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DENTAL

DENTAL

Allianz Trade offers two dental plan options through Delta Dental. With Delta Dental insurance you can receive services from any dentist; however, you will maximize your savings if you select a dentist in-network. Each covered member is allowed oral exams and cleanings twice within a 12 month period.

High Dental Plan

The In-Network percentage of benefits is based on the discounted fee negotiated with the provider. The Out-of-Network benefit is paid at the 80th percentile of the usual and customary rates in the geographic area in which the expenses are incurred. The member may be subject to balance billing from the dentist if their charges exceed the 80th percentile.

Low Dental Plan

The In-Network percentage of benefits is based on the discounted fee negotiated with the provider. Out-of-Network services may be subject to balance billing by your dentist for amounts in excess of the Maximum Allowed Cost of the network negotiated rate.

High and Low Dental Plans
Type of Benefit Delta Dental Premier Dentist Delta Dental Premier Dentist  Non-Delta Dentist
Maximum Contract Allowance PPO Contracted Fees Premier Contracted Fees 80th Percentile (High)
PPO Contracted Fees (Low) 
Plan Year Deductible $50/$150 $50/$150  $50/$150
Annual Maximum $2,250 $2,250  $2,250
Preventative & Diagnostic 100% 100%  100%
Basic Dental Services 80% 80% 80% 
Major Dental Services  50% 50%  50%
Orthodontics 50% 50% 50% 
Lifetime Maximum for Orthodontia $1,500 $1,500 $1,500 

*Deductible is waived for Preventive, Diagnostic and Orthodontia services
**Out-of Network services may be subject to balance billing by your dentist for amounts in excess of the 80th percentile of the usual and customary rate

2025 Associate Cost Per Pay Period Dental Rates  
Plan Associate Only Associate & Spouse (or DP) Associate & Child(ren) Family 
High Dental $5.54 $12.97 $16.16 $24.97
Low Dental $4.41 $11.03 $14.19 $21.28