Dental Plan

The SEGIP Quality Care Dental Plan (QCDP) is available to employees and their dependents who are enrolled in one of the SEGIP health plans. Delta Dental of Illinois is the administrator for this plan.

Eligibility

You and any dependents must be eligible for and enrolled in a SEGIP health plan in order to be eligible for the dental plan. You may choose to opt-out of dental coverage while keeping health, vision, and life coverage. However, you may not opt out of SEGIP health insurance and keep dental coverage.

If you opt out of or waive dental coverage, then your dependents will also not have dental coverage. This choice will stay in effect the entire plan year until the next annual Benefit Choice period, which is the only time you may enroll in or waive dental coverage. See Opting Out of SEGIP.

If you do not elect, opt out of, or waive coverage within the first 30 calendar days of employment, then your default enrollment will be:

  • Coverage in the SEGIP Dental Plan for yourself only.
  • Dependent coverage is waived.

Cost

Your employee contributions for dental premiums are deducted from payroll. As of July 1, 2018, eligible full-time employees pay the following monthly premiums:

  • Employee Only: $11.00
  • Employee and 1 Dependent: $17.00
  • Employee and 2 or More Dependents: $19.50

Eligible part-time employees also pay a portion of the State contribution in addition to the employee cost. See Part-Time Employees.

Plan Summary

You can go to any licensed general or specialty dentist, regardless of whether the dentist participates in a Delta Dental network. In many cases, you can reduce your out-of-pocket expenses by using a Delta Dental PPO or Delta Dental Premier network dentist. To find a dental provider see the Delta Dental of Illinois provider search.

Claims for dental benefits must be filed by you or your dentist. See CMS: State Dental Plan or login to CMS MyBenefits for coverage details and claim forms.

The State of Illinois reimburses dental claims on a delayed schedule. See State Employee Claim Payment Delay Update for further information.

  • In-network Providers, Delta Dental PPO or Premier network dentists, may charge up front only for deductibles, services not covered by the plan, amounts greater than the member’s Schedule of Benefits but up to the dentist’s contracted network amount, and any amounts that exceed the annual benefit maximum.
  • Out-of-network Providers may charge full payment at the time of service, but you should receive interest from the State when your reimbursement is processed.

Additional Resources