ODS. Healthcare from your head to your toes.

Voluntary Dental

ODS voluntary dental plans allow individual employees the opportunity to enjoy a comprehensive dental plan. They do not require every employee in the company to participate. The plans offer long-term rate stability for members and make it easier for employers to offer a quality dental benefit.

Provider network
The plans use our Delta Dental Premier Network, the largest contracted network of dentists in Oregon. For companies with employees working in other states, ODS offers access to more than 114,000 dentists nationwide through our affiliation with the Delta Dental Plans. We are the only local dental plan offering a national network solution.

Enrollment and administration
ODS voluntary dental plans are easy to administer. Groups simply collect subscriber payments through their regular payroll deductions and submit payment and eligibility information to us. We do everything else.

Plan requirements

ODS reserves the right to review these rates if the census of eligible individuals varies by more than 10 percent from the census provided with the quote request.
Groups must meet minimum enrollment:
ODS groups with 40 or more employees: requires a minimum of 25 percent participation; at least 10 employees must enroll
Willamette Dental groups with 20 or more employees: requires a minimum of 25 percent participation; at least five employees must enroll
The employer must set up payroll deductions and submit premiums on behalf of their employees.
ODS voluntary dental plans cannot coexist with another dental plan offered by another carrier.
Employees participating in the ODS voluntary dental program are required to contribute to their plan’s monthly premium. Employee contributions may be up to 100 percent of the premium.

Plan designs
Below is a list of standard plan designs. We know that every group has unique needs. That’s why we can provide specialized plan designs for groups with 100 or more enrolled subscribers. Please contact your ODS Sales & Account Service Representative for more information about specially designed dental plans.

ODS Standard 100+ Offerings (For groups with 100 or more enrolling employees) - Effective date 7/1/09
Plan #	Ded. (3x Fam.)	Max.	Prevent	Basic	Major
¹The preventative and basic benefits on this incentive dental plan increases to 10% ²Deductible waived for preventive services
Premier
1	$0	$1,500 to $2,500¹	70-100%²	70-100%²	50%
2	$25	$1,500 to $2,500¹	100%	80%	50%
3	$50	$1,000 or $2,500¹	100%	80%	50%
4	$25	$1,500 to $2,500¹	80%	80%	50%
5	$50	$1,000 or $2,500¹	80%	80%	50%
6	$25	$1,500 to $2,500¹	80%	50%	50%
7	$50	$1,000 or $2,500¹	80%	50%	50%
PPO Plans
8	$25	$1,500 to $2,500¹	In=100%	In=80%	In=50%
8	$25	$1,500 to $2,500¹	Out=80%	Out=60%	Out=50%
9	$50	$1,000 or $2,500¹	In=100%	In=80%	In=50%
9	$50	$1,000 or $2,500¹	Out=80%	Out=60%	Out=50%

Voluntary Plans - Effective date 1/1/10
Plan#		Ded. (3x Fam.)	Max.	Prevent	Basic	Major
¹The preventive and basic benefits on this incentive dental plan increases in 10% increments every year as long as the member visits the dentist at least once annually ²Deductible waived for preventive services ³12-month waiting period
Premier
1	VA01	$0	$1,000	70- 100%¹	70- 100%¹	50%³
1	VA0	$0	$1,500	70- 100%¹	70- 100%¹	50%³
2	VB3X501	$50	$1,000	100%²	80%	50%³
2	VB3X50	$50	$1,500	100%²	80%	50%³
3	VC3X501	$50	$1,000	80%	80%	50%³
3	VC3X50	$50	$1,500	80%	80%	50%³
PPO
4	VBP3X501	$50	$1,000	In=100% ² Out=80%²	In=80% Out=60%	In=50%³ Out=50%³
4	VBP3X50	$50	$1,500	In=100% ² Out=80%²	In=80% Out=60%	In=50%³ Out=50%³
Direct Option
Plan#		Copay	Max.	Prevent	Crown copay	Orthodontia copay
5	VD1a	$15	Unlimited	100%	$375	$2,200
6	VD2a	$25	Unlimited	100%	$375	$2,200

Orthodontic rider
Members can enhance their Premier or PPO voluntary dental plan with an orthodontic rider (an 18-month exclusion period applies).

Child only

Coinsurance: 50%
Lifetime maximum options: $1,000 VCO1000 or $1,500 VCO1500