Yes, you may cancel at any time. However, you cannot re-enroll back into a dental plan until the next Open Enrollment unless you have a permitting event.

No, dual coverage is never allowed under any circumstances. If this is happening, both of you must immediately notify CalPERS.

Yes. This is a mandatory deletion. The only exception is if the dependent is incapable of self-support because of disability and dependent upon the eligible employee or annuitant for support and care. A disability certification (CalPERS HBD 34) is required to ensure disabled dependent children remain covered. CalPERS must be informed prior to your dependent turning 26.

It is your responsibility to inform CalPERS of changes with your dependents. CalPERS can assist you in removing ineligible dependents from your dental plan.

Only retired state employees are eligible for the state-sponsored dental plans. If you have questions about eligibility, please contact CalPERS.

Yes, but only if the dependents had a relationship to the deceased retiree prior to the retiree’s death.

You may request, in writing, to pay the balance directly to CalPERS. For more information on this process, contact CalPERS at (888) 225-7377 / TTY (877) 249-7442.

No. You may not change dental plans outside the annual open enrollment period unless you are unable to find a dentist under that dental plan. For example, if you move to an area where your dental plan is more than 50 miles from your residence, you may enroll in another plan. If you have any questions, contact CalPERS.

Many problems can be resolved by contacting your dental plan’s customer service department. You should also refer to the complaint procedure outlined in your dental plan evidence of coverage booklet, which is available from your dental carrier.

When you enroll in a state-sponsored dental plan or change coverage, it is important to carefully check your retirement warrant to verify that the premium is being paid to the correct dental plan. If the deduction is incorrect or has not started by the effective date, report the discrepancy to CalPERS Member Account Management Division at (888) 225-7377 / TTY (877) 249-7442.

If you are unable to locate a participating provider within 50 miles of your residence, contact the plan’s customer service for assistance. If it is determined that there are no prepaid providers in your service area, contact CalPERS for further assistance.

The state-sponsored prepaid plans are only offered in California. Before you move out of the state, contact CalPERS to change your dental plan. Be sure to inform them of your moving date.

No. The dentists available through each prepaid plan have contracted with that plan to provide services to its enrollees. Your dentist choice is restricted to dentists who have contracted with your plan. Contact the dental plan directly to obtain a list of its participating dentists or to verify whether a particular dental provider is on the plan’s list.

No. If for any reason you feel you need to change your dentist or dental office, simply contact your dental plan. The customer service representative will assist you in locating another dentist from the plan’s list of participating dentists.

Your dental plan will notify you if your dentist stops participating in the plan. You will be provided with the name of a new dentist or given the opportunity to select another participating dentist within 50 miles of your residence. If you are unable to locate another participating dentist in your area, contact CalPERS.

No. The State of California pays 100 percent of the monthly premium for you and your dependents enrolled in a prepaid plan.

No. There is no annual deductible.

Depending on the type of dental service performed, you could be charged a co-payment. Co-payments are payable at the time the service is rendered. For a listing of covered dental services and applicable co-payments, please see​ C​overage and Costs for Certain Procedures: Prepaid Plans​​.​

Contact your dentist or dental office. If the emergency occurs after normal business hours, you are advised that there is no plan provider available, or you are more than 50 miles from your selected plan provider, you may receive treatment for the relief of pain from any non-plan provider. You must call your dental plan before obtaining out-of-area emergency care. Your plan will reimburse up to $400 per enrolled member per calendar year for emergency services.

The prepaid plans offer services in most dental specialties, including periodontics (treatment of diseased gums and bones), endodontics (root canal therapy), and oral surgery procedures. If your dental provider refers you to a specialist, the referral must be approved by the prepaid dental plan.

Yes, your dependents have the same level of benefits as you do.

Is it important to you to maintain your current dentist?

If your answer is no, enrolling in a prepaid plan and selecting one of its participating dental providers may be a good choice for you.

Is the location of your dentist an issue for transportation purposes?

