Group plan documents Alaska

Quickly and easily download everything you and your employees need for enrolling in a Delta Dental plan, filing claims and administering benefits. Employers should log into their Employers Dashboard to access their plan documents or contact their agent or sales for help.

View benefit summaries below:

2024 Alaska Small Group dental plans (1-50)

Amounts are what members pay (in-network per person for ages 19+)

2023 Alaska Small Group dental plans (1-50)

Amounts are what members pay (in-network per person for ages 19+)

Premier Plans

Delta Dental Premier® 1000 100/80/50 50
Delta Dental Premier® 1500 100/80/50 50
Delta Dental Premier® 2000 100/80/50 50
Delta Dental Premier® Radiant Smiles Plan
Delta Dental Premier® Preventive Mandated Plan

Premier Preventive First Plans

Delta Dental Premier® +1000 100/80/50 50 PF
Delta Dental Premier® +1500 100/80/50 50 PF
Delta Dental Premier® +2000 100/80/50 50 PF
Delta Dental Premier® +2500 100/80/50 50 PF
Delta Dental Premier® +3000 100/80/50 50 PF

PPO Plans

PPO Plus 1
PPO Plus 2
PPO Plus 3
PPO Plus 4
PPO Plus 5

PPO Preventive First Plans

Delta Dental PPO^SM PF 1000 100/90/50 50
 Delta Dental PPO^SM PF 1500 100/90/50 50
Delta Dental PPO^SM PF 2000 100/90/50 50
Delta Dental PPO^SM +2500 100/90/50 50
Delta Dental PPO^SM +3000 100/90/50 50

PPO Preventive First Voluntary Plans

Delta Dental PPO^SM PF Voluntary 1000 100/90/50 50
Delta Dental PPO^SM PF Voluntary 1500,100/90/50 50
Delta Dental PPO^SM PF Voluntary 2000 100/90/50 50

 

2023 Alaska Large Group dental plans (50 +)

Amounts are what members pay (in-network per person for ages 19+)

Premier plans

• Premier Plan AKMandDent
• Premier Plan B3X251
• Premier Plan B3X251-PF
• Premier Plan B3X25
• Premier Plan B3X252
• Premier Plan B3X2525
• Premier Plan B3X2525-PF
• Premier Plan B3X252-PF
• Premier Plan B3X25-PF
• Premier Plan B3X501
• Premier Plan B3X501-PF
• Premier Plan B3X50
• Premier Plan B3X502
• Premier Plan B3X5025
• Premier Plan B3X5025-PF
• Premier Plan B3X502-PF
• Premier Plan B3X503
• Premier Plan B3X503-PF
• Premier Plan B3X50-PF

PPO plans

• PPO Plan BP3X25
• PPO Plan BP3X25-PF
• PPO Plan BP3X501
• PPO Plan BP3X501-PF
• PPO Plan BP3X50
• PPO Plan BP3X50-PF
• PPO Plan BP3X502
• PPO Plan BP3X502-PF
• PPO Plan BPA3X251
• PPO Plan BPA3X251-PF
• PPO Plan BPA3X25
• PPO Plan BPA3X25-PF
• PPO Plan BPA3X252
• PPO Plan BPA3X252-PF
• PPO Plan BPA3X2525
• PPO Plan BPA3X2525-PF
• PPO Plan BPA3X501
• PPO Plan BPA3X501-PF
• PPO Plan BPA3X50
• PPO Plan BPA3X50-PF
• PPO Plan BPA3X502
• PPO Plan BPA3X502-PF
• PPO Plan BPA3X5025
• PPO Plan BPA3X5025-PF
• PPO Plan BPB3X251
• PPO Plan BPB3X251-PF
• PPO Plan BPB3X25
• PPO Plan BPB3X25-PF
• PPO Plan BPB3X252
• PPO Plan BPB3X252-PF
• PPO Plan BPB3X501
• PPO Plan BPB3X501-PF
• PPO Plan BPB3X50
• PPO Plan BPB3X50-PF
• PPO Plan BPB3X502
• PPO Plan BPB3X502-PF
• PPO Plan BPB3X503
• PPO Plan BPB3X503-PF
• PPO Plus Plan GBP3X501
• PPO Plus Plan GBP3X501-PF
• PPO Plus Plan GBP3X50
• PPO Plus Plan GBP3X50-PF
• PPO Plus Plan GBP3X502
• PPO Plus Plan GBP3X502-PF
• PPO Plus Plan GBP3X5025
• PPO Plus Plan GBP3X5025-PF
• PPO Plus Plan GBP3X503
• PPO Plus Plan GBP3X503-PF

Voluntary plans

• Voluntary Premier Plan VB3X501
• Voluntary Premier Plan VB3X501-PF
• Voluntary Premier Plan VB3X50
• Voluntary Premier Plan VB3X50-PF
• Voluntary Premier Plan VB3X502
• Voluntary Premier Plan VB3X502-PF
• Voluntary PPO Plan VBP3X501
• Voluntary PPO Plan VBP3X501-PF
• Voluntary PPO Plan VBP3X50
• Voluntary PPO Plan VBP3X50-PF
• Voluntary PPO Plan VBP3X502
• Voluntary PPO Plan VBP3X502-PF
• Voluntary PPO Plan VBPA3X501
• Voluntary PPO Plan VBPA3X50
• Voluntary PPO Plan VBPA3X50-PF
• Voluntary PPO Plan VBPB3X501
• Voluntary PPO Plan VBPB3X501-PF
• Voluntary PPO Plan VBPB3X50
• Voluntary PPO Plan VBPB3X50-PF
• Voluntary PPO Plus Plan VGBP3X501
• Voluntary PPO Plus Plan VGBP3X501-PF
• Voluntary PPO Plus Plan VGBP3X50
• Voluntary PPO Plus Plan VGBP3X50-PF
• Voluntary PPO Plus Plan VGBP3X502
• Voluntary PPO Plus Plan VGBP3X502-PF
• Voluntary PPO Plus Plan VGBP3X5025
• Voluntary PPO Plus Plan VGBP3X5025-PF
• Voluntary PPO Plus Plan VGBP3X503
• Voluntary PPO Plus Plan VGBP3X503-PF

Ortho plans

• Adult Ortho 1000
• Adult Ortho 1500
• Adult Ortho 2000
• Adult Ortho 2500
• Adult & Child Ortho 1000
• Adult & Child Ortho 1500
• Adult & Child Ortho 2000
• Adult & Child Ortho 2500
• Child Ortho 1000
• Child Ortho 1500
• Child Ortho 2000
• Child Ortho 2500
• Voluntary Adult Ortho V1000
• Voluntary Adult Ortho V1500
• Voluntary Adult Ortho V2000
• Voluntary Adult Ortho V2500
• Voluntary Adult & Child Ortho V1000
• Voluntary Adult & Child Ortho V1500
• Voluntary Adult & Child Ortho V2000
• Voluntary Adult & Child Ortho V2500
• Voluntary Child Ortho V1000
• Voluntary Child Ortho V1500
• Voluntary Child Ortho V2000
• Voluntary Child Ortho V2500