Underwriting Rules & Eligibility Requirements

Below are brief summaries of underwriting requirements for groups of five to 99 employees. A complete list of requirements is included in the appropriate group contract.

Delta Dental Premier® and Delta Dental PPO Plans

Groups with Five to Nine Enrolled Employees

Employer Paid Plans
  • Contribution Requirement
    Employer must pay:
        1. Employees...50 percent
        2. Dependent...zero percent
  • Employee Participation
    Tied to company's medical plan. (100 percent of all employees enrolled in the group-sponsored medical plan must be enrolled in the employer-sponsored dental benefits plan.)
  • Dependent Participation
    Same as employee.
PreferredCore-Plus
  • Contribution Required
    Employer must pay:
       1. Employees...50 percent
       2. Dependent...zero percent
  • Employee Participation
    Minimum 75 percent enrollment of all eligible employees
  • Dependent Participation
    Minimum 50 percent enrollment of all eligible dependents

Core (Buy-up)

  • Contribution Requirement
    The employees must pay the additional premium for the buy-up option.
  • Employee Participation
    There is no minimum participation requirement for buy-up option.
  • Dependent Participation
    Dependent buy-up must match that of employee.

PreferredVoluntary

  • Contribution Requirement
    Employers may pay a maximum of 50 percent of employee premium.
  • Employee Participation
    The minimum participation is the greater of five enrolled employees or 20 percent of eligible employees.
  • Dependent Participation
    No minimum required.

Groups with 10 to 99 Enrolled Employees


Employer Paid Plans
  • Contribution Requirement
    Employer must pay:
        1. Employees...50 percent
        2. Dependent...zero percent
  • Employee Participation
        1. 75 percent enrollment of all eligible employees, or
        2. Tied to company's medical plan. (100 percent of all employees enrolled in the group-sponsored medical plan must be enrolled in the employer-sponsored dental benefits plan.)
  • Dependent Participation
    Minimum 50 percent enrollment of all eligible dependents
PreferredCore-Plus
  • Contribution Required
    Employer must pay:
       1. Employees...50 percent
       2. Dependent...zero percent
  • Employee Participation
    Minimum 75 percent enrollment of all eligible employees
  • Dependent Participation
    Minimum 50 percent enrollment of all eligible dependents

Core (Buy-up)

  • Contribution Requirement
    The employees must pay the additional premium for the buy-up option.
  • Employee Participation
    There is no minimum participation requirement for buy-up option.
  • Dependent Participation
    Dependent buy-up must match that of employee.

PreferredVoluntary

  • Contribution Requirement
    Employers may pay a maximum of 50 percent of employee premium.
  • Employee Participation
    The minimum participation is the greater of five enrolled employees or 20 percent of eligible employees.
  • Dependent Participation
    No minimum required.

Dependents are eligible for benefits through age 24.

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