Student Academic Appointees/Appointed PostDoc Fellows
Dental Plan

The dental plan is available to all eligible Appointees, regardless of area of residence. Cigna Dental Health, Inc., is the plan administrator.

PPO

This is a traditional plan that provides reimbursement for dental services from a network of participating providers, or at a lower benefit, outside the network from any licensed dentist of your choice. You are required to pay the dentist for normal charges and then file a claim for reimbursement when an out of network provider is used.

Publications

Forms

 

Dental Plan Highlights

  • Uses the Total Cigna DPPO national network
  • Two routine cleanings/exams per calendar year covered at 100%
  • Annual Deductible of $25
  • Annual Benefit Limit of $500
  • Plan year begins each January; deductibles and benefit limit amounts restart annually on January 1st

Appointee Premiums and Billing

Premiums for qualifying Appointees are fully paid by the University.

 
Fall 2023
Spring 2024
Fall 2024
Appointee
$1,551.23
$2,592.87
$1,852.05
  • Premiums for qualifying Appointees are fully paid by the University.
  • The premium rate includes both medical and dental coverage.
  • Fall premium is for August 1 – December 31 (5 months).
  • Spring premium is for January 1 – July 31 (7 months).

Dependent Premiums

 
Medical Monthly
Premium
Dental Monthly
Premium
Total Monthly
Premium
2024
Spouse*
$1,104.55
$19.75
$1,124.30
Child(ren)*
$834.98
$29.66
$864.64

*For School of Medicine Postdoctoral Fellows, dependent premiums for all eligible dependents are fully paid by the university.

If you choose to enroll your spouse or children, you are responsible for the full cost of their monthly premiums.

Review the Eligibility and Enrollment Guidelines to verify your dependent’s eligibility for coverage. Dependents can only be covered for the same period of coverage as the appointee.

Eligible dependents must be enrolled by submitting the following items to IU Human Resources by the enrollment deadline:

  • Complete and sign the Dependent Enrollment Form and attach the following items:
    • A copy of supporting documentation (marriage certificate, birth certificate, etc.)

Dependent Enrollment Deadlines:

  • Fall: September 30
  • Spring/Summer: January 31
  • IRS Qualifying Life Event: within 30 days of event

An IRS Qualifying Life Event includes: birth of a child, marriage, loss of other coverage, etc.

Things you can do…

  • Contact Cigna customer service at 800-244-6224 or visit the Cigna Web site for questions about coverage, claims, and provider networks.
  • Locate a network dental provider by consulting the Cigna Provider Directory. Enter your zip code, click the Doctor by Type tile. Choose “General Dentist” or “Pediatric Dentist.”  Click on the “search” button.  Under Please Select a Plan, click Continue.  Then select " Total Cigna DPPO” plan.