Which pooled group plan is right for you?

If you're looking to attract and retain employees, our pooled group plans will keep you ahead in the labor market and promote employee health.

5 Plus Plan

42

.70 Per Month / Single

Per Month / Single

Take the next step to being a leading employer in the market.

Preventive Care

80%

Fillings & Extractions

80%

Other Services

50% - 80%

Orthodontics

No

Minimum Employees Enrolled

5

Annual Deductible

$25

Annual Maximum

$1,200

Waiting Periods

None

10 Plus Plans

44

.95 Per Month / Single

Per Month / Single

Complete benefits for 10 or more employees and an Orthodontic option.

Preventive Care

100%

Fillings & Extractions

80%

Other Services

50% - 80%

Orthodontics

Option

Minimum Employees Enrolled

10

Annual Deductible

$25

Annual Maximum

$1,200

Waiting Periods

Only Ortho

25 Plus Plans

44

.20 Per Month / Single

Per Month / Single

A full range of benefits for 25 or more employees and an Orthodontic option

Preventive Care

100%

Fillings & Extractions

80%

Other Services

50% - 80%

Orthodontics

Option

Minimum Employees Enrolled

25

Annual Deductible

$25

Annual Maximum

$1,200

Waiting Periods

None

5 Plus Plan [9000]

5 Plus Plan

Network: PPO Plus Premier

Single

Family

Monthly Rate

$42.70

$108.80

Preventive Care

Routine exams, cleanings, x-rays

80%

80%

Fillings & Extractions

Cavity repair, oral surgery, emergency pain relief

80%

80%

Root Canals & Gum Disease Treatment

Including periodontal maintenance cleaning

80%

80%

Crowns & Prosthetics

Crowns, bridges, dentures, implants

50%

50%

Braces & Teeth Alignment

Orthodontic treatments

None

None

Health through Oral Wellness

Added benefits for those at high risk of tooth decay or gum disease

Yes

Yes

Prevention Pays

Covers preventive care beyond annual maximum benefit

Yes

Yes

Dependents

Covered to age 26. No age restriction if unmarried full-time student.

Deductible

Per person per calendar year

$25

$25, not to exceed $75 per family

Deductible Note

Does not apply to Preventive Care

Annual Maximum Benefit

Per person per calendar year

$1,200

$1,200

Minimum Employees Enrolled

5

5

Employer Contribution

For single premium

100%

100%

Monthly Rate

Single $42.70
Family $108.80
Preventive Care

Routine exams, cleanings, x-rays

Single 80%
Family 80%
Fillings & Extractions

Cavity repair, oral surgery, emergency pain relief

Single 80%
Family 80%
Root Canals & Gum Disease Treatment

Including periodontal maintenance cleaning

Single 80%
Family 80%
Crowns & Prosthetics

Crowns, bridges, dentures, implants

Single 50%
Family 50%
Braces & Teeth Alignment

Orthodontic treatments

Single None
Family None
Health through Oral Wellness

Added benefits for those at high risk of tooth decay or gum disease

Single Yes
Family Yes
Prevention Pays

Covers preventive care beyond annual maximum benefit

Single Yes
Family Yes
Dependents

Deductible

Per person per calendar year

Single $25
Family $25, not to exceed $75 per family
Deductible Note

Annual Maximum Benefit

Per person per calendar year

Single $1,200
Family $1,200
Minimum Employees Enrolled

Single 5
Family 5
Employer Contribution

For single premium

Single 100%
Family 100%

10 Plus Plans

10 Plus Plan

Network: PPO Plus Premier

Standard [9010]

With Orthodontics [9020]

Monthly Rate: Single

$44.95

$47.20

Monthly Rate: Family

$115.00

$125.20

Preventive Care

Routine exams, cleanings, x-rays

100%

100%

Fillings & Extractions

Cavity repair, oral surgery, emergency pain relief

80%

80%

Root Canals & Gum Disease Treatment

Including periodontal maintenance cleaning

80%

80%

Crowns & Prosthetics

Crowns, bridges, dentures, implants

50%

50%

Braces & Teeth Alignment

Orthodontics | 1 year wait for coverage

None

50%

Health through Oral Wellness

Added benefits for those at high risk of tooth decay or gum disease

Yes

Yes

Prevention Pays

Covers preventive care beyond annual maximum benefit

Yes

Yes

Dependents

Covered to age 26. No age restriction if unmarried full-time student

Deductible

Per person per calendar year

$25, not to exceed $75 per family

$25, not to exceed $75 per family

Deductible Note

Does not apply to Preventive Care or Orthodontic Services

Annual Maximum Benefit

Per person per calendar year

$1,200

$1,200

Minimum Employees Enrolled

10

10

Employer Contribution

For single premium

100%

100%

Monthly Rate: Single

Standard [9010] $44.95
With Orthodontics [9020] $47.20
Monthly Rate: Family

Standard [9010] $115.00
With Orthodontics [9020] $125.20
Preventive Care

Routine exams, cleanings, x-rays

Standard [9010] 100%
With Orthodontics [9020] 100%
Fillings & Extractions

Cavity repair, oral surgery, emergency pain relief

Standard [9010] 80%
With Orthodontics [9020] 80%
Root Canals & Gum Disease Treatment

