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Benefits Information
The State offers a choice of two dental
care programs. Participation is optional, and for those employees electing
dental coverage, there is a bi-weekly payroll deduction. The cost to the
employee depends on the type of coverage selected. If an employee joins
either program, he/she must remain a member for a minimum of 12 months.
Upon resignation, termination, or retirement, coverage extends to approximately
30 days from the separation date. Pamphlets and enrollment forms are available
in the Office of Human Resources. Employees may enroll or change programs
during the annual open enrollment period held during the month of October.
The effective date of any change will be January 1st of the following
year. Additional information is also available from the links below:
Dental Expense
Plan (Aetna USHC)
The Prudential Dental Plan provides
coverage for oral exams; X-rays; oral prophylaxis, including scaling and
polishing; repair of dentures (labor and supplies); restorative procedures
(fillings, inlays, and crowns); palliative (emergency) treatment; extractions;
endodontic services; space maintainers; oral surgery; apicetomy; and orthodontics
for persons under age 19
After a person meets a $50. deductible (if applicable), the costs of all
other eligible services are reimbursed at a percentage of the reasonable
and customary charge for the service (except where certain limits apply
and subject to benefit maximums). The reimbursement percentages are as
follows:
100% diagnostic
and preventitive
80% basic services
65% major restorative
50% periodontics and prosthodontics
50% orthodontics (no deductible applicable; separate $1000 lifetime benefit
maximum)
New Jersey
Dental Plan Organization (DPO)
The New Jersey Dental Plan Organization
provides two options. Employees may select either a clinic variety or
an individual dentist. A list of participating dental organizations is
available in the Office of Human Resources. It is the employee's responsibility
to verify that an individual dentist is a member of the plan.
Eligible services include: diagnostic-preventative procedures, radiographs,
space maintainers, restoratives, endodontics, prosthodontics, oral surgery,
orthodontics, periodontics, fixed bridges. Eligible dependents are your
spouse (unless legally separated) and unmarried children under 23 years
of age who live with you in a regular parent-child relationship.
The bi-weekly deductions cover all eligible services except where a copayment
is specified.
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