Group benefit summaries Alaska
Quickly and easily download everything you and your employees need for enrolling in a Delta Dental plan, filing claims and administering benefits.
View benefit summaries for:
2022 Alaska Small Group dental plans (1-50)
Amounts are what members pay (in-network per person for ages 19+)
2022 ALASKA
| Plan | Lifetime max | Eligible employees | Dependent children |
|---|---|---|---|
| Orthodontia riders | |||
| Adult & Child Ortho 1000 | $1000 | 50% | 50% |
| Adult & Child Ortho 1500 | $1500 | 50% | 50% |
| Adult Ortho 1000 | $1000 | 50% | Not covered |
| Adult Ortho 1500 | $1500 | 50% | Not covered |
| Child Ortho 1000 | $1000 | Not covered | 50%1 |
| Child Ortho 1500 | $1500 | Not covered | 50%1 |
| 1Treatment must be started prior to the child's 17th birthday. | |||
2021 Alaska Small Group dental plans (1-50)
Amounts are what members pay (in-network per person for ages 19+)
2021 ALASKA
| Plan | Lifetime max | Eligible employees | Dependent children |
|---|---|---|---|
| Orthodontia riders | |||
| Adult & Child Ortho 1000 | $1000 | 50% | 50% |
| Adult & Child Ortho 1500 | $1500 | 50% | 50% |
| Adult Ortho 1000 | $1000 | 50% | Not covered |
| Adult Ortho 1500 | $1500 | 50% | Not covered |
| Child Ortho 1000 | $1000 | Not covered | 50%1 |
| Child Ortho 1500 | $1500 | Not covered | 50%1 |
| 1Treatment must be started prior to the child's 17th birthday. | |||
2022 Alaska large group plan material
Amounts are what members pay (in-network per person for ages 19+)
Alaska 2022 large group plan material| Plan | Deductible | Annual Max | Exams and cleanings |
|---|---|---|---|
| Premier Plans | |||
| AKMandDent | $25 | $500 | 0% |
| W3X501 | $50 | $1,000 | 20% |
| B3X501 | $50 | $1,000 | 0% |
| W3X50 | $50 | $1,500 | 20% |
| B3X50 | $50 | $1,500 | 0% |
| W3X502 | $50 | $2,000 | 20% |
| B3X502 | $50 | $2,000 | 0% |
| L3X503 | $50 | $3,000 | 0% |
| Premier Preventive First Plans | |||
| B3X501_PF | $50 | $1,000 | 0% |
| B3X50_PF | $50 | $1,500 | 0% |
| W3X502_PF | $50 | $2,000 | 20% |
| B3X502_PF | $50 | $2,000 | 0% |
| L3X502_PF | $50 | $2,000 | 0% |
| L3X5025_PF | $50 | $2,500 | 0% |
| L3X503_PF | $50 | $3,000 | 0% |
| Premier Voluntary Plans | |||
| VB3X501 | $50 | $1,000 | 0% |
| VB3X50 | $50 | $1,500 | 0% |
| PPO Plans | |||
| BPA3X501 | $50 | $1,000 | 0% |
| BPA3X50 | $50 | $1,500 | 0% |
| BPA3X502 | $50 | $2,000 | 0% |
| BPA3X5025 | $50 | $2,500 | 0% |
| BPA3X503 | $50 | $3,000 | 0% |
| PPO Preventive First Plans | |||
| BPA3X501_PF | $50 | $1,000 | 0% |
| BPA3X50_PF | $50 | $1,500 | 0% |
| BPA3X502_PF | $50 | $2,000 | 0% |
| BPA3X5025_PF | $50 | $2,500 | 0% |
| BPA3X503_PF | $50 | $3,000 | 0% |
| PPO Voluntary Plans | |||
| VBPA3X501 | $50 | $1,000 | 0% |
| VBPA3X50 | $50 | $1,500 | 0% |
| Plan | Lifetime max | Eligible employees | Dependent children |
|---|---|---|---|
| Orthodontia riders | |||
| Adult Ortho 1000 | $1,000 | 50% | Not covered |
| Adult Ortho 1500 | $1,500 | 50% | Not covered |
| Adult Ortho 2000 | $2,000 | 50% | Not covered |
| Adult & Child Ortho 1000 | $1,000 | 50% | 50% |
| Adult & Child Ortho 1500 | $1,500 | 50% | 50% |
| Adult & Child Ortho 2000 | $2,000 | 50% | 50% |
| Child Ortho 1000 | $1,000 | Not covered | 50%1 |
| Child Ortho 1500 | $1,500 | Not covered | 50%1 |
| Child Ortho 2000 | $2,000 | Not covered | 50%1 |
| 1Covered only for children. Treatment must be started prior to child's 17th birthday. | |||