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Committee moves to adopt dental plan without orthodontic coverage
Summary
Staff presented two dental proposals and the committee agreed to proceed with the plan that excludes orthodontic coverage, noting limited ortho benefits and minor premium impacts.
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Staff presented two dental proposals—one including orthodontic coverage and one without—and explained the trade-offs in coverage and premiums. The packet listed an individual participation figure of "$27.50" and staff said the city currently covers the full individual rate while sharing additional plan costs with employees using a formula (referenced in discussion as "$85.15"). "They had 2 proposals that they gave us. 1 with orthodontic coverage and 1 without," the Staff member said during the meeting.
Committee members questioned how often employees use orthodontic benefits and whether Delta could provide usage records. A committee member described Delta as "so restrictive," and staff said Delta cannot produce the historic usage data the committee would need to base a coverage decision solely on past claims. After discussion the Staff member proposed moving forward without orthodontic coverage: "So I was gonna have her go ahead with the no ortho. Do you guys agree with that?" Committee members signaled agreement; staff said those premium numbers may fall further after negotiation and noted the change falls within the current budget.
