No, you must have a permitting event to make changes to your dental enrollment outside of open enrollment. CalPERS can determine if your change is an allowable event.
Yes, you may cancel at any time; however, you cannot re-enroll back into a dental plan until the next open enrollment, or if you have a permitting event.
No, dual coverage is never allowed under any circumstance. If this is happening, both of you must immediately notify CalPERS.
Yes, it is a mandatory deletion, unless they are a disabled dependent. He or she may continue to be enrolled after attaining age 26 if he/she is incapable of self-support because of physical disability or mental incapacity. A disability certification (CalPERS HBD 34) is required to ensure disabled dependent children remain covered after the age of 26.
It is your responsibility to inform CalPERS of changes with your dependents. CalPERS can assist you in removing ineligible dependents from your dental plan.
No, being a CalPERS retiree does not make you eligible; city, county, federal, and private/public sector retirees are not eligible for the state-sponsored dental plans. If you have questions about eligibility, please contact CalPERS.
Yes, but only if the dependents had a relationship to the deceased retiree prior to the retiree’s death (e.g., the retiree’s unborn child).
You may request, in writing, to pay the balance directly to CalPERS. For more information on this process, contact CalPERS at (888) 225-7377 / TTY (877) 249-7442.
No. You may change dental plans outside the annual open enrollment period only if your dental plan is no longer available to you. For example, if you move to an area where your dental plan is more than 50 miles from your residence, you may enroll in another plan. If you have any questions, contact CalPERS.
Many problems can be resolved by contacting your dental plan’s customer service department. You should also refer to the complaint procedure outlined in your dental plan evidence of coverage booklet, available from CalPERS or your dental carrier. If you are unable to resolve your complaint through your carrier, you may contact CalHR at (916) 322-0300 for assistance.
When you enroll in a state-sponsored dental plan or change the coverage, it is important to carefully check your retirement warrant to verify that the premium is being paid to the correct dental plan. If the deduction is incorrect, or has not started by the effective date, report the discrepancy to CalPERS Member Account Management Division at (888) 225-7377 / TTY (877) 249-7442.
Yes. Shortly after your eligibility is established by your dental plan and you have selected a dentist, you will receive an identification card. The card is a reminder of which dental office you selected. Please confirm the address and telephone number of your selected dental provider with your dental plan carrier.
If you are unable to locate a participating provider within 50 miles of your residence, contact the plan’s customer service for assistance. If it is determined that there are no prepaid providers in your service area, contact CalPERS for further assistance.
The state-sponsored prepaid plans are only offered in California. Before you move out of the state, contact CalPERS to change your dental plan; be sure to inform them of your moving date.
No. The dentists available through each prepaid plan have contracted with that plan to provide services to its enrollees. Your choice is restricted to dentists who have contracted with your plan (called “participating dentists”). Contact the dental plan directly to obtain a list of its participating dentists or to verify whether a particular dental provider is on the plan’s list.
No. If for any reason you feel you need to change dental providers, simply contact your dental plan; the customer service representative will assist you in locating another dentist from the plan’s list of participating dental providers.
Your dental plan will notify you if your dentist stops participating in the plan. You will be provided with the name of a new dentist or given the opportunity to select another participating dentist within 50 miles of your residence. If you are unable to locate another participating dentist in your service area, contact CalPERS.
No. The State of California pays 100 percent of the monthly premium for you and your dependents enrolled in a prepaid plan.
No. There is no annual deductible.
Depending on the type of dental service performed, you could be charged a co-payment. Co-payments are payable at the time the service is rendered. For a listing of covered dental services and applicable co-payments, please see Coverage and Costs for Certain Procedures: Prepaid Plans.
Contact your dentist or dental office. If the emergency occurs after normal business hours, or you are advised that there is no plan provider available, or you are more than 50 miles from your selected plan provider, you may receive treatment for the relief of pain from any non-plan provider. You must call your dental plan before obtaining out-of-area emergency care. Your plan will reimburse up to $400 per enrolled member, per calendar year for emergency services.
The prepaid plans offer services in most dental specialties, including periodontics (treatment of diseased gums and bones), endodontics (root canal therapy), and oral surgery procedures. If your dental provider refers you to a specialist, the referral must be approved by the prepaid dental plan.
If your answer is NO, enrolling in a prepaid plan and selecting one of its participating dental providers may be a good choice for you.
If your answer is YES, you may want to review the list of participating dental providers for each prepaid plan. You may find a provider within easy access by car or public transportation.
