Open Enrollment closed for 2019

Details and Instructions

Mark III Booklet

Employees may choose from two dental insurance plans through Anthem Blue Cross Blue Shield.  

Anthem Core Dental

• Diagnostic and Preventative Services such as periodic oral exams, teeth cleaning and eligible X-rays
• Basic Services such as fillings and simple extractions
• Eligible services for: Endodontics, Periodontics, Oral Surgery, Major Services and Prosthodontics

Anthem Premium Dental

• All services listed above PLUS
• Orthodontic coverage - $1,500 lifetime benefit maximum per insured person

Both, the Core and Premium insurances are PPO plans which allow members to select a provider from a extensive network.  If members choose to see a dentist outside of the Anthem Dental Network, they will still have insurance coverage but costs are normally higher.  The annual benefit maximum per person is $1,250 (excluding orthodontic life-time maximum).

For complete coverage details, please refer to your employee benefits booklet.

To find an in-network provider, go to www.anthem.com/mydentalvision (Select the Dental Complete Plan)

DENTAL PLAN SUMMARIES

Premium Dental

Core Dental

HEALTH AND DENTAL RATES

The rates provided are applicable to full-time and part-time contracted employees; and enrolled retirees. 

HEALTH AND DENTAL INSURANCE APPLICATIONS

Anthem Dental Insurance Application

Anthem Health Insurance Application