Including periodontal maintenance cleaning

Standard [9010] 80%
With Orthodontics [9020] 80%
Crowns & Prosthetics

Crowns, bridges, dentures, implants

Standard [9010] 50%
With Orthodontics [9020] 50%
Braces & Teeth Alignment

Orthodontics | 1 year wait for coverage

Standard [9010] None
With Orthodontics [9020] 50%
Health through Oral Wellness

Added benefits for those at high risk of tooth decay or gum disease

Standard [9010] Yes
With Orthodontics [9020] Yes
Prevention Pays

Covers preventive care beyond annual maximum benefit

Standard [9010] Yes
With Orthodontics [9020] Yes
Dependents

Deductible

Per person per calendar year

Standard [9010] $25, not to exceed $75 per family
With Orthodontics [9020] $25, not to exceed $75 per family
Deductible Note

Annual Maximum Benefit

Per person per calendar year

Standard [9010] $1,200
With Orthodontics [9020] $1,200
Minimum Employees Enrolled

Standard [9010] 10
With Orthodontics [9020] 10
Employer Contribution

For single premium

Standard [9010] 100%
With Orthodontics [9020] 100%

25 Plus Plans

25 Plus Plan

Network: PPO Plus Premier

Standard [2500]

With Orthodontics [2525]

Monthly Rate: Single

$44.20

$45.95

Monthly Rate: Family

$112.80

$121.80

Preventive Care

Routine exams, cleanings, x-rays

100%

100%

Fillings & Extractions

Cavity repair, oral surgery, emergency pain relief

80%

80%

Root Canals & Gum Disease Treatment

Including periodontal maintenance cleaning

80%

80%

Crowns & Prosthetics

Crowns, bridges, dentures, implants

50%

50%

Braces & Teeth Alignment

Orthodontic treatments

None

50%

Health through Oral Wellness

Added benefits for those at high risk of tooth decay or gum disease

Yes

Yes

Prevention Pays

Covers preventive care beyond annual maximum benefit

Yes

Yes

Dependents

Covered to age 26. No age restriction if unmarried full-time student.

Deductible

Per person per calendar year

$25, not to exceed $75 per family

$25, not to exceed $75 per family

Deductible Note

Does not apply to Preventive Care or Orthodontic Servcies

Annual Maximum Benefit

Per person per calendar year

$1,200

$1,200

Minimum Employees Enrolled

25

25

Employer Contribution

For single premium

100%

100%

Monthly Rate: Single

Standard [2500] $44.20
With Orthodontics [2525] $45.95
Monthly Rate: Family

Standard [2500] $112.80
With Orthodontics [2525] $121.80
Preventive Care

Routine exams, cleanings, x-rays

Standard [2500] 100%
With Orthodontics [2525] 100%
Fillings & Extractions

Cavity repair, oral surgery, emergency pain relief

Standard [2500] 80%
With Orthodontics [2525] 80%
Root Canals & Gum Disease Treatment

Including periodontal maintenance cleaning

Standard [2500] 80%
With Orthodontics [2525] 80%
Crowns & Prosthetics

Crowns, bridges, dentures, implants

Standard [2500] 50%
With Orthodontics [2525] 50%
Braces & Teeth Alignment

Orthodontic treatments

Standard [2500] None
With Orthodontics [2525] 50%
Health through Oral Wellness

Added benefits for those at high risk of tooth decay or gum disease

Standard [2500] Yes
With Orthodontics [2525] Yes
Prevention Pays

Covers preventive care beyond annual maximum benefit

Standard [2500] Yes
With Orthodontics [2525] Yes
Dependents

Deductible

Per person per calendar year

Standard [2500] $25, not to exceed $75 per family
With Orthodontics [2525] $25, not to exceed $75 per family
Deductible Note

Annual Maximum Benefit

Per person per calendar year

Standard [2500] $1,200
With Orthodontics [2525] $1,200
Minimum Employees Enrolled

Standard [2500] 25
With Orthodontics [2525] 25
Employer Contribution

For single premium

Standard [2500] 100%
With Orthodontics [2525] 100%

Health through Oral Wellness

All pooled group plans include our innovative benefit program at no additional cost. It's a unique patient-centered program to encourage better health and lower plan cost.

Prevention Pays

Your pooled group plan does even more with Prevention Pays. Covering preventive care beyond the annual maximum benefit encourages regular dental visits to protect your smile and keep it healthy.

PPO Plus Premier

All pooled group plans are Delta Dental PPO Plus Premier plans. Enrolled members get broad choice of dentists in two networks.

Plan documents

Download plan summaries, enrollment forms, and other files at our Document Library.