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Many employees are covered under Delta Dental care programs. Delta Dental provides the best dental care programs to the greatest number of people in New Jersey. You may choose any fully licensed dentist to render necessary services. Participating dentists will be paid directly by Delta to the extent that services are covered by the contract. Non-participating dentists will bill the patient directly, and Delta will make payment directly to the subscriber. Maximum benefit can be derived by utilizing the services of a participating dentist. By calling 1-800-DELTA-NJ, you can obtain a customized list of participating dentists within the geographic area of your request. Delta mails the list to your home.

Benefits	Delta Premier
*Calendar Year Maximum per Patient* Preventative & Diagnostic, Basic, Crowns and Prosthodontic Services *Lifetime Maximum per Patient* Orthodontic Services	$2,000 $1,000
*Calendar Year Deductible* Individual Family	$50 $150
*Preventative & Diagnostic Services* Examinations, E-Rays, Prophylaxis	100%
*Remaining Basic Services* Oral Surgery, Restorative, Endodontics, Emergency Care	100%
*Periodontic Services*	80%
*Crowns* Crowns, Inlays, Gold Restorations	100%
*Prosthodontic Services* Bridges, Partial / Complete Dentures, Repair of existing prosthetic appliances	50%
*Orthodontic Services* For eligible employees and dependents	50%
*Sealants*	A covered benefit for children to the age of 14. Sealants are covered under the Basic Benefit plan on permanent molar teeth that have no previous cavities (once per tooth).

This outline is a general description of the group dental insurance program available to you and is designed for your use as a convenient reference. It does not alter any of the terms of the policy. If questions arise, the policy will govern

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