Dental Insurance

The City of St. Louis offers Dental Plans through two Insurance Carriers:

1. Dental Source of Missouri and Kansas (FCL Dental)
2. Delta Dental of Missouri

The following bi-weekly rates are effective June 21, 2020. 

Dental Source Plan

Coverage	Free Access Plan	E Plan
Employee Only	$6.14	$3.80
Employee + 1 Dependent	$10.18	$6.42
Employee + Family	$15.81	$9.50

Schedule of Benefits

Free Access Plan  and E Plan Documents

Contact

If you are an employee of the City of St. Louis and enrolled in this dental plan with questions about your coverage contact: 

• Dental Source - 1-877-493-6282, www.densource.com

Delta Dental Plan

 

Coverage	No Ortho	With Ortho
Employee Only	$8.59	N/A
Employee + 1 Dependent	$15.99	$17.45
Employee + Family	$23.39	$29.34

 

Schedule of Benefits

Delta Dental Plan Documents

Contact

If you are an employee of the City of St. Louis and enrolled in this dental plan with questions about your coverage contact: 

• Delta Dental - 1-800-392-1167, www.deltadentalmo.com

 

Need to Make A Change?

Eligible employees must submit enrollment forms within 31 calendar days of employment, during the annual open enrollment period, or within 31 calendar days of a qualifying life change event (for example, marriage, birth of a child, divorce, loss of coverage, court support order, etc.).

If you would like to make a change to your dental enrollment during one of these periods, please complete the dental insurance enrollment form for the applicable carrier found below. If you are adding a spouse or dependent, please also provide the necessary dependent documentation. Information on acceptable dependent documentation can be found at the link below.

Once complete, please submit the enrollment form along with all necessary documentation to your payroll specialist.

Dental Enrollment and Change Forms

Review dental insurance detailed information and enrollment forms for each insurance carrier.

View Accepted Dependent Documentation required in order to add dependents to your medical plan.