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For

• Areas within the states of California, Washington and Oregon where no dental plan choice is offered.

• Areas outside the states of California, Washington and Oregon.

Plans

• Delta Dental

BENEFITS

The Dental Plans are briefly described in this section.  You will be furnished with a Supplemental Summary Plan Description for your Dental Plan at the time you become eligible.  You can also obtain a copy at your Local or by contacting the Benefit Plans Office or your Area Welfare Director.

Delta Dental of California

Services provided by any licensed dentist.  By selecting a participating dentist (member of Delta Dental) you are assured direct payment to the dentist and a guarantee of the maximum benefits payable.  No identification card is necessary.  The dentist submits the claim to Delta Dental, and payment is made directly to the dentist. Most dentists in California have the necessary claim forms.  The adult dental program pays 80% of the participating dentist’s usual, customary and reasonable (UCR) fees for covered services.  The children’s dental program provides covered dental services at no cost to the patient.







Copyright 2005-2006 © ILWU-PMA Benefit Plans. All rights reserved.