Dental Insurance


Plan Maxes Cost
Annual Maximum $1,000/yr
Plan Deductible Cost
Deductible $50 Annual
Deductible Limit Max 3 per family
Services* Plan Coverage Pay
Preventative Services
  • Cleanings
  • Exams
  • Oral Cancer Screening (age 40+)
  • Radiographs - Bitewings
  • Radiographs - FMX
  • Flouride (under age 16)
  • Sealants (under age 16)
  • Space Maintainers (under age 16)
Plan Pays 100% Deductible Waived
Basic Services
  • Emergency Pain
  • Restorations (Amalgams & Anterior Resin)
  • Restorations (Posterior Resin)
  • Crown Repairs
  • Bridge Repairs
  • Denture Repairs
Plan Pays 80%
Major Services1
  • Simple Extractions
  • Surgical Extractions
  • Oral Surgery
  • Endontics
  • Periotontal Maintenance
  • Non-Surgical Periodontics
  • Inlays
  • Onlays
  • Bridges
  • Dentures
  • Implants
  • Anesthesia
Plan Pays 50%


Family Monthly Premium
Primary $29.30/mo
Primary + Spouse $47.79/mo
Primary + Children $49.77/mo
Family $72.06/mo

1 12 month waiting period on Major services

Underwritten by National Guardian Life Insurance Company. National Guardian Life Insurance Company is not affiliated with the Guardian Life Insurance Company of America, a/k/a The Guardian or Guardian Life.

The information above is a brief summary of your dental plan and the services it covers. There are some limitations on the expenses for which your dental plan pays. If you have specific questions regarding benefit coverage, limitations, exclusions, or non-covered services, please refer to your certificate of coverage/dental benefit booklet or contact SBC Benefits.

Eligible partners must be working a minimum of 20 hours per week to qualify for insurance. Rates include insurance premiums and administrative fees for continuation, enrollment and marketing.