DENTAL INSURANCE (State of New Mexico PPO)

Delta Dental

Benefits effective first of the pay period after 30 days of employment
Eligibility – regular employees working 20 hours per week (.5 FTE) or more
Enrollment form required
(Reference Policy 7.15)

Dental insurance is available to eligible Employees and dependents. The dental plan is a PPO program through the State of New Mexico which provides coverage at 100% of the scheduled fees for preventative and diagnostic care not subject to the deductible. After meeting a $50 deductible ($150 maximum per family), other dental services are covered at a percentage of the scheduled fees.The maximum paid by the plan, per calendar year, is $1,750 per covered person. Orthodontic coverage is also included up to $2,000 lifetime maximum per covered child and $1,750 lifetime maximum per covered adult.

Please note: If employees do not sign up during initial eligibility period, there is no late enrollment available. Enrollment for Dental is available every four (4) years or when a qualifying event occurs.

12 - Month Employee Dental Insurance Contributions per pay period
effective July 1, 2007 - June 30, 2008

	Total Per Pay Period Contribution	Employee Pay Period Contribution
Employee Only	$13.48	$5.39
Employee + Spouse	$26.96	$10.78
Employee + Child	$26.96	$10.78
Employee + Family	$40.44	$16.18
*Note: 9, 10 and 11-month employees' annual contributions are paid over academic year.

Delta Dental Summary Plan Description

NOTE: This is a summary description of benefits available to New Mexico State University employees. This document does not set a contractual commitment of benefits. If you have any questions concerning benefits, please refer them to the Benefit Services Department.

For more details on the benefit programs please refer to Chapter 7 of the NMSU policy manual.