Employee Eligibility

Employees must complete an enrollment form to enroll in coverage. Employees must be regularly scheduled to work at least thirty hours per week in a non-seasonal, non-temporary position in order to be eligible for dental insurance.

Eligible Dependents

• Spouse (legally married)
• A child under the age of 26 who meets at least one of the following criteria:

1. Employee's natural (biological) child
2. Employee's adopted child (including a child placed for adoption in anticipation of adoption)
3. A child for whom the employee is the legal guardian
4. Employee's child for whom the plan has received a qualified medical child support order requiring the child to be enrolled in health insurance  

• An employee or spouse's stepchild under the age of 26 for whom the employee or spouse is providing care
• Dependents over the age of 26 who are incapacitated (mentally or physically incapable of earning a living regardless of age). This provision applies only when the incapacity existed before the dependent's 26th birthday and they were already insured by a state-sponsored plan.
   

Dependents who are not eligible for coverage include: 
 

1. Foster children
2. Dependents not listed in the above definitions
3. Parent's of the employee or spouse
4. Ex-spouse
5. Live in companions who are not legally married to the employee

Premiums

Delta Dental Premiums for 2023

Dental Coverage and Percentages

Delta Dental Enrollment or Change Form

Provider Directories

Delta Dental PPO Directory

Delta Dental Premier Directory

Delta Contact

Delta Dental of Tennessee

1-800-223-3104