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Annual Open Enrollment

2011 Benefits Open Enrollment

Dental Coverage
Instructions and Information for
Completing Your Personal Enrollment

These instructions will assist you in completing your Personal Enrollment for The University of Iowa Benefits Program.

Due to a change in law, dependents may now be covered up to age 26, regardless of student status. 
There are tax ramifications to consider when covering students over age 26.  

More information is here: http://www.uiowa.edu/hr/benefits/adult_child_enhance.pdf

Dental Coverage

Your flexible credits include a University contribution toward the cost of health and dental insurance for permanent University faculty, professional and scientific staff, and supervisory exempt merit staff holding a 50% time or greater appointment.

COVERAGE

Description and comparison of plans. Enrollment in the dental plan is optional. For no coverage, select option number “90.” If you want dental coverage, you must select from the dental programs shown. Once coverage is selected, enter that number on the line labeled “Option Code.”

Coverage is provided through Delta Dental of Iowa. Two plans are available: Dental I & Dental II.

PART A Dental Benefits (Preventative Maintenance Care)

Benefit
Dental I
Dental II
Annual Deductible
(Per Member)
None
None
Coinsurance
0%
0%
Maximum Annual Benefit
(Per Member)
None
None

Part A dental benefits include:

  • Routine examination and teeth cleaning

PART B Dental Benefits (Restorative Care, Dental Prosthesis, and Surgical Care)

Benefit
Dental I
Dental II
Annual Deductible
(Per Member)
None
None
Coinsurance
50%
20%
Maximum Annual Benefit
(Per Member)
$750

Part B dental benefits include:

  • Regular cavity fillings
  • Oral surgery
  • Emergency treatment for relief of pain
  • Crowns
  • Non surgical treatment for gum disease
  • Root canal
  • Bridges, partial and complete dentures

PART C Dental Benefits (Orthodontic Care)

Benefit
Dental I
Dental II
Annual Deductible
(Per Member)
$50
$50
Coinsurance
80%
70%
Maximum Annual Benefit
(Per Member)
$500

Part C dental benefits include:

  • Treatment necessary for the proper alignment of teeth
  • Orthodontic benefits paid quarterly

**$1,500 all covered services per member combined with Part B and C.

DENTAL COVERAGE RATES

Dental Coverage
Employee Only
Employee and Spouse
Employee and Children
Employee and Family
Dental I
$29.00
$56.00
$75.00
$93.00
UI contribution
$29.00
$45.00
$60.00
$75.00
Employee Cost
$0.00
$11.00
$15.00
$18.00
 
Dental II
$ 49.00
$ 95.00
$ 100.00
$ 129.00
UI contribution
$49.00
$76.00
$80.00
$104.00
Employee Cost
$0.00
$19.00
$20.00
$25.00

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Questions? Need Help?

If you have questions or concerns regarding the enrollment process, please contact:

University Benefits
120-40 USB

Email: benefits@uiowa.edu

Web Site: www.uiowa.edu/hr/benefits

Phone: 319-335-2676 or
877-830-4001 (toll free)

Fax: 319-335-2776