DELTA DENTAL OF OKLAHOMA- EMPLOYEE PLANS

January 1, 2016 – December 31, 2016

Employee Monthly Payroll Deductions

Employee Only

Employee + 1

Employee & Family

Delta Premier

$ 16.74

$ 61.02

$ 97.52

Delta Dental PPO

$ 0.00

$ 27.50

$ 50.22

Renewal Rates for Option Period 2015:
Please keep in mind that your plan benefits will not change.

Monthly Renewal Rates – Delta Dental PPO (Amount shown is the employee out-of-pocket expense)

Employee Only.............................................$ 0.00

Employee + Family.................................................$ 50.22

Employee + One Dependent ........................$ 27.50

Monthly Renewal Rates – Delta Dental Premier (Amount shown is the employee out-of-pocket expense)

Employee Only.............................................$ 16.74

Employee + Family..................................................$ 97.52

Employee + One Dependent ........................$ 61.02

Please feel free to contact us if we can provide you with any further information.

Karen Pride, Insurance Coordinator (918)246-1411, karen.pride@sandites.org

See below to view copies of a brief description of the important features of your Delta Dental benefit program. If you have more specific questions regarding your Dental benefits, please contact Delta Dental of Oklahoma’s customer service department at the toll-free number (800)-522-0188.

For a directory of participating Dentists, click here.