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Dental Insurance

There are two options available for Dental Insurance:

United HealthCare (formerly Pacific Union Dental) DMO Dental Plan
Group Number: 04N6328 (Local 1021); 04N6329 (Mgmt & Confidential); 
04N6330 (PFT); 0582962 (Local 39); 04N6331 (Adjunct)
Customer Service: 877-816-3596
Website: http://www.myuhcdental.com

Dependents are covered up to the attainment of age 26 with no full time student status (dependent child must be an IRS dependent); same and opposite sex domestic partner coverage.

Delta Dental PPO Dental Plan
Group Number: 938-0503 (Local 39); 938-0504 (Local 1021);
938-0505 (Mgmt & Confidential); 938-0506 (PFT); 938-1501 (Adjunct)
Customer Service: 800-765-6003
Website: www.deltadentalins.com

Dependents are covered up to the attainment of age 25 with no full time student status (dependent child must be an IRS dependent); same and opposite sex domestic partner coverage.

pdf_small.gifMay 15, 2008 - Dental Comparison in Retirement

United Healthcare DMO Downloads
 United Health Care DMO - Evidence of Coverage  
Click to view
DOWNLOAD

This is the United Health Care DMO - Evidence of Coverage document.

  File size: 245 K

 United Healthcare DMO - Covered Procedures  
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DOWNLOAD

This is the United Healthcare DMO Plan list of covered procedures.

  File size: 189 K

 United Healthcare DMO - General Benefit Schedule  
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DOWNLOAD
This is the United Healthcare DMO General Benefit Schedule.
  File size: 208 K

Delta Dental PPO Downloads
 Delta Dental Evidence of Coverage  
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DOWNLOAD

This is the Delta Dental Evidence of Coverage and Disclosure Form. (Updated 9-14-2011)

  File size: 559 K

 Delta Dental Benefit Summary  
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DOWNLOAD
This is the Delta Dental Benefit Summary.
  File size: 44 K

 Delta Dental Claim Form  
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DOWNLOAD
This is the Delta Dental Claim form.
  File size: 186 K


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