Employee Dental Benefits | Clay County, Florida

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

 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
 Per Person
$1,000
 $1,000 $1,500
 $1,500
 Orthodontia Lifetime Maximum
 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

Active Rates

Total Monthly Premium

County Contributions

Employee Share

Low Option:

Single

$17.41

$17.41

$0

Family

$55.51

$17.97

$37.54

High Option:

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.