You and your dependents may be eligible for state-sponsored dental insurance, available from one of several dental plans. Eligible employees may enroll in a dental plan within the first 60 days of employment or eligibility or during the annual open enrollment period. Changes in coverage are also permitted during open enrollment.
Your collective bargaining designation determines which plans are available to you. The state pays all or part of your premium, depending on the plan you select and the number of dependents you wish to cover.
If you are in Bargaining Units 1, 3, 4, 5, 9, 10, 11, 12, 13, 14, 15, 20, and 21 and have dental coverage through another source, such as your spouse, you may choose to receive cash in lieu of the state's dental benefit. This additional cash is treated as taxable income. You may enroll in this "cash option" when you are hired, during the annual open enrollment, or when you experience a permitting event which makes you newly eligible. The cash option is also available in lieu of health benefits.
If you are in Bargaining Units 2, 7, 8, 16, 17, 18, 19, or an excluded employee, you can receive cash in lieu of health benefits, or in lieu of health and dental combined, but you cannot receive cash in lieu of just dental benefits.
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During Open Enrollment, eligible employees may:
If you don't want to make any changes to your Dental coverage, you don't need to do anything. Open enrollment forms must be signed and submitted to your personnel office no later than October 7, 2016. Enrollments and changes made during open enrollment are effective January 1, 2017.
Premiums will increase for some dental plans.
Contact your personnel office if you have questions regarding your eligibility for enrollment in the state's Dental Program.
You may enroll your legal spouse, domestic partner, and dependent children up to age 26, when you experience a family status change, or during the annual open enrollment period.
If you elect not to enroll a newborn within 60 days from birth, you can enroll the child within 60 days of each birthday until the age of six or during a dental open enrollment period.
It's your responsibility to inform your personnel office of changes with your dependents, including divorces, legal separations*, dissolution of domestic partnership, termination of parent-child relationship with dependent children, and when your dependent children who are not disabled** turn age 26. These are events where you're required to inform your personnel office so they can assist you in removing the ineligible dependents from your dental plan if enrolled.
*For legal separations, a deletion of the spouse cannot be done in anticipation of a pending or active divorce action or pending final divorce settlement. When the divorce is finalized, you're required to inform your personnel office of the finalization and provide a copy of the final divorce decree.
**For a disabled child to remain on your dental plan past age 26, you must have a disability certification letter on file with your human resources office, or inform your human resources office of pending disability certification prior to your child turning age 26.
You have 60 days from your date of hire or the date you became eligible to enroll in a dental plan.
HR Offices are reminded to review their employees' enrollment and remove ineligible dependents, including dependent children who are not disabled and have reached age 26.
There are three types of dental plans available, prepaid, indemnity, and PPO:
For more information or a list of member dentists, contact the plans at:DeltaCare USA1-800-422-4234www.deltadentalins.com/state
Premier Access1-888-534-DHMO (1-888-534-3466)www.socdhmo.com
For more information, contact:
For more information, contact:
The following charts provides a comparison of costs for certain procedures covered by the state-sponsored dental plans. Please consult each dental plan's Evidence of Coverage for detailed information and plan limitations
The California Association of Highway Patrolmen (CAHP) offers its own indemnity dental plan to BU 5 employees who are CAHP members; however, members may opt to enroll in a state-sponsored prepaid plan. The California Correctional Peace Officers Association (CCPOA) provides dental insurance to BU 6 employees who are CCPOA members.
Employees in BU 5 and 6 should contact their Benefit Trust for information on their union-sponsored dental plan premiums and benefits.
Additional forms and templates available to personnel staff on
Please contact your personnel office if you have any questions.