Dental Plans

Program

Currently, the CSU offers two dental plans for benefit eligible employees: 
Delta Dental (PPO) and Delta Care USA (HMO). Both plans are currently employer-paid.


Eligibility

Employees of the State of California and contracting public agencies whose appointment is at least six months and one day (tenure) and at least half-time (time base) may sign up for the CalPERS Health Benefit Program. In addition, lecturers with a time base of .40 or greater who are appointed for an academic year or two quarter appointment are eligible. 
Please download the Lecturer Benefit Eligibility Criteria (PDF) for additional information.


Who’s Eligible?

  • Spouse
  • Unmarried, natural, stepchildren, or adopted children under the age of 23
  • Domestic partners (contact Human Resources for more information)
  • Economically dependent children

Enrollment

New employees have 60 days from the date of hire to enroll. If you do not enroll within the 60-day period or wish to change dental plans, you may do so during the annual open enrollment period.

If the enrollment form is submitted prior to the 5th of the month and within the 60-day limit, coverage will become effective the first of the following month. You are not considered enrolled until it is reflected on your paycheck stub.   If you are currently enrolled and are required to make a change to your enrollment, contact Human Resources for information on qualifying events.


Open Enrollment

If you do not enroll by the 60th calendar day of eligibility or you wish to change dental plans, you may do so during the annual open enrollment period.


DELTA DENTAL PPO PROGRAM

Delta Dental plan is a group dental plan that allows you to choose any dentist. The benefits described in the Summary Brochure are guaranteed only when you go to a Delta member dentist.

Your collective bargaining unit determines your level of dental coverage as follows:


Identification cards are not issued.  Provider lists can be obtained by visiting Delta Dental'swebsite. Most Delta Dental providers will bill the plan directly for services.  If your provider does not bill directly and a claim form is needed, please call Delta Dental at (888) 335-8227 or log on to their website and download the claim form.

DELTA CARE USA (HMO)

Delta Care USA is a prepaid plan.  Many of the services are covered at no cost to the employee while some services require a co-payment.
Your collective bargaining unit determines your level of dental coverage as follows:


When enrolling in Delta Care USA you must choose a provider from their list.   You can view theDirectory of Dentists at http://www.deltadentalca.org/CSU.   Similar to a HMO, you will receive a membership card and evidence of coverage that describes the covered benefits.  The membership card will have the telephone number and address of your dentist.   If you wish to change your dentist,  you can do so by contacting Delta Care USA at (800) 422-4234.

A Benefits Worksheet can be downloaded from the following web address: HR_Forms page. If you have questions about completing the worksheet or wish to obtain additional information, contact Human Resources at extension 5-3634.

Consolidated Omnibus Budget Reconciliation Act (COBRA)

If you become ineligible because of a change in employee status or timebase, or your dependent (s) becomes ineligible, coverage may be continued under the provisions of COBRA.  Please contact  Human Resources for completion of documents and details.


Direct Pay

If you go on a leave of absence without pay or are otherwise in an approved non-pay status, you may elect to pay the full premium for your coverage.  Please contact  Human Resources for details

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