If your answer is yes, you may want to review the list of participating dental providers for each prepaid plan. You may find a provider within easy access by car or public transportation.

Are your out-of-pocket dental costs a significant financial consideration?

If your answer is yes, you should know that the prepaid plans have no monthly premium cost share or annual deductible and most services are provided at little or no cost to you.

Do you live outside of California?

If your answer is yes, you need to be aware that the prepaid plans are only available in California.

Before changing plans, it is recommended that you request a copy of the plan brochure and a list of participating dental providers for any plans you are considering. Review this information and select a dentist from the provider list prior to changing plans. For more information or to obtain a list of each plan’s member dentists, please call or visit the websites listed below:

Prepaid Dental Plans

DeltaCare USA

P.O. Box 1803
Alpharetta, GA 30023

(800) 422-4234
www.deltadentalins.com/state/

Premier Access
8890 Cal Center Drive
Sacramento, CA 95826
(888) 534-3466
www.socdhmo.com

MetLife*

P.O. Box 14410
Lexington, KY 40512-4401

(800) 880-1800
 www.metlife.com/safeguard/soc/

Western Dental

530 South Main Street, 1st Floor
Orange, CA 92868

(866) 859-7525
www.westerndental.com/state-of-ca

*Benefits provided by SafeGuard Health Plans, Inc., a MetLife company.

Delta Dental Plans

Delta Dental

P.O. Box 997330
Sacramento, CA 95899-7330
(800) 225-3368

www.deltadentalins.com/state

If you decide to change dental plans, be aware that the prepaid plans provide less flexibility and you are required to choose your dentist from a list of participating dentists. However, the prepaid plans provide benefits at a lower cost to you. ​

Delta Dental will send you an identification card indicating your dental group number. When you or a covered dependent goes to the dentist, you will need to provide this group number (9949) and the Social Security number of the state retiree. The dental office will verify your eligibility and covered benefits directly with Delta Dental.

Although claim forms are required, the forms will be completed for you at no charge if you receive services from a participating Delta Dental dentist. If you receive services from a non-Delta Dental dentist, you may be required to complete the forms yourself or pay a fee to have the dentist’s office complete the forms for you.

When you enroll in the Delta Dental PPO plus Premier plan, Delta Dental mails you an evidence of coverage booklet with your ID card.  CalPERS also may have a small supply of these booklets. If you do not receive your booklet, contact Delta Dental at (800) 225-3368 to request an evidence of coverage booklet for group number 9949.  You may also obtain a copy by going to Delta Dental’s website at ​www.deltadentalins.com/state.

For a summary of the benefits available under the Delta Dental PPO plus Premier plan, please review the dental handbook.

​For a detailed explanation of the limitations and exclusions of the Delta Dental PPO plus Premier Basic plans, consult the evidence of coverage booklet.

Delta Dental will send you an identification card indicating your dental group number. When you or a covered dependent goes to the dentist, you will need to provide this group number (9946) and the Social Security number of the state retiree. The dental office will verify your eligibility and covered benefits directly with Delta Dental.

Although claim forms are required, the forms will be completed for you at no charge if you receive services from a participating PPO dentist. 

If you receive services from a non-Delta Dental dentist, you may be required to complete the forms yourself or pay a fee to have the dentist’s office complete the forms for you. The dental office should be able to provide you with the claim form or you may contact Delta Dental to have a claim form sent to you.

When you enroll in the PPO plan, Delta Dental will mail you an evidence of coverage booklet with your ID card. CalPERS also may have a small supply of these booklets. If you do not receive your booklet, contact Delta Dental at (800) 225-3368 to request an evidence of coverage booklet for group 9946. You may also obtain a copy by going to Delta Dental’s website at ​www.deltadentalins.com/state.

For a summary of the benefits available under the Delta Dental PPO plan, please review the dental handbook .

For a detailed explanation of the limitations and exclusions of the Delta Dental PPO plan, consult the evidence of coverage booklet.​