GOV
Dental Insurance
The City offers two dental insurance plan. Providers are Dental Source and Delta Dental.
The City of St. Louis offers Dental Plans through two Insurance Carriers:
The following bi-weekly rates are effective June 18, 2023.
Dental Source Plan
| Coverage | Free Access Plan | E Plan |
|---|---|---|
| Employee Only | $5.82 | $3.60 |
| Employee + 1 Dependent | $9.66 | $6.09 |
| Employee + Family | $15.01 | $9.03 |
Schedule of Benefits
Free Access Plan and E Plan Documents
Contact
If you are an employee of the City of St. Louis and enrolled in this dental plan with questions about your coverage contact:
Dental Source: 1-877-493-6282, www.densource.com
Delta Dental Plan
| Coverage | No Ortho | With Ortho |
|---|---|---|
| Employee Only | $8.85 | N/A |
| Employee + 1 Dependent | $16.47 | $17.97 |
| Employee + Family | $24.09 | $30.22 |
Schedule of Benefits
Contact
If you are an employee of the City of St. Louis and enrolled in this dental plan with questions about your coverage contact:
Delta Dental - 1-800-392-1167, www.deltadentalmo.com
Need to Make A Change?
Eligible employees must submit enrollment forms within 31 calendar days of employment, during the annual open enrollment period, or within 31 calendar days of a qualifying life change event (for example, marriage, birth of a child, divorce, loss of coverage, court support order, etc.).
If you would like to make a change to your dental enrollment during one of these periods, please complete the dental insurance enrollment form for the applicable carrier found below. If you are adding a spouse or dependent, please also provide the necessary dependent documentation. Information on acceptable dependent documentation can be found at the link below.
Once complete, please submit the enrollment form along with all necessary documentation to your payroll specialist.
Dental Enrollment and Change Forms
Review dental insurance detailed information and enrollment forms for each insurance carrier.
View Accepted Dependent Documentation required in order to add dependents to your medical plan.
1 comment from someone like you has helped us improve this page. Keep the feedback coming!
