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International Union of Operating Engineers: Local 399
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Dental Benefits


Summary of Dental Benefits


Effective January 1, 2019


Dental Benefits     Delta Dental PPO Provider             Out of Network Provider
Preventative (Routine)   100%   50% of R&C

Calendar Year Maximum



Orthodontia not included



                     $50 for Restorative/Replacement 

(dependent children only)

        50% to $2000 lifetime maximum per dependent child  

How to file a Dental Claim

Send all dental claims to:

Delta Dental of Illinois

P.O. Box 5402, Lisle, IL 60532


Inform your Dentist to refer to Group #20126


For additional Dental Benefit information, please refer to

pages 16-18 of your 2019 Summary Plan Description Book


Click here to download a copy of our
2019 Summary Plan Description Book