Office of Human Resource Services

Employee: $4.82
Employee/Spouse: $9.70
Employee/Child(ren): $12.62
Employee/Family: $17.50

Yes

$50 per person per benefit year

Varies with procedure. Save out of pocket if you go to a PPO provider

See booklet

Maximum benefit per year is $1,000 per person. May use any dentist of your choice. Save out of pocket if you use a PPO dentist. Includes limited coverage of vision care.

Choose one of the following ways to enroll:

• Enroll online via the People First (PF) web site.
• Call PF at 1-866-663-4735 to enroll or make a change by phone.
• Mail your form or fax it to PF at 904-828-6092.
• Attend the UF Benefits’ Group Enrollment Session for assistance with completing your online enrollment with People First.

Be sure to retain a record of your transactions.

Through 11/30/08:
Employee: $6.18
Employee/Spouse: $10.00
Employee/Child(ren): $13.52
Employee/Family: $15.85

Effective 12/1/08:
Employee: $6.80
Employee/Spouse: $11.49
Employee/Child(ren): $14.87
Employee/Family: $17.43

Yes

None

Varies with procedure

Examinations - No charge

X-rays - No charge

Routine cleanings - No charge

Silver fillings - No charge

Fluoride treatments - No charge

Specialty care available at a 15 to 25 % discount

Must select a DentiCare dentist. Includes limited coverage of vision care. Please read limitations and exclusions.

Employee: $20.04
Employee/Spouse: $38.47
Employee/Child(ren): $45.34
Employee/Family: $59.97

Yes

$50 per person per benefit year

Varies with procedure. Save out of pocket if you go to a PPO provider

See booklet

Maximum benefit per year is $1,000 per person. May use any dentist of your choice. Save out of pocket if you use a PPO dentist. Includes limited coverage of vision care.

Choose one of the following ways to enroll:

• Enroll online via the People First (PF) web site.
• Call PF at 1-866-663-4735 to enroll or make a change by phone.
• Mail your form or fax it to PF at 904-828-6092.
• Attend the UF Benefits’ Group Enrollment Session for assistance with completing your online enrollment with People First.

Be sure to retain a record of your transactions.

Through 11/30/08:
Employee: $6.18
Employee/Spouse: $10.00
Employee/Child(ren): $13.52
Employee/Family: $15.85

Effective 12/1/08:
Employee: $6.80
Employee/Spouse: $11.49
Employee/Child(ren): $14.87
Employee/Family: $17.43

Yes

None

Varies with procedure

Examinations - No charge

X-rays - No charge

Routine cleanings - No charge

Silver fillings - No charge

Fluoride treatments - No charge

Specialty care available at a 15 to 25 % discount

Must select a DentiCare dentist. Includes limited coverage of vision care. Please read limitations and exclusions.

Employee: $19.18
Employee/Spouse: $36.82
Employee/Child(ren): $43.38
Employee/Family: $57.39

Yes

$50 per person per benefit year

Varies with procedure. Save out of pocket if you go to a PPO provider

See booklet

Maximum benefit per year is $1,000 per person. May use any dentist of your choice. Save out of pocket if you use a PPO dentist. Includes limited coverage of vision care.

Choose one of the following ways to enroll:

• Enroll online via the People First (PF) web site.
• Call PF at 1-866-663-4735 to enroll or make a change by phone.
• Mail your form or fax it to PF at 904-828-6092.
• Attend the UF Benefits’ Group Enrollment Session for assistance with completing your online enrollment with People First.

Be sure to retain a record of your transactions.

Employee: $12.54
Employee/Spouse: $22.53
Employee/Child(ren): $26.51
Employee/Family: $32.17

Yes

None

Varies with procedure

Routine cleaning twice a year - No charge

X-rays - No charge

Fillings (Silver) - No charge

Discount for Specialty Care & Orthodontics

Must select a Cigna dentist
Pays for a second opinion
No limit on annual benefits
No per visit charge. Please read limitations and exclusions.

Choose one of the following ways to enroll:

• Enroll online via the People First (PF) web site.
• Call PF at 1-866-663-4735 to enroll or make a change by phone.
• Mail your form or fax it to PF at 904-828-6092.
• Attend the UF Benefits’ Group Enrollment Session for assistance with completing your online enrollment with People First.

Be sure to retain a record of your transactions.

Employee: $6.32
Employee/Spouse: $10.60
Employee/Child(ren): $11.50
Employee/Family: $16.49

Yes

None

Varies with procedure. Based on copayments.

Routine cleaning twice a year - No charge

Fluoride treatment - No charge

Fillings (Silver) - No charge

Non-surgical extractions - No charge

Orthodontics and Speciality- 25% discount

Must select a network dentist. Please read limitations and exclusions. Includes limited vision benefits. Visit web site for further details.

Employee: $7.37
Employee/Spouse: $10.98
Employee/Child(ren): $11.65
Employee/Family: $18.55

Yes

$50 per person per year; maximum of 3 family members.

Varies with procedure

Vary with procedure (see percentages in brochure)

Maximum benefit per year is $1,000 per person. May use any dentist of your choice. Includes limited vision benefits. Visit web site for further details.

Employee: $8.11
Employee/Spouse: $15.99
Employee/Child(ren): $19.07
Employee/Family: $24.35

Yes

None

Varies with Procedure

Must select a Network Plus DHMO dentist. Please read limitations and exclusions. http://www.compbenefits.com/custom/stateofflorida/

Employee: $13.41
Employee/Spouse: $24.81
Employee/Child(ren): $27.72
Employee/Family: $40.25

Yes

$25 per person per year; maximum $50 family

Vary with procedure

Varies with procedure (see payment schedule)

Maximum benefit per year is $1,200 per person. May use any dentist of your choice. Save out of pocket if use a PPO dentist. Please read limitations and exclusions. http://www.compbenefits.com/custom/stateofflorida/

Choose one of the following ways to enroll:

• Enroll online via the People First (PF) web site.
• Call PF at 1-866-663-4735 to enroll or make a change by phone.
• Mail your form or fax it to PF at 904-828-6092.
• Attend the UF Benefits’ Group Enrollment Session for assistance with completing your online enrollment with People First.

Be sure to retain a record of your transactions.

Employee: $5.46
Employee/Spouse: $11.98
Employee/Child(ren): $14.95
Employee/Family: $20.99

Yes

None

Varies with procedure. No Primary Care dentist selection required.

Examinations - No charge

X-rays - No charge

Routine Cleaning- No charge

Silver filings- No charge

Fluoride treatment- No charge

25% discount for procedures not listed

Must select a UHC dentist. Please read limitations and exclusions.

Choose one of the following ways to enroll:

• Enroll online via the People First (PF) web site.
• Call PF at 1-866-663-4735 to enroll or make a change by phone.
• Mail your form or fax it to PF at 904-828-6092.
• Attend the UF Benefits’ Group Enrollment Session for assistance with completing your online enrollment with People First.

Be sure to retain a record of your transactions.