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Which SD Retailers Association plan is right for you?

Our four voluntary plans exclusively for members of the South Dakota Retailers Association offer a variety of rate structures for as few as two enrolled employees.

SDRA 2-Rate Plans

46

.50 Per Month / Single

Per Month / Single

Standard and Enhanced benefit plans for 2 or more employees enrolled.

Diagnostic & Preventive Services

100%

Other Services

50%

Minimum Employees Enrolled

2

Orthodontics

Yes

Employer Contribution

Yes

SDRA 4-Rate Plans

46

.50 Per Month / Single

Per Month / Single

Standard and Enhanced benefit plans for 10 or more employees enrolled.

Diagnostic & Preventive Services

100%

Other Services

50%

Minimum Employees Enrolled

10

Orthodontics

Yes

Employer Contribution

Yes

SDRA 2-Rate Plans [8010 & 8012]

SDRA 2-Rate Plans

Network: PPO Plus Premier

Standard [8010]

Enhanced [8012]

Monthly Rate: Employee

$46.50

$50.80

Monthly Rate: Family

$116.40

$127.10

Diagnostic & Preventive Services

Check-Ups & Routine Teeth Cleaning

100%

100%

Routine & Restorative Services

Cavity Repair, Fillings, Tooth Extractions

50%

50%

Endodontics & Periodontics

Root Canals, Gum & Bone Diseases - 1 year wait for coverage

50%

50%

Major Services

Crowns, Bridges, Dentures, Implants - 1 year wait for coverage

50%

50%

Orthodontics

Braces - 1 year wait for coverage

50%

50%

Lifetime Orthodontic Maximum

$1,200

$1,500

Deductible

One Time Per Person

$50

None

Annual Maximum Benefit

Per Person Per Calendar Year

$1,200

$1,500

Maximum Bonus Account

No

Yes

Employee Enrollment % Required

Minimum of 2 Employees Enrolled

50%

75%

Employer Contribution

For Single Premium

25%

50%

Health through Oral Wellness

Yes

Yes

Monthly Rate: Employee

Standard [8010] $46.50
Enhanced [8012] $50.80
Monthly Rate: Family

Standard [8010] $116.40
Enhanced [8012] $127.10
Diagnostic & Preventive Services

Check-Ups & Routine Teeth Cleaning

Standard [8010] 100%
Enhanced [8012] 100%
Routine & Restorative Services

Cavity Repair, Fillings, Tooth Extractions

Standard [8010] 50%
Enhanced [8012] 50%
Endodontics & Periodontics

Root Canals, Gum & Bone Diseases - 1 year wait for coverage

Standard [8010] 50%
Enhanced [8012] 50%
Major Services

Crowns, Bridges, Dentures, Implants - 1 year wait for coverage

Standard [8010] 50%
Enhanced [8012] 50%
Orthodontics

Braces - 1 year wait for coverage

Standard [8010] 50%
Enhanced [8012] 50%
Lifetime Orthodontic Maximum

Standard [8010] $1,200
Enhanced [8012] $1,500
Deductible

One Time Per Person

Standard [8010] $50
Enhanced [8012] None
Annual Maximum Benefit

Per Person Per Calendar Year

Standard [8010] $1,200
Enhanced [8012] $1,500
Maximum Bonus Account

Standard [8010] No
Enhanced [8012] Yes
Employee Enrollment % Required

Minimum of 2 Employees Enrolled

Standard [8010] 50%
Enhanced [8012] 75%
Employer Contribution

For Single Premium

Standard [8010] 25%
Enhanced [8012] 50%
Health through Oral Wellness

Standard [8010] Yes
Enhanced [8012] Yes

SDRA 4-Rate Plans [8013 & 8015]

SDRA 4-Rate Plans

Network: PPO Plus Premier

Standard [8013]

Enhanced [8015]

Monthly Rate: Employee

$46.50

$50.80

Monthly Rate: Employee + Spouse

$93.00

$101.60

Monthly Rate: Employee + Children

$95.10

$103.30

Monthly Rate: Family

$127.80

$139.20

Diagnostic & Preventive Services

Check-Ups & Routine Teeth Cleaning

100%

100%

Routine & Restorative Services

Cavity Repair, Fillings, Tooth Extractions

50%

50%

Endodontics & Periodontics

Root Canals, Gum & Bone Diseases - 1 year wait for coverage

50%

50%

Major Services

Crowns, Bridges, Dentures, Implants - 1 year wait for coverage

50%

50%

Orthodontics

Braces - 1 year wait for coverage

50%

50%

Lifetime Orthodontic Maximum

$1,200

$1,500

Deductible

One Time Per Person

$50

None

Annual Maximum Benefit

Per Person Per Calendar Year

$1,200

$1,500

Maximum Bonus Account

No

Yes

Employee Enrollment % Required

Minimum of 10 Employees Enrolled

50%

75%

Employer Contribution

For Single Premium

25%

50%

Health through Oral Wellness

Yes

Yes

Monthly Rate: Employee

Standard [8013] $46.50
Enhanced [8015] $50.80
Monthly Rate: Employee + Spouse

Standard [8013] $93.00
Enhanced [8015] $101.60
Monthly Rate: Employee + Children

Standard [8013] $95.10
Enhanced [8015] $103.30
Monthly Rate: Family

Standard [8013] $127.80
Enhanced [8015] $139.20
Diagnostic & Preventive Services

Check-Ups & Routine Teeth Cleaning

Standard [8013] 100%
Enhanced [8015] 100%
Routine & Restorative Services

Cavity Repair, Fillings, Tooth Extractions

Standard [8013] 50%
Enhanced [8015] 50%
Endodontics & Periodontics

Root Canals, Gum & Bone Diseases - 1 year wait for coverage

Standard [8013] 50%
Enhanced [8015] 50%
Major Services

Crowns, Bridges, Dentures, Implants - 1 year wait for coverage

Standard [8013] 50%
Enhanced [8015] 50%
Orthodontics

Braces - 1 year wait for coverage

Standard [8013] 50%
Enhanced [8015] 50%
Lifetime Orthodontic Maximum

Standard [8013] $1,200
Enhanced [8015] $1,500
Deductible

One Time Per Person

Standard [8013] $50
Enhanced [8015] None
Annual Maximum Benefit

Per Person Per Calendar Year

Standard [8013] $1,200
Enhanced [8015] $1,500
Maximum Bonus Account

Standard [8013] No
Enhanced [8015] Yes
Employee Enrollment % Required

Minimum of 10 Employees Enrolled

Standard [8013] 50%
Enhanced [8015] 75%
Employer Contribution

For Single Premium

Standard [8013] 25%
Enhanced [8015] 50%
Health through Oral Wellness

Standard [8013] Yes
Enhanced [8015] Yes

Health through Oral Wellness

All SD Retailers Association 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 SDRA 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.

Maximum Bonus Account

Enhanced SD Retailers Association Plans [8012 & 8015] include this feature that banks unused benefits to future years. Limitations apply.

PPO Plus Premier

All SD Retailers Association 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.