Dental Insurance

dental_toolsEligibility

This benefit is available to eligible employees and their dependents. Eligible employees are considered regular status employees and non-regular term appointment employees. Eligible dependents may include spouse, qualified domestic partner, children to age 26 (the end of the month in which age 26 is attained), and disabled children age 26 or older.

Enrollment

New eligible employees may enroll by completing and submitting the Benefit Enrollment Form within their first 31 days of employment. Benefits are effective the first pay period after 30 days of employment. Otherwise, existing employees may enroll annually during the open enrollment process (fall) or due to a change in status/qualifying event.

About the Plan

The dental plan is a Preferred Provider Organization (PPO) program through the State of New Mexico which provides coverage at 100% of the scheduled fees for preventative and diagnostic care not subject to the deductible. After meeting a $50 deductible ($150 maximum per family), other dental services are covered at a percentage of the scheduled fees. The maximum paid by the plan, per calendar year, is $1,750 per covered person. Orthodontic coverage is also included up to $2,000 lifetime maximum per covered child and $1,750 lifetime maximum per covered adult.

Dental coverage is effective the first day of the pay period following 30 days of employment. Please note that plan participants do not receive a dental benefit card. You can use the coverage as soon as it is effective. However, if you plan to schedule an appointment within the first 2 weeks of your effective date, please contact Benefit Services.

cleaningDelta Dental

Phone: (877) 395-9420

http://www.deltadentalnm.com

Delta Dental Summary of Benefits

Delta Dental Plan Presentation

 

How to Start Using this Benefit

Go to http://www.deltadentalnm.com and click on ‘New User’. Enter the required information and use your social security number as your ‘Member Id’ to begin creating your account. You will then be prompted to enter a unique user ID. When your account has been created, you can choose a provider and then contact them to schedule an appointment. Inform the provider that you are a participant in the Delta Dental New Mexico plan and they will access your information using your social security number. If needed, the NMSU group number is 8523.

Termination of this Benefit

You may voluntarily cancel coverage for yourself and or dependents during open enrollment, or due to a change in status/qualifying event.

Upon termination of employment, coverage ceases at midnight on the 15th day of the month if employment terminates between the 1st and 15th day of the month, provided the applicable premium for the pay period has been paid. If an employee terminates between the 16th and the last day of the month, coverage ceases at midnight on the last day of the month, provided the applicable premium for the pay period has been paid.

Nine (9) month employees who do not return to work the next academic year, coverage will remain in effect through June 30th.