3028_1.PDF

This document is a Washington State Department of Enterprise Services (DES) Master Contract for dental services between the State of Washington and Delta Dental of Washington, effective from July 1, 2019, through June 30, 2022. The contract serves as the master agreement for dental insurance coverage for state employees, with Delta Dental of Washington acting as the contracted dental plan administrator. The contract includes provisions for Washington State agencies and eligible employees to participate in the dental insurance program.

The contract covers comprehensive dental services including preventive care, basic restorative services, major restorative procedures, and orthodontic coverage for eligible state employees and their dependents. Pricing is structured through established premium rates and benefit schedules, with the state contributing toward employee premiums as outlined in collective bargaining agreements. The contract includes annual renewal options and allows for rate adjustments based on claims experience and administrative costs. Coverage includes standard dental benefits with varying copayments and deductibles depending on the type of service, and the contract provides for network provider arrangements to ensure broad access to dental care throughout Washington State.