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Delta Dental of Wyoming
dental Delta Dental administers the dental benefit for Campbell County employees. There is currently no premium cost for regular full-time employees. Regular part-time employee premium amounts are based on the number of hours they work.

Calendar Year Deductibles:

Single Coverage: $45 per person
Employee + One $90 for employee plus one
Family Coverage: $90 per family

Calendar Year Maximum Coverage

(excluding orthodontics): $1,500

Lifetime maximum for orthodontics

(eligibility dependents only): $1,750

Coverage:

Preventive & Diagnostic: 100%
Basic Services: 85%
Major Services: 50%
Orthodontic: 50%

Dental Insurance Costs: Effective July 1, 2010

Regular Full-Time Employees cost per month - single coverage = $35.00, Employee + one = $70.00 or Family coverage = $90.00

Hours Worked
Single Coverage
Employee Plus One
Family Coverage
20-29 $17.50 per pay period $35.00 per pay period $45.00 per pay period
30 $4.38 per pay period $8.75 per pay period $11.25 per pay period
31 $3.94 per pay period $7.88 per pay period $10.13 per pay period
32 $3.50 per pay period $7.00 per pay period $9.00 per pay period
33 $3.06 per pay period $6.13 per pay period $7.88 per pay period
34 $2.63 per pay period $5,25 per pay period $6.75 per pay period
35 $2.19 per pay period $4.38 per pay period $5.63 per pay period
36 $1.75 per pay period $3.50 per pay period $4.50 per pay period
37 $1.31 per pay period $2.63 per pay period $3.38 per pay period
38 $ .88 per pay period $1.75 per pay period $2.25 per pay period
39 $ .44 per pay period $ .88 per pay period $1.13 per pay period

Benefit payments are based on allowable, reasonable and customary charges. For more information regarding your dental benefits, contact the Human Resources Department at 687-6355, Delta Dental at 1-800-735-3379 or visit their web site at http://www.deltadentalwy.org.

 

More information regarding benefits can be found in the Personnel & Benefit binders as well as by contacting the HR Department. All benefits are subject to eligibility requirements and may change at any time. In the case of a difference between the above listed information and the master policies, the master policies will be controlling.

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