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Group Dental

Dental insurance is one of the most popular employee benefit programs offered by employers. It is a fairly expensive benefit plan so it is important that employers evaluate the need for such a plan. Items to consider include:

  • Long term costs of the plan
  • Should the plan be fully insured or self insured
  • Is the plan necessary to attract and retain employees
  • Are other employers in your industry offering the benefit

Rather than purchase an insured dental plan many employers determine how much they are willing to pay for a dental benefit and contribute that amount to the Health Care Account of their cafeteria plan. This approach is very effective in controlling plan costs. The table below provides a summary of typical dental plan provisions.

Typical Plan Design Provision

Group Size 5 or more employees for full coverage
Preventive only plans start with 2 or more employees
Benefits 80% to 100% Preventive Care
60% to 85% for minor restorative care
40% to 60% for major restorative care
50% for orthodontia is usually optional by plan
Benefits Amounts Annual benefit maximum per employee ranges from $500 to $2000 with $1000 being the most common amount.
An annual deductible or $25 or $50 usually applies to the restorative areas.
Rate Guarantees 1 year
Plan Types Traditional or Voluntary