Mississippi Valley State University

October 2, 2014

Dental and Vision Insurance

DENTAL INSURANCE AND VISION INSURANCE

Optional dental insurance and vision insurance plans, with the premium paid by the employee, are available for those who desire the coverage. Employees who elect the coverage may pay the full premium by payroll deduction, and may insure a spouse and dependent children from birth to 26 years of age, if a full time student.

Delta Dental Incorporated - www.deltadentalins.com

This dental insurance program allows employees the freedom to visit any licensed dentist of choice; however, there are advantages to visiting a Delta Dental PPO network dentist instead of an out-of-network dentist. The plan includes employee only and dependent coverage. Two options are available to employees with the dental plan: low option and high option. Both options offer similar benefits for diagnostic/preventive, basic and major services. Assigned co-insurance, annual limits, and monthly premiums will vary depending on the option elected. The employee is responsible for 100% premium for coverage in this plan.

High Plan Option 
 Employee Only$21.66
 Employee + One Dependent$42.18
 Employee + 2 or more Dependents$62.14

Low Plan Option 
 Employee Only$13.66
 Employee + One Dependent$26.60
 Employee + 2 or more Dependents$39.16

Vision Insurance - EyeMed Vision Care - www.eyemedvisioncare.com

EyeMed Vision Care's Network consists of private practicing optometrist, ophthalomologist, opticians, and optical retailers such as LenCrafters, Pearle Vision, Sears Optical, Target Optical and JC Penny Optical. The Plan coverage includes expenses related to eye exams, lens with frames (including single, bifocals or trifocal) and contanct lenses at pre-determined rates. The plan includes employee only and dependent coverage. The employee is responsible for 100% of the premium.

Premiums 
 Subscriber amount$6.70
 Subscriber & Family$17.08