Active Employees and COBRA Members
Northeast Delta Dental Customer Service 1-800-832-5700
Plan Documents and Coverage
Plan Document (PDF)Ìý- A detailed description of the plan's coverage. Your right to appeal is outlined in this document (see "Disputed Claims Procedure").Ìý
Summary of Benefits CoverageÌý(PDF)Ìý
Double-Up Maxâ„ Carryover Benefit
Premium Rates
For Active Employees and Covered Dependents Effective July 1, 2025 - June 30, 2026
| Level of Coverage | Biweekly Deduction for Full-Time Employees | Biweekly State Contribution | Monthly COBRA Rates (e.g., former employees) |
| Employee Only | $0 | $15.22 | $31.05 |
| Employee + 1 | $12.00 | $15.22 | $55.53 |
| Employee + 2 or More People | $36.84 | $15.22 | $106.20 |
For Active Employees and Covered Dependents Effective July 1, 2024 - June 30, 2025
| Level of Coverage | Biweekly Deduction for Full-Time Employees | Biweekly State Contribution | Monthly COBRA Rates (e.g., former employees) |
| Employee Only | $0 | $14.92 | $30.44 |
| Employee + 1 | $11.76 | $14.92 | $54.43 |
| Employee + 2 or More People | $36.12 | $14.92 | $104.12 |
Employee deductions listed above are withheld on a pre-tax basis.ÌýPremiums for a domestic partnerÌýand partner's childÌýor children are withheld post-tax. ForÌýpremium amounts for part-time employees, contact Employee Health, Wellness, & Workers' CompensationÌýat 1-800-422-4503.
Ìý