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.
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
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
Added benefits for those at high risk of tooth decay or gum disease
Yes
Yes
Prevention Pays
Covers diagnostic and preventive care beyond annual maximum benefit
Yes
Yes
Standard [8010] | $46.50 |
Enhanced [8012] | $50.80 |
Standard [8010] | $116.40 |
Enhanced [8012] | $127.10 |
Check-ups & routine teeth cleaning
Standard [8010] | 100% |
Enhanced [8012] | 100% |
Cavity repair, fillings, tooth extractions
Standard [8010] | 50% |
Enhanced [8012] | 50% |
Root canals, gum & bone diseases - 1 year wait for coverage
Standard [8010] | 50% |
Enhanced [8012] | 50% |
Crowns, bridges, dentures, implants - 1 year wait for coverage
Standard [8010] | 50% |
Enhanced [8012] | 50% |
Braces - 1 year wait for coverage
Standard [8010] | 50% |
Enhanced [8012] | 50% |
Standard [8010] | $1,200 |
Enhanced [8012] | $1,500 |
One time per person
Standard [8010] | $50 |
Enhanced [8012] | None |
Per person per calendar year
Standard [8010] | $1,200 |
Enhanced [8012] | $1,500 |
Standard [8010] | No |
Enhanced [8012] | Yes |
Minimum of 2 employees enrolled
Standard [8010] | 50% |
Enhanced [8012] | 75% |
For single premium
Standard [8010] | 25% |
Enhanced [8012] | 50% |
Added benefits for those at high risk of tooth decay or gum disease
Standard [8010] | Yes |
Enhanced [8012] | Yes |
Covers diagnostic and preventive care beyond annual maximum benefit
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
Added benefits for those at high risk of tooth decay or gum disease
Yes
Yes
Prevention Pays
Covers diagnostic and preventive care beyond annual maximum benefit
Yes
Yes
Standard [8013] | $46.50 |
Enhanced [8015] | $50.80 |
Standard [8013] | $93.00 |
Enhanced [8015] | $101.60 |
Standard [8013] | $95.10 |
Enhanced [8015] | $103.30 |
Standard [8013] | $127.80 |
Enhanced [8015] | $139.20 |
Check-ups & routine teeth cleaning
Standard [8013] | 100% |
Enhanced [8015] | 100% |
Cavity repair, fillings, tooth extractions
Standard [8013] | 50% |
Enhanced [8015] | 50% |
Root canals, gum & bone diseases - 1 year wait for coverage
Standard [8013] | 50% |
Enhanced [8015] | 50% |
Crowns, bridges, dentures, implants - 1 year wait for coverage
Standard [8013] | 50% |
Enhanced [8015] | 50% |
Braces - 1 year wait for coverage
Standard [8013] | 50% |
Enhanced [8015] | 50% |
Standard [8013] | $1,200 |
Enhanced [8015] | $1,500 |
One time per person
Standard [8013] | $50 |
Enhanced [8015] | None |
Per person per calendar year
Standard [8013] | $1,200 |
Enhanced [8015] | $1,500 |
Standard [8013] | No |
Enhanced [8015] | Yes |
Minimum of 10 employees enrolled
Standard [8013] | 50% |
Enhanced [8015] | 75% |
For single premium
Standard [8013] | 25% |
Enhanced [8015] | 50% |
Added benefits for those at high risk of tooth decay or gum disease
Standard [8013] | Yes |
Enhanced [8015] | Yes |
Covers diagnostic and preventive care beyond annual maximum benefit
Standard [8013] | Yes |
Enhanced [8015] | Yes |
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.
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.
Enhanced SD Retailers Association Plans [8012 & 8015] include this feature that banks unused benefits to future years. Limitations apply.
All SD Retailers Association plans are Delta Dental PPO Plus Premier plans. Enrolled members get broad choice of dentists in two networks.
Download plan summaries, enrollment forms, and other files at our Document Library.