If your answer is YES, you should be aware that the prepaid plans have no monthly premium cost share or annual deductible, and most services are provided at little or no cost to you.
If your answer is YES, you need to be aware that the prepaid plans are only available in California.
Before changing plans, it is recommended that you request a copy of the plan brochure and list of participating dental providers for any plans you are considering. Review this information and select a dentist from the provider list prior to changing plans. For more information or to obtain a list of each plan’s member dentists, please call or visit the websites of the plans listed below:
12898 Towne Center Drive
Cerritos, CA 90703
8890 Cal Center Drive
Sacramento, CA 95826
5 Park Plaza, Suite 1850 Irvine, CA 92614 (800) 880-1800www.metlife.com/group-dental/safeguard/soc
530 South Main Street, 6th Floor Orange, CA 92868 (866) 859-7525www.westerndental.com/state-of-ca
P.O. Box 429086
San Francisco, CA 94142
If you decide to change dental plans, be aware that the prepaid plans provide less flexibility in that you are required to choose your dentist from a list of dental providers. However, the prepaid plans provide benefits at less cost to you.
Your Delta Dental PPO plus Premier dental group number is 9949.
Delta will send you an identification card indicating your enrollment in the Delta Dental PPO plus Premier plan and your dental group number. When you or a covered dependent/family member goes to the dentist, you will need to provide this group number (9949) and the Social Security number of the state retiree. The dental office will verify your eligibility and covered benefits directly with Delta.
Although claim forms are required, the forms will be completed for you at no charge if you receive services from a participating Delta dentist. If you receive services from a non-Delta dentist, you may be required to complete the forms yourself or pay a fee to have the dentist's office do it for you.
When you enroll in the Delta Dental PPO plus Premier plan, Delta mails you an evidence of coverage booklet with your ID card. CalPERS also may have a small supply of these booklets. If you do not receive your booklet, contact Delta at (800) 225-3368 to request an evidence of coverage booklet for group number 9949. You may also obtain a copy by going to Delta’s website at
For retirees in the Delta Dental PPO plus Premier Basic plan, there is an annual maximum benefit of $2,000 for the retiree and $1,000 for each dependent. For some services, the level of benefits for the enrolled dependent is less than the level of benefits for the retiree. There is a $50 deductible for each family member (maximum of $150 per family per year). The required $50 deductible for each participant is waived for preventive and diagnostic care.
The annual deductibles do not apply to diagnostic and preventive benefits such as x-rays, examinations, and cleanings. If the dental costs exceed the annual maximum, the retiree is responsible for paying the difference.
For a detailed explanation of the limitations and exclusions of the Delta Dental PPO plus Premier plans, consult the evidence of coverage booklet, available by contacting Delta at (800) 225-3368.
Your PPO group number is 9946.
Delta will send you an identification card indicating your enrollment in the PPO plan and your dental group number. When you or a covered dependent/family member goes to the dentist, you will need to provide this group number (9946) and the Social Security number of the state retiree. The dental office will verify your eligibility and covered benefits directly with Delta.
Although claim forms are required, the forms will be completed for you at no charge if you receive services from a participating PPO dentist. If you receive services from a non-Delta dentist, you may be required to complete the forms yourself or pay a fee to have the dentist's office do it for you. The dental office should be able to provide you with the claim form, or you may contact Delta to have a claim form sent to you.
When you enroll in the PPO plan, Delta will mail you an evidence of coverage booklet with your ID card. CalPERS also may have a small supply of these booklets. If you do not receive your booklet, contact Delta at (800) 225-3368 to request an evidence of coverage booklet for group 9946. You may also obtain a copy by going to Delta’s website at
In-Network: The PPO plan provides an annual in-network maximum benefit of $2,000 for the retiree and all enrolled dependents that use a participating PPO dentist. There is also is a $25 annual deductible for each enrollee (maximum of $100 per family) using a participating PPO dentist.Out-of-Network: The PPO plan provides an annual out-of-network maximum benefit of $1,000 for the retiree and all enrolled dependents that use a participating non-PPO dentist. There is also is a $75 annual deductible for each enrollee (maximum of $200 per family) using a non-PPO dentist. These deductibles do not apply to diagnostic and preventive benefits such as x-rays, examinations, and cleanings.
For a detailed explanation of the limitations and exclusions of the Delta Dental PPO plan, consult the evidence of coverage booklet, available by contacting Delta at (800) 225-3368.