Dental Insurance Plans

• Both plans are administered by Delta Dental of California.
• The premiums for these dental plans are paid by the CSU.
• When you have made your choice, fill out the Benefits Worksheet,(.xls) or (.pdf). Return the completed form to the Benefits Office in HR Services.
• When you go to your dentist, be sure to provide them with your group number.

• Enrollees may select a dentist of their choice.
• Members may choose a dentist in the Delta Premier or Delta PPO network and pay less.
• The plan sets the limits it pays for each specific type of dental treatment. Members are responsible for paying any remaining balance.
• All eligible Chancellor's Office employees are provided the Enhanced Level II plan.
• You may read the Evidence of Coverage for information on covered benefits.
• You will need to complete and submit your own claim forms for services provided by a non-Delta dentist.
• Register online for member services and to view your claims.

• Enrollees and their eligible dependents are required to use a dentist who is a contracted DeltaCare USA provider.
• Most basic services are covered at no cost.
• All eligible Chancellor's Office employees are provided the Enhanced plan.
• View the Evidence of Coverage for information on covered benefits.

• Your Two Dental Plan Options(.pdf)