Dental Insurance
Truckers Insurance Associates offers employee dental insurance through Delta Dental of Iowa.
Delta Dental of Iowa Group # I-31538-2
Renewal Date: July 1, 2020
Dental Insurance Summary
| Covered Services | Delta Dental of Iowa |
| Diagnostic & Preventive Services
Routine Exams (twice per benefit period) Teeth Cleaning (twice per benefit period) Bitewing X-rays (once every 12 months) Fluoride Treatment (dependent children) Full Mouth X-Rays (once every 5 years) |
100% |
| Basic & Routine Services
Oral Surgery Fillings Emergency Surgery for Pain Relief Sealant on Molars (dependent children under 15) |
Ded. Then 80/20 |
| Major Services
Full or Partial Dentures (once every 5 years) Bridges Crowns Root Canal Therapy Inlays and Onlays Treatment for Periodontal Disease |
Ded. Then 50/50 |
| Annual Deductible | $25 (Single)
$75 (Family) |
| Annual Maximum | $2,000 |
| Orthodontia | Ded. Then 50/50
$1,500 Lifetime Maximum |
|
Rates Per Paycheck |
|
| Employee only | $0 |
| Dependent under 21 years of age
(per child per paycheck, no charge after 3rd child) |
$14.85 |
| Adult over 21 (spouse and/or qualifying dependent, per adult per paycheck) | $17.82 |
This illustration is a brief description and not intended to replace the actual contract.
*Pre-determination of benefit required for plans exceeding $200.