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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, 2007

Regular Full-Time Employees cost per month - single coverage = $35.00, Employee + one = $65.00 or Family coverage = $85.00

Hours Worked
Single Coverage
Employee Plus One
Family Coverage
20-29 $17.50 per pay period $32.50 per pay period $42.50 per pay period
30 $4.37 per pay period $8.12 per pay period $10.62 per pay period
31 $3.93 per pay period $7.31 per pay period $9.56 per pay period
32 $3.50 per pay period $6.50 per pay period $8.50 per pay period
33 $3.06 per pay period $5.68 per pay period $7.43 per pay period
34 $2.62 per pay period $4.87 per pay period $6.37 per pay period
35 $2.18 per pay period $4.06 per pay period $5.31 per pay period
36 $1.75 per pay period $3.25 per pay period $4.25 per pay period
37 $1.31 per pay period $2.43 per pay period $3.18 per pay period
38 $ .87 per pay period $1.62 per pay period $2.12 per pay period
39 $ .43 per pay period $ .81 per pay period $1.06 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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