Dental Insurance

The District offers three (3) dental plans through MetLife Dental and they are High PPO (D2000), Mid PPO (D1500) and Low PPO (D1000). All regular employees working at least 20 or more hours per week are eligible for this voluntary benefit.

Employees and qualified dependents can be covered. Eligible dependent children can be covered until the end of the calendar year in which they turn 26 years of age with NO Criteria (such as dependent marital status, student status, financial dependency on the Covered Employee, etc.) 

Dependent Eligibility

Spouse-Legally Married

Children-Employee's natural, newborn, adopted, foster, step child(ren) (or a child for whom the Covered Employee has been court-appointed as legal guardian or legal custodian) 

To help you make a decision on what plan would best meet your needs, MetLife has created the following information (including a video) for your review.

For more information, please watch the video below.

MetLife Website

MetLife Dental Insurance Video

Need an ID card? You can register and download an ID Card from MetLife's website (www.metlife.com/mybenefits). (When it asks for company name, enter THE SCHOOL DISTRICT OF LEE COUNTY.)

Need find a dental Provider? Go to www.metlife.com/dental In selecting a network, use PDP Plus.

High PPO (D2000) Plan Highlights

Benefits

  • Plan Year Deductible ($25 Individual / $75 Family)
  • Annual Maximum is $2000 (excludes Preventative/Diagnostic Procedures and Orthodontia Services)
  • Missing tooth exclusion is WAIVED
  • 2 Prophylaxis OR 2 Periodontal cleanings at the Preventative Benefit Level
  • Implant Coverage
  • Orthodontia coverage for Adults and Children (up to age 26) - $2000 Lifetime Maximum
  In-network Benefits Out-of-network Benefits
Preventative 100% no deductible 100% of allowed amount
Basic Services 80% after deductible 80% after deductible of allowed amount
Major Services 50% after deductible 50% after deductible of allowed amount

Premiums 2018-19 Plan Year

High PPO (D2000) Plan Per Pay Period
Employee Only $22.30
Employee / Spouse $45.55
Employee / Child(ren) $45.70
Employee Family $72.25

***** ATTENTION 20-PAY EMPLOYEES *****

PLEASE NOTE: The premiums listed above are based on 24-pay periods. Employee who receive 20 paychecks (i.e. 186-day work schedule), will pay the rates listed above with an additional 20% Employee Pre-Pay which will be applied toward summer coverage.

Mid PPO Plan (D1500) Plan Highlights

Benefits

  • Plan Year Deductible ($50 Individual / $150 Family)
  • Annual Maximum is $1500 (excludes Preventative/Diagnostic Procedures and Orthodontia Services)
  • Missing tooth exclusion is WAIVED
  • Two (2) cleanings: 2 Prophylaxis 
  • No Implant Coverage
  • Orthodontia Coverage for Children (up to age 26) ONLY - $1500 Lifetime Maximum
  In-network Benefits Out-of-network Benefits
Preventative 100% no deductible 100% of allowed amount
Basic Services 80% after deductible 80% after deductible of allowed amount
Major Services 50% after deductible 50% after deductible of allowed amount

Premiums 2018-19 Plan Year

Mid PPO (D1500) Plan Per Pay Period
Employee Only $18.00
Employee / Spouse $36.85
Employee / Child(ren) $37.00
Employee / Family $58.80

***** ATTENTION 20-PAY EMPLOYEES *****

PLEASE NOTE: The premiums listed above are based on 24-pay periods. Employee who receive 20 paychecks (i.e. 186-day work schedule), will pay the rates listed above with an additional 20% Employee Pre-Pay which will be applied toward summer coverage.

Low PPO (D1000) Plan Highlights

Benefits

  • Plan Year Deductible (In- Network $100 / Out of Network $300 Individual; In-Network $250 / Out of Network $750 Family)
  • Annual Maximum - In-Network $1000; Out of Network $250 (excludes Preventative/Diagnostic Procedures)
  • Missing tooth exclusion is WAIVED
  • Two (2) cleanings: 2 Prophylaxis 
  • No Implant Coverage
  • No Orthodontia Coverage
  In-network Benefits Out-of-network Benefits
Preventative Services 100% no deductible 50% of allowed amount; no deductible
Basic Services 80% after deductible 30% of allowed amount; after deductible
Major Services 50% after deductible 0%

Premiums 2018-19 Plan Year

Low PPO (D1000) Per Pay Period
Employee Only $13.85
Employee / Spouse $28.30
Employee / Child(ren) $28.45
Employee / Family $45.25

***** ATTENTION 20-PAY EMPLOYEES *****

PLEASE NOTE: The premiums listed above are based on 24-pay periods. Employee who receive 20 paychecks (i.e. 186-day work schedule), will pay the rates listed above with an additional 20% Employee Pre-Pay which will be applied toward summer coverage.

Forms