how to make your choice, please see the summaries and booklets below.

For costs, please see the appropriate rate sheet:

For the first time ever, we are offering stand-alone dental and vision plans that are not a part of the medical plan option you choose. You can choose either stand-alone dental and vision plans, or none at all, depending on your and your family’s needs.

Dental Options

Two dental options, both administered by Cigna, are available. A dental preferred provider organization (DPPO) similar to the one currently in place and a dental health maintenance organization (DHMO) plan for those who want something different are both available.

The Summary Plan Descriptions (SPDs) are being reviewed now and will be posted on the HR website when they have been finalized. In the interim, employees who are covered under the dental plan DHMO or the DPPO can contact Cigna at www.cigna.com or at 800-244-6224.

Please also review the Benefits Summaries listed below each choice:

DPPO

DPPO Benefit Summary

	In-Network	Out-of-Network
Annual Deductible	$50 Employee Only/ $150 Family	$50 Employee Only/ $150 Family
Preventive and Diagnostic Care	No cost to you	You pay 20% after deductible
Basic Restorative Care	You pay 20% after deductible	You pay 40% after deductible
Major Restorative Care	You pay 50% after deductible	You pay 60% after deductible
Orthodontia	You pay 50%, no deductible $1,500 lifetime maximum benefit
Calendar Year Maximum	$1,500

DHMO

DHMO Benefit Summary

	In-Network	Out-of-Network
Annual Deductible	None	Plan does not provide out-of-network benefits
Preventive and Diagnostic Care Basic Restorative Care Major Restorative Care Orthodontia	No cost to you for preventive/diagnostic care and basic fillings. You share the cost of other services based on Cigna’s Dental Patient Charge Schedule	Plan does not provide out-of-network benefits
Calendar Year Maximum	No maximum plan benefit	No maximum plan benefit