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Benefits Open Enrollment

2014 Benefits Open Enrollment

Dental Coverage and Cost
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.

We have one dental plan and the coverage is divided into 3 categories (or Parts).  The Dental Coverage option includes Parts A, B, and C.  New for 2014 - the dental benefit for Parts B and C combined has been increased to $2000. 

Dependents may be covered until the end of the calendar year in which they turn 26, regardless of student status. 
There are tax ramifications to consider when covering students over age 26.  More information is available at: http://hr.uiowa.edu/benefits/taxable-health-dental-insurance-fpsmse


Dental Coverage

Your benefits 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.

PART A Dental Benefits (Preventative Maintenance Care)

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

Part A dental benefits include:

  • Routine examination and teeth cleaning

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

Benefit
Dental II
Annual Deductible
(Per Member)
None
Coinsurance
20%
Maximum Annual Benefit
(Per Member)

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 II
Annual Deductible
(Per Member)
$50
Coinsurance
70%
Maximum Annual Benefit
(Per Member)

Part C dental benefits include:

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

**$2,000 all covered services per member combined with Part B and C.

 

Cost

Dental Coverage
Employee Only
Employee and Spouse
Employee and Children
Employee and Family
Dental II
$40.00
$65.00
$100.00
$119.00
UI contribution
$40.00
$52.00
$80.00
$96.00
Employee Cost
$0.00
$13.00
$20.00
$23.00

 

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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