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
| 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% |
| 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
| 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% |
| 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 designed to promote better health and lower plan cost.
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.
