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IAFF Employees Dental Summary

 

Provider

                                                                                     

Summary

ODS - Incentive                              

Preventive and Basic Services

  • 1st year – 70% to annual maximum *

  • 2nd year – 80% to annual maximum *

  • 3rd year – 90% to annual maximum *

  • 4th year – 100% to annual maximum *

  • Major Services – 50% to annual maximum

  • Orthodontia - $1,000 lifetime maximum per enrollee

  • Calendar year maximum - $1,000 per enrollee

* provided the enrollee visits the dentist at least once during the calendar year

ODS - Traditional           

  • Preventive Services – 100% to annual maximum

  • Basic Services – 80% to annual maximum

  • Major Services – 60% to annual maximum

  • Orthodontia - $1,000 lifetime maximum per enrollee

  • Calendar year maximum - $1,500 per enrollee

Forms/Documents    

Links

ODS Summary Plan Document-Incentive

ODS Summary Plan Document-Traditional

 

Website




Emergency
Information

Human Resources
555 Liberty St SE
Room 225
Salem, OR 97301
503-588-6162
TDD (For Deaf & Hard of Hearing): 503-588-6009 personnl@cityofsalem.net
More Contacts

 

Page Last Modified: March 18, 2008

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