Dental insurance

Eligibility

Full and part-time benefit-eligible faculty and staff

Plan year is January 1 to December 31 (Open enrollment is in May each year with an effective date of July 1).

Plan Administrator

MetLife

Who Can Use this Benefit

Employee, spouse, eligible dependent child(ren)

Benefit

Service Categories

Service Examples

Coverage

Annual Deductible

Maximum Benefit

Preventative* Exams, cleanings, x-rays, fluoride treatments, sealants 100% None $1,750/person annually
Basic Restorative Care Fillings, simple extractions, oral surgery and periodontal treatment 80%** $25/person or $75/family
Major Restorative Care Crowns, bridges, dentures, implants 50%**
Orthodontia Orthodontic diagnostics, appliance therapy 50%** None $1,750/person lifetime
*One exam/cleaning per 6 month period.

**Of Participating Dental Providers (PDP) Fee when used In-Network; of Reasonable & Customary (R&C) charge when used out-of-network.

MetLife Dental Plan Summary

Costs

The University pays the entire cost of this program for full-time employees and their eligible family members enrolled in the program. Grandfathered part-time employees with work schedules of less than 75% time (and 50% or more) receive a pro-rated University contribution and pay the cost remaining through pre-tax payroll deductions. If you choose the "waive" option you will receive $100/year in UDollars instead of dental coverage.

Spousal Coordination

Not applicable to this benefit

Additional Resources

MetLife Employee Portal (find a provider, review claims, view coverage)

MetLife Dental Claim Form**

* MetLife does not issue dental cards.  Take the claim form with you to the dentist for claim processing. You may log into the MetLife Employee Portal and print out generic dental cards.  The University’s Group Number is 95140.  

Add a Dental ID Card to Apple

Find a Dental Provider

University Active Dental Plan Summary

Dental Plan Rates

Active Employee Dental Coverage

  Total Monthly Rate University Share Employee Share
Dental Plan Administered by MetLife for Active University faculty and staff
Employee $46.81 $46.81 $0
Employee & Spouse $94.22 $94.22 $0
Employee & Child(ren) $105.43 $105.43 $0
Family $153.21 $153.21 $0

 

Retiree Dental Coverage

  Total Monthly Rate University Share Retiree Share
Dominion - Dental HMO for Retirees (only)
Retiree $27.94 $0 $27.94
Retiree & Spouse $51.96 $0 $51.96
Retiree & Child(ren) $56.00 $0 $56.00
Family $76.08 $0 $76.08
Delta Dental - PPO Plus Premier for retirees (only)
Retiree $37.44 $0 $37.44
Retiree & Spouse $76.42 $0 $76.42
Retiree & Child(ren) $75.02 $0 $75.02
Family $125.20 $0 $125.20
Through COBRA, University Retirees may participate in Met Life Dental for up to 18 months following date of retirement. The retiree pays 102% of the total monthly rate shown above.

Active Employee Dental Coverage

  Total Per Pay University Share Employee Share
Dental Plan Administered by MetLife for Active University faculty and staff
Employee $24.57 $24.57 $0
Employee & Spouse $49.46 $49.46 $0
Employee & Child(ren) $55.35 $55.35 $0
Family $80.43 $80.43 $0

 

Retiree Dental Coverage

  Total Monthly Rate University Share Retiree Share
MetLife Dental Core for Retirees (only)
Retiree $36.08 $0 $36.08
Retiree & Spouse $67.17 $0 $67.17
Retiree & Child(ren) $80.05 $0 $80.05
Family $119.29 $0 $119.29
MetLife Dental Enhanced for Retirees (only)
Retiree $45.94 $0 $45.94
Retiree & Spouse $85.87 $0 $85.87
Retiree & Child(ren) $96.85 $0 $96.85
Family $146.22 $0 $146.22
Through COBRA, University Retirees may participate in Met Life Dental for up to 18 months following date of retirement. The retiree pays 102% of the total monthly rate shown above.

Dental Coverage

  Total Monthly Rate COBRA @ 102%
Dental Plan Administered by MetLife
Employee $49.15 $50.13
Employee & Spouse $98.93 $100.91
Employee & Child(ren) $110.70 $112.91
Family $160.87 $164.09