Plan Rules:

  • Claims must be submitted within 90 days of date of service

  • Orthodontics available for children only up to age 19

  • No waiting period on coverage when first enrolling or moving from one plan to another.

What is Dental Insurance?

A health and wellness plan designed to pay a portion of costs associated with preventive, minor, and some major dental care.

Dental Highlight Sheet

Claim Form

Find a Provider

Dental High Certificate

Dental Low Certificate

Dental High Policy Document

Dental Low Policy Document

Phone: 866-433-7661

Fax: 770-394-0333

The Jeff Davis County Benefit Portal is provided for illustrative purposes only. Actual benefits, services, premiums, claims processes and all other features and plan designs for coverage offered are governed exclusively by the provider contract and associated Summary Plan Description (SPD).