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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

41

.20 Per Month / Single

Per Month / Single

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

Diagnostic & Preventive Services

80%

Other Services

50% - 80%

Orthodontics

No

Minimum Employees Enrolled

5

Annual Deductible

$25

Annual Maximum

$1,200

Waiting Periods

None

10 Plus Plans

43

.45 Per Month / Single

Per Month / Single

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

Diagnostic & Preventive Services

100%

Other Services

50% - 80%

Orthodontics

Yes

Minimum Employees Enrolled

10

Annual Deductible

$25

Annual Maximum

$1,200

Waiting Periods

Only Ortho

25 Plus Plans

42

.70 Per Month / Single

Per Month / Single

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

Diagnostic & Preventive Services

100%

Other Servcies

50% - 80%

Orthodontics

Yes

Minimum Employees Enrolled

25

Annual Deductible

$25

Annual Maximum

$1,200

Waiting Periods

Only Ortho

5 Plus Plan [9000]

5 Plus Plan

Network: PPO Plus Premier

Single

Family

Monthly Rate

$41.20

$105.10

Diagnostic & Preventive Services

Check-Ups & Routine Teeth Cleaning

80%

80%

Routine & Restorative Services

Cavity Repair, Fillings, Tooth Extractions

80%

80%

Endodontics & Periodontics

Root Canals, Gum & Bone Diseases

80%

80%

Major Services

Crowns, Bridges, Dentures, Implants

50%

50%

Orthodontics

Braces

None

None

Health through Oral Wellness

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 Diagnostic & Preventive Services

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 $41.20
Family $105.10
Diagnostic & Preventive Services

Check-Ups & Routine Teeth Cleaning

Single 80%
Family 80%
Routine & Restorative Services

Cavity Repair, Fillings, Tooth Extractions

Single 80%
Family 80%
Endodontics & Periodontics

Root Canals, Gum & Bone Diseases

Single 80%
Family 80%
Major Services

Crowns, Bridges, Dentures, Implants

Single 50%
Family 50%
Orthodontics

Braces

Single None
Family None
Health through Oral Wellness

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

$43.45

$45.70

Monthly Rate: Family

$111.30

$121.50

Diagnostic & Preventive Services

Check-Ups & Routine Teeth Cleaning

100%

100%

Routine & Restorative Services

Cavity Repair, Fillings, Tooth Extractions

80%

80%

Endodontics & Periodontics

Root Canals, Gum & Bone Diseases

80%

80%

Major Services

Crowns, Bridges, Dentures, Implants

50%

50%

Orthodontics

Braces - 1 year wait for coverage

None

50%

Health through Oral Wellness

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 Diagnostic, Preventive, 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] $43.45
With Orthodontics [9020] $45.70
Monthly Rate: Family

Standard [9010] $111.30
With Orthodontics [9020] $121.50
Diagnostic & Preventive Services

Check-Ups & Routine Teeth Cleaning

Standard [9010] 100%
With Orthodontics [9020] 100%
Routine & Restorative Services

Cavity Repair, Fillings, Tooth Extractions

Standard [9010] 80%
With Orthodontics [9020] 80%
Endodontics & Periodontics

Root Canals, Gum & Bone Diseases

Standard [9010] 80%
With Orthodontics [9020] 80%
Major Services

Crowns, Bridges, Dentures, Implants

Standard [9010] 50%
With Orthodontics [9020] 50%
Orthodontics

Braces - 1 year wait for coverage

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

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

$42.70

$44.45

Monthly Rate: Family

$109.10

$118.10

Diagnostic & Preventive Servcies

Check-Ups & Routine Teeth Cleaning

100%

100%

Routine & Restorative Services

Cavity Repair, Fillings, Tooth Extractions

80%

80%

Endodontics & Periodontics

Root Canals, Gum & Bone Diseases

80%

80%

Major Services

Crowns, Bridges, Dentures, Implants

50%

50%

Orthodontics

Braces

None

50%

Health through Oral Wellness

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 Diagnostic, Preventive, 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] $42.70
With Orthodontics [2525] $44.45
Monthly Rate: Family

Standard [2500] $109.10
With Orthodontics [2525] $118.10
Diagnostic & Preventive Servcies

Check-Ups & Routine Teeth Cleaning

Standard [2500] 100%
With Orthodontics [2525] 100%
Routine & Restorative Services

Cavity Repair, Fillings, Tooth Extractions

Standard [2500] 80%
With Orthodontics [2525] 80%
Endodontics & Periodontics

Root Canals, Gum & Bone Diseases

Standard [2500] 80%
With Orthodontics [2525] 80%
Major Services

Crowns, Bridges, Dentures, Implants

Standard [2500] 50%
With Orthodontics [2525] 50%
Orthodontics

Braces

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

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.