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2024-2025 Health and Benefits Handbook

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GET STARTED To register on the Dental site, you will need your member ID #, which is (1) a zero, (2) the last four digits of your SSN and (3) the two-digit month and day of your birth (Ex. Last four of social are 6671 and Date of Birth is Jan 20, 1976 – number is 066710120) DELTA DENTAL of NC OVERVIEW OF THE DENTAL PLAN Cary provides dental insurance through Delta Dental. The dental plan covers free exams and cleaning with no limit per plan year. The plan also covers other diagnostic and preventative services. For all services (except surgical extractions, general anesthesia and orthodontia), the plan will pay up to a maximum of $2,000 per person per benefit year on all services. The plan will cover up to $4,000 per person per lifetime on orthodontic services. COST OF THE DENTAL PLAN The cost of the dental insurance depends on who the employee chooses to cover. Below are the current rates per paycheck: COVERAGE RATE PER PAYCHECK Employee Only $3.34 Employee + Spouse/Domestic Partner $35.45 Employee + Child(ren) $30.05 Employee + Family $64.67 *If you elect to cover a domestic partner, any premium (or rate) for the domestic partner and/or domestic partner child(ren) will be paid post-tax and reflected as such on your paycheck. CHOOSING A DENTIST As a Delta Dental PPO or Premier member, you may see any dentist you like. However, there are advantages to choosing a dentist who belongs to one of Delta Dental's two dentist networks. Below is an example of basic benefits performed by PPO, Premier and Out-of-Network Dentists. PPO DENTIST PREMIER DENTIST OUT OF NETWORK DENTIST Balance Billed on Covered Services No No Maybe Network Discounts with Dentists in NC Most significant with more than 2100 dentists Significant with more than 3100 dentists No Discounts Dentist File Claims for Member Yes Yes May Need to File Page 14 CARY Benefits Handbook Dental Insurance HELPFUL FORMS Domestic Partner - Enrollment Domestic Partner - Dissolution L Sample member ID # 066710120 There's an App for that! Delta Dental: Search for Dentist, ID card, and claim information Delta Dental: Search for Dentist, ID card, and claim information

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