Clay County, FL
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Employee Dental Benefits | Clay County, Florida
Dental Insurance
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 coverages and premiums.
| Coverage Type | Plan Option 1: Low Plan | Plan Option 2: High Plan | ||
|---|---|---|---|---|
| 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 | ||||
| Per Person | $1,000 | $1,000 | $1,500 | $1,500 |
| Orthodontia Lifetime Maximum | ||||
| Per Person | $1,000 | $1,000 | $1,500 | $1,500 |
Dependent Eligibility: Child(ren)'s eligibility for dental coverage is from birth up to the end of the 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 Premiums
Low Option
Single
Total Monthly Premium: $17.41
County Contributions: $17.41
Employee Share: $0
Family
Total Monthly Premium: $55.51
County Contributions: $17.97
Employee Share: $37.54
High Option
Single
Total Monthly Premium: $34.16
County Contributions: $17.19
Employee Share: $16.97
Family
Total Monthly Premium: $108.92
County Contributions: $19.93
Employee Share: $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.