Eligible retirees have two (2) dental plans available to choose from:
Delta Dental of California PPO and DeltaCare PMI HMO. Please click
on the following links to find the information you’re looking for, or contact the
Retirement Services Department at (408) 794-1000 for additional information.

Please note: You will need Adobe Acrobat Reader PDF documents.

Summary Plan Information | Cost | Evidence of Coverage
HIPAA Privacy Notices | Authorization To Release Information Forms
Contact The Plan Providers

SUMMARY OF PLAN INFORMATION | top of page |

- Dental Plan Comparisons (File Size: 239kb)

COST | top of page |

The Retirement Funds pay 100% of the monthly premiums for members eligible for Dental Plan coverage.

EVIDENCES OF COVERAGE | top of page |

- DeltaCare PMI EOC (File Size: 335kb)

- Delta Dental of California EOC (PPO) (File Size: 589kb)

HIPAA PRIVACY NOTICES | top of page |

- Delta Dental of California (File Size: 128kb)

AUTHORIZATION TO RELEASE INFORMATION FORMS | top of page |

- Delta Dental of California (File Size: 11kb)

CONTACT THE PLAN PROVIDERS | top of page |

	Delta Dental of California 1-800-423-8154 Group #: 2584
	DeltaCare/PMI HMO 1-800-422-4234 Group #: 5643