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DENTAL PLANS

Regular dental checkups provide an early-detection opportunity to diagnose gum disease, a condition that can lead to complications like heart disease, diabetes, stroke and even premature births. With six dental plans to choose from, you can offer your employees extended coverage while still controlling your costs.


Gold V1 Benefits Child Adult Family
Deductible Amount $20 $50 $150
Out-of-Pocket (OOP) Maximum $700 (child)
$1400 (children)
Unlimited -
Plan Year Maximum None $1,500 -
What the employee pays after meeting the deductible
Preventive and Diagnostic
(In-Network/Out-of-Network)
100% / 75% 100% / 100% -
Minor Restorative Services
(In-Network/Out-of-Network)
80% / 60% 80% / 80% -
Major Restorative Services
(In-Network/Out-of-Network)
50% / 30% 50% / 50% -
Orthodontics N/A N/A -
Waiting Period
Minor Restorative Services None None -
Major Restorative Services None 12 Months* -

Gold V2 Benefits Child Adult Family
Deductible Amount $20 $50 $150
Out-of-Pocket (OOP) Maximum $700 (child)
$1400 (children)
Unlimited -
Plan Year Maximum None $1,500 -
What the employee pays after meeting the deductible
Preventive and Diagnostic
(In-Network/Out-of-Network)
100% / 75% 100% / 100% -
Minor Restorative Services
(In-Network/Out-of-Network)
80% / 60% 80% / 80% -
Major Restorative Services
(In-Network/Out-of-Network)
50% / 30% 50% / 50% -
Orthodontics $1,000 child, 50% child N/A -
Waiting Period
Minor Restorative Services None None -
Major Restorative Services None 12 Months* -

Gold V3 Benefits Child Adult Family
Deductible Amount $20 $50 $150
Out-of-Pocket (OOP) Maximum $700 (child)
$1400 (children)
Unlimited -
Plan Year Maximum None $2,000 -
What the employee pays after meeting the deductible
Preventive and Diagnostic
(In-Network/Out-of-Network)
100% / 75% 100% / 100% -
Minor Restorative Services
(In-Network/Out-of-Network)
80% / 60% 80% / 80% -
Major Restorative Services
(In-Network/Out-of-Network)
50% / 30% 50% / 50% -
Orthodontics N/A N/A -
Waiting Period
Minor Restorative Services None None -
Major Restorative Services None 12 Months* -

Gold V4 Benefits Child Adult Family
Deductible Amount $20 $50 $150
Out-of-Pocket (OOP) Maximum $700 (child)
$1400 (children)
Unlimited -
Plan Year Maximum None $2,000 -
What the employee pays after meeting the deductible
Preventive and Diagnostic
(In-Network/Out-of-Network)
100% / 75% 100% / 100% -
Minor Restorative Services
(In-Network/Out-of-Network)
80% / 60% 80% / 80% -
Major Restorative Services
(In-Network/Out-of-Network)
50% / 30% 50% / 50% -
Orthodontics $2,000 child, 50% child N/A -
Waiting Period
Minor Restorative Services None None -
Major Restorative Services None 12 Months* -

Silver V1 Benefits Child Adult Family
Deductible Amount $50 $50 $150
Out-of-Pocket (OOP) Maximum $700 (child)
$1400 (children)
Unlimited -
Plan Year Maximum None $1,000 -
What the employee pays after meeting the deductible
Preventive and Diagnostic
(In-Network/Out-of-Network)
90% / 75% 100% / 100% -
Minor Restorative Services
(In-Network/Out-of-Network)
75% / 60% 50% / 50% -
Major Restorative Services
(In-Network/Out-of-Network)
50% / 30% N/A -
Orthodontics N/A N/A -
Waiting Period
Minor Restorative Services None None -
Major Restorative Services None None -

Silver V2 Benefits Child Adult Family
Deductible Amount $50 $50 $150
Out-of-Pocket (OOP) Maximum $700 (child)
$1400 (children)
Unlimited -
Plan Year Maximum None $1,000 -
What the employee pays after meeting the deductible
Preventive and Diagnostic
(In-Network/Out-of-Network)
90% / 75% 100% / 100% -
Minor Restorative Services
(In-Network/Out-of-Network)
75% / 60% 80% / 80% -
Major Restorative Services
(In-Network/Out-of-Network)
50% / 30% 50% / 50% -
Orthodontics N/A N/A -
Waiting Period
Minor Restorative Services None None -
Major Restorative Services None 12 Months* -

Pediatric Benefits Child
Deductible Amount $50
Out-of-Pocket (OOP) Maximum $700 (child)
$1400 (children)
Plan Year Maximum None
What the employee pays after meeting the deductible
Preventive and Diagnostic
(In-Network/Out-of-Network)
90% / 75%
Minor Restorative Services
(In-Network/Out-of-Network)
75% / 60%
Major Restorative Services
(In-Network/Out-of-Network)
50% / 30%
Orthodontics N/A
Waiting Period
Minor Restorative Services None
Major Restorative Services None


* Waiting period may be waived if group had prior coverage. New hires and late entrants must meet waiting period. If waiting period applies, it will also apply to ortho coverage if included.

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