DENTAL INSURANCE (State of New Mexico PPO)
Delta Dental
Benefits effective first of the pay period after 30 days of employment
Eligibility - regular employees working 20 hours per week (.5 FTE) or more
Enrollment form required
(Reference Policy 7.15)
Dental insurance is available to eligible Employees and dependents. The dental plan is a PPO program through the State of New Mexico which provides coverage at 100% of the scheduled fees for preventative and diagnostic care not subject to the deductible. After meeting a $50 deductible ($150 maximum per family), other dental services are covered at a percentage of the scheduled fees. The maximum paid by the plan, per calendar year, is $1,750 per covered person. Orthodontic coverage is also included up to $2,000 lifetime maximum per covered child and $1,750 lifetime maximum per covered adult.
Please note: If employees do not sign up during initial eligibility period, there is no late enrollment available. Enrollment for Dental is available every four (4) years or when a qualifying event occurs. Please see Dental Summary Plan Description for details.
12 - Month Employee Per Pay Period Dental Insurance Contributions
effective July 1, 2008 - June 30, 2009
| Total Per Pay Period Contribution |
Employee Pay Period Contribution |
|
|---|---|---|
| Employee Only | $14.50 | $5.80 |
| Employee + Spouse | $29.01 | $11.61 |
| Employee + Child | $29.01 | $11.61 |
| Employee + Family | $43.51 | $17.40 |
| *Note: 9, 10 and 11-month employees' annual contributions are paid over academic year. | ||
Delta Dental Summary Plan Description
NOTE: This is a summary description of benefits available to New Mexico State University employees. This document does not set a contractual commitment of benefits. If you have any questions concerning benefits, please refer them to the Benefit Services Department.
For more details on the benefit programs please refer to Chapter 7 of the NMSU policy manual.
- Benefit Services
- MSC 3HRS * P.O. Box 30001 * Las Cruces, NM 88003 * Hadley Hall, Room 14
- (575) 646-1741 * benefits@nmsu.edu
