4 Summer St., Rm 104, Haverhill, MA 01830 | Office Hours 8:00-4:00 | Phone (978) 374-3411 | Fax (978) 374-3422
Haverhill Public Schools offers two dental plans administered by Delta Dental. Both plans utilize the same network of Delta Dental “Premier” providers and offer in and out of network coverage (note: non-participating dentists may balance bill for services). Dental insurance is effective on the first day of employment and you have 30 days from the date of hire to enroll in or waive. The plan year runs from January 1, 2017 to December 31, 2017 (deductible, calendar year maximum and rollover max resets on January 1). You may choose individual, individual + 1 or family coverage. Dental ID cards are issued in the employee’s name only and are shared with dependents. The employee pays 100% of the dental insurance premium.
Basic Plan – Covers preventive and minor services, $1,000 per person calendar year maximum
The following rates are in effect from July 1, 2017 – June 30, 2018. The deductions are pre-tax, bi-weekly and deducted from 20 paychecks.
Individual Individual + 1 Family
Basic – $18.32 $37.70 $58.02
Enhanced – $31.87 $65.60 $100.94
Both plans offer the Delta Dental Mobile App which gives you access to a mobile ID card and the Dental Dental Website to review your benefits, claims and to search for providers. For questions you may contact Delta Dental at 800-872-0500.
Below please find additional information on the two dental insurance plans:
Delta Dental Premier Summary Plan Description
Dental Plan Comparison
Dental Insurance Rates July 1, 2017 – June 30, 2018
Dental Insurance Rates July 1, 2016 – June 30, 2017
Delta Dental Enrollment Form