Frequently Asked Questions

Find answers to your questions below. 

Employee Eligibility

Can I change my group’s waiting period?

The contract signed by the group defines the waiting period. The waiting period applies to all new employees. Some contracts may allow changes to the waiting period. An employer may contact their broker or Delta Dental Account Executive to inquire about contract revisions.

When does coverage begin after a qualifying event occurs?

Coverage begins the first of the month following the date of the qualifying event. Delta Dental must receive notice of the change in eligibility status with 31 days of the qualifying event, otherwise the change may only be made at the renewal date of the group contract if the employer allows such open enrollment.

What if an employee wants to elect coverage during a contract year?

Coverage can be elected during the employer’s open enrollment period or if a qualifying event occurs.

What does Delta Dental consider a qualifying event?

The following are considered qualifying events:

  • Birth / legal custody / adoption
  • Death
  • Loss of other dental insurance coverage
  • Marriage/divorce

Can my employee add a family member to his/her dental coverage at any time?

No. Dependent family members can only be added at the renewal date of the group contract if the employer allows open enrollment periods or when a qualifying event occurs.

My employee has a fully disabled dependent. How long can the dependent’s dental benefit coverage continue?

As long as the individual remains disabled and is fully dependent on the member for support and is unmarried, he or she can remain a dependent on the member’s dental policy. Written proof is required from the attending physician to verify the dependent’s disability.

What happens if an employee’s child reaches the maximum dependent age and is no longer a full-time student?

Dental coverage terminates at the end of the month in which the child reaches the maximum dependent age or is no longer a full-time student. However, the child may be eligible for COBRA benefits if the employer is required to offer COBRA.

How do my employees verify their children’s full-time student status?

Please provide Delta Dental with a copy of a document that proves the student is enrolled at a secondary institution and is taking at least 12 credit hours. Acceptable documentation includes a copy of a paid tuition bill or a letter from the registrar. Documentation should be sent to our Eligibility team at eligibility@deltadentalks.com or by fax to 316-462-3394.

How do I confirm that an employee is eligible for coverage?

Log in through your employer account to check an employee’s eligibility status.

Member Tools

What member tools do you have available for my employees?

Delta Dental of Kansas offers members access to their online member account and Delta Dental mobile app. 

Through the member account your employees can:

  • Review their benefits and eligibility
  • See how their claims paid
  • Print their member ID card
  • View their Explanation of Benefits (EOBs) and sign up to receive them electronically
  • Access member-only discounts

Through the mobile app your employees can:

  • Find an in-network dentist
  • Estimate their out-of-pocket costs before their appointment
  • Schedule a dentist appointment
  • Check their annual maximum and eligibility
  • Use their mobile ID card at their dentist appointment
  • Check their claims after their dental appointments
  • Use the toothbrush timer to keep up on their oral health routine

Visit the Employer Toolkit to download flyers about these helpful member tools and share with your employees.

How can I get a dental benefits summary for my employee?

A summary of dental coverage is available on your employer account.

My employee would like additional ID cards. How can they get them?

ID cards can be printed from the member account. The employee should log in, click “ID Cards”, then click the print icon. Your employee can also download the Delta Dental mobile app and simply log in to view their ID card, show it at the dental office or email it to a dependent or dentist.

Online Employer Account

How can I get a dental benefits summary for my employee?

A summary of dental coverage is available on your employer account.

When should I expect my billing statement to arrive?

Delta Dental generates billing statements (electronic and paper) on the 25th of each month. Groups that have selected electronic billing will receive an email notification that their bill has been posted to our website.

How do I confirm that an employee is eligible for coverage?

Log in through your employer account to check an employee’s eligibility status.

Billing

How far back can our account be credited for changes/terminations?

Credits for changes and terminations on your group’s account are generally limited to 60 days prior to the current billing cycle in accordance with the group’s Delta Dental contract.

When is my Delta Dental premium due each month?

Payment should be submitted to Delta Dental by the due date printed on the invoice (billing statement).

When should I expect my billing statement to arrive?

Delta Dental generates billing statements (electronic and paper) on the 25th of each month. Groups that have selected electronic billing will receive an email notification that their bill has been posted to our website.

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