| Dental Coverage |  |
- Dental Insurance Plan: Pinal County Community College District Employee Benefit Trust
| Claims Payer: | Delta Dental of Arizona 15648 North 35th Avenue, Suite 111 Phoenix, Arizona 85053-3863 Phone: 800-352-6132 Visit their website at: www.deltadentalaz.com |
Coverage Begins: First of the month following date of full-time employment
Note: The open enrollment period is the month of May with an effective date of July 1st. Changes made at any other time other than the open enrollment period will require a qualifying event.
There is no monthly premium cost for Employee Only coverage. Employee contribution rates for dependent dental coverage are as follows:
| Employee Monthly Contribution Rate Dental Coverage |
|
| Employee Only | $0.00 |
| Employee + Spouse | $4.72 |
| Employee + Children | $4.33 |
| Employee + Family | $9.86 |
Maximum per calendar year: $1,500
Deductible: $25 per calendar year
Participants are able to have two cleanings and two sets of X-rays per calendar year with no out-of-pocket expense.
The plan pays 80% of some expenses and 50% of others.