Plan Benefits

Welcome to the Dental Insurance information site for State of Florida Employees.

Calendar Year Deductible Coinsurance Calendar Year Maximum per covered individual Orthodontia Lifetime Maximum per covered individual Plan Certificates

Calendar Year Deductible

Coverage Type	Deductible
Employee Only	$50
Employee + Spouse	$100 (2 family members must meet deductible)
Employee + Child(ren)	$100 (2 family members must meet deductible)
Employee + Family	$150 (3 family members must meet deductible)

Coinsurance

	Indemnity with PPO Participating / Non Participating	Standard PPO Participating / Non Participating	Preventive Plan PPO Participating / Non Participating
Preventive Services	100/100 percent	100/80 percent	100/80 percent
Basic Services	80/80 percent	80/50 percent	80/50 percent
Major Services	50/50 percent	50/30 percent	No Benefit
Orthodontia Services	50/50 percent	50/30 percent	No Benefit

Calendar Year Maximum per covered individual

Indemnity with PPO

Participating / Non Participating

Standard PPO

Participating / Non Participating

Preventive Plan PPO Participating / Non Participating

Calendar Year Max

$2,000/ $2,000

$1,500/ $1,500

$1,000/ $1,000

Orthodontia Lifetime Maximum per covered individual

Indemnity with PPO

Participating / Non Participating

Standard PPO

Participating / Non Participating

Preventive Plan PPO Participating / Non Participating

Ortho Lifetime Max

$2,500/ $2,500

$2,000/$1,500

No Benefit