Clay County, FL
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The County’s dental plan is administered through Metropolitan Life Insurance Company (MetLife). The County provides two plans for employees to choose from with differing overages and premiums.
| Plan Option 1 Low Plan |
Plan Option 2 High Plan |
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| Coverage Type |
In-Network % of Negotiated Fee* |
Out-of-Network % of Negotiated Fee* |
In-Network % of Negotiated Fee* |
Out-of-Network % of Negotiated Fee* |
| Type A: Preventative (cleanings, exams, X-rays) |
100% | 80% | 100% | 90% |
| Type B: Basic restorative (fillings, extractions) |
50% | 50% | 80% | 70% |
| Type C: Major Restorative (bridges, dentures) |
50% | 30% | 50% | 40% |
| Type D: Orthodontia |
50% | 50% | 50% | 50% |
| Deductible | ||||
| Individual | $50 |
$50 |
$50 |
$50 |
| Family | $150 |
$150 | $150 | $150 |
| Annual Maximum Benefit |
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| Per Person |
$1,000 |
$1,000 | $1,500 |
$1,500 |
| Orthodontia Lifetime Maximum |
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| Per Person |
$1,000 |
$1,000 | $1,500 |
$1,500 |
Child(ren)'s eligibility for dental coverage is from birth up to end of year they turn 26.
*Negotiated Fee refers to the fees that participating dentists have agreed to accept as payment in full for covered services, subject to any co-payments, deductibles, cost sharing and benefits maximums. Negotiated fees are subject to change.
Dental |
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| Active Rates |
Total Monthly Premium |
County Contributions |
Employee Share |
|
Low Option: |
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|
Single |
$17.41 |
$17.41 |
$0 |
|
Family |
$55.51 |
$17.97 |
$37.54 |
|
High Option: |
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|
Single |
$34.16 |
$17.19 |
$16.97 |
|
Family |
$108.92 |
$19.93 |
$88.99 |
The County pays a portion of dental premiums for employees, up to 100% of premium for an individual employee on the low plan.
