Dental


Basin Electric offers continuation of the Denta50 and Denta150 plans to Pre-65 retirees, their Pre-65 spouse, and eligible dependents (under age 26) administered by Delta Dental. The premiums and coverage vary by plan. Retirees have an option to change their current plan during Open Enrollment. Once a retiree declines coverage, they will not be allowed to add the benefit at a later date. Following are features of the plans, 2024 premium information, and links to plan documents associated with dental:

  PLAN FEATURES

   DENTA 50

   DENTA 150

  DEDUCTIBLE 

  $25 PER INDIVIDUAL

  $50 PER FAMILY

   $50 PER INDIVIDUAL

   $100 PER FAMILY

  PREVENTIVE & DIAGNOSTIC      100% OF ALLOWED CHARGE     100% OF ALLOWED CHARGE
  BASIC SERVICES    70% AFTER DEDUCTIBLE     80% AFTER DEDUCTIBLE
  MAJOR SERVICES    50% AFTER DEDUCTIBLE     60% AFTER DEDUCTIBLE
  CALENDAR YEAR MAXIMUM    $1,500 PER PERSON     $2,000 PER PERSON
  LIFETIME ORTHODONTIC MAXIMUM    50% UP TO A MAX OF $1,000     50% UP TO A MAX OF $2,000
MONTHLY PREMIUMS
 DENTA 50  DENTA 150
 RETIREE   $56.60  RETIREE   $83.76
 RETIREE + 1 CHILD   $79.86  RETIREE + 1 CHILD   $119.28
 RETIREE + SPOUSE   $86.96  RETIREE + SPOUSE   $130.22
 FAMILY   $120.54  FAMILY   $181.54

Summary Plan Description - Denta50

Summary Plan Description - Denta150