University of Illinois System

Dental Plan

The SEGIP Quality Care Dental Plan (QCDP) is available to employees and their dependents. You have the option to enroll in Dental Only coverage. However, if you enroll in health coverage and choose dental coverage, dependents must mirror the coverage of the member. Delta Dental of Illinois is the administrator for this plan.

Eligibility

To be eligible for SEGIP dental insurance benefits, you must meet the following criteria:

  • You must be eligible to participate in SURS.
  • You must be one of the following:
    • A regular employee with an appointment of 50% or more.
    • A temporary employee with an appointment of 50% or more for at least 9 months.
    • An employee hired for at least 4.5 months (one semester) at 100% time.

Note: A social security number (SSN) is required for an employee to enroll in the program. A social security number (SSN) or a letter from SSA verifying SSN ineligibility is required within 30 calendar days of enrollment for a spouse and dependent(s).

You may also cover eligible dependents on a SEGIP dental plan.

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.

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.

Employees are not required to enroll in a SEGIP health plan in order to enroll in the SEGIP dental plan.

Cost

Your employee contributions for dental premiums are deducted from payroll.

Effective July 1, 2023, eligible full-time employees pay the following monthly premiums:

  • Employee Only: $14.00
  • Employee and 1 Dependent: $23.00
  • Employee and 2 or More Dependents: $25.50

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 MyBenefits for coverage details and claim forms.

  • 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