DENTAL PLANS Delta Dental and DeltaCare USA The CSU pays 100% of the monthly premium cost for dental coverage for you and your eligible dependents, including a spouse or a registered domestic partner and/or children up to age 26. For additional information, visit deltadentalins.com/csu, or call (800) 626-3108 if you are enrolled in the Delta Dental PPO Plan. Call (844) 519-8751 if enrolled in the DeltaCare USA Plan. When it comes to choosing a dental plan, you want benefts to ft the needs of you and your family. Delta Dental PPO and DeltaCare USA both offer comprehensive dental coverage, quality care and excellent customer service. REMINDER: Recent Enhancements for the SmileWay Wellness Beneft available under the Delta Dental PPO Plan includes: • When you visit a PPO dentist, your diagnostic and preventive services (such as cleanings and exams) will not count toward your maximum. • Enhanced coverage has been added for gum disease associated with a number of diagnosed systemic conditions (amyotrophic lateral sclerosis (ALS), cancer, chronic kidney disease, diabetes, heart disease, HIV/AIDS, Huntington’s disease, joint replacement, lupus, opiod misuse and addiction, Parkinson’s disease, rheumatoid arthritis, Sjogren’s syndrome or stroke). Delta Dental PPO DeltaCare USA This plan allows you to select the dentist of your choice. A prepaid dental health maintenance organization (DHMO) Both you and Delta Dental have a shared responsibility of is available for California residents only. All covered dental paying the dentist for services rendered. If you choose a services must be performed by DeltaCare USA panel dentists. dentist who participates in the Delta Dental PPO network No claim forms are required. Each covered dental service and/or the Delta Dental Premier network in California, claims has a specifc copayment amount and several services are will be fled on your behalf. covered at no charge. You will receive an identifcation card Please note: If you select a dentist from the Delta Dental PPO Network, you will and welcome letter, which lists your DeltaCare USA panel pay less in out-of-pocket expenses. dentist. The welcome letter will list your DeltaCare USA panel dentist. You may change your assigned dentist by contacting DeltaCare USA. OTHER EMPLOYER-PROVIDED BENEFITS CSU Employer-Paid Basic Life, AD&D and Long-Term Disability The CSU provides Basic Life, Accidental Death & Dismemberment (AD&D) and Long-Term Disability (LTD) to specifc employee groups at no cost through The Standard. Some components of the Basic Life insurance contain travel assistance, portability of insurance, funeral arrangements, identity theft prevention and estate planning. LTD insurance is intended to replace a portion of your income by providing a monthly beneft if you cannot work for an extended period of time because of illness or injury. 13