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Employer Frequently Asked Questions
Q. Where can I find rate information and purchase a plan?
A. Your insurance broker or Delta Dental Sales Representative can assist you in choosing the best coverage and rates for your company. You can contact your Delta Dental Sales Representative via e-mail or by calling 1-800-627-3961.
Q. Are there Delta Dental products available in other states?
A. Delta Dental of South Dakota is a member company of the national Delta Dental Plans Association. With Delta Dental National Coverage we can offer plans tailored to your organization's needs throughout all 50 states and Puerto Rico. Your employees will have access to the nation's largest dental network and to a centralized claims processing system that ensures prompt and accurate claims payment.
Q. Where is Delta Dental of South Dakota's claims processing center?
A. Our claims processing center and corporate offices are located at 720 N. Euclid Ave., Pierre, SD 57501.
Q. Does Delta Dental of South Dakota offer a toll-free number where our employees can get their questions answered?
A. Delta Dental's toll-free number is 1-800-627-3961.
Q. How is enrollment transferred?
A. Delta Dental will provide enrollment forms that can be mailed or faxed. For larger groups we will accept an electronic file if it includes all the required fields.
Q. What is the minimum size employer Delta Dental will cover? Is there a maximum size?
A. Employers with as few as three employees (or two if your business is a member of the South Dakota Retailers Association) can purchase a Delta Dental voluntary pooled group plan. There is no maximum. Click here for more information about all of Delta Dental of South Dakota's group plans.
Delta Dental does not offer individual plans.
Q. How is the Maximum Plan Allowance (MPA) - Delta Dental Allowed Amount - calculated?
A. The Maximum Plan Allowance (MPA) is the amount which equals the lesser of the covered charge for a service, supply, or any dental procedure covered under the dental plan or an amount which Delta Dental establishes annually as its maximum allowable fee for the same service, supply, or procedure.
For all dental procedures covered under the plan, the maximum allowable fee is established by Delta Dental of South Dakota for a covered dental procedure that is dentally necessary and dentally appropriate. It is developed from various sources, such as contracts with dentists, input from our dental consultants, the simplicity or complexity of the procedure, the billed charge for the same procedures by dentists in South Dakota, and a leading economic indicator.
For services billed by dentists outside of South Dakota, the maximum allowable fee is based on information from that state's Delta Dental member company.
Q. How many employees are necessary for enrollment?
A. It depends on the plan you purchase, and ranges from as few as three employees with our Voluntary I Dental Plan to full participation in our fully insured plans.
Q. When will our benefits coverage be effective?
A. In most cases, your benefits coverage will be effective on the first of the month following the receipt of your completed group application materials and employee enrollment.
Q. How do we order supplies?
A. Upon completion of your group's enrollment, an ID card and Dental Benefit Handbook will be sent for each employee enrolled with Delta Dental of South Dakota. You can also find enrollment and claims forms on this web site.
Q. An employee misplaced his ID card. How can he get a replacement?
A. Group administrators can either e-mail us or contact Delta Dental's Billings and Eligibility Department at 1-800-627-3961 to request a replacement ID card.
Q. Does Delta Dental of South Dakota cover out of state services for my employees?
A. Whether your employees live outside of South Dakota or require dental treatment while traveling, they will have access to one of the nation's largest dentist networks. A list of Delta Dental participating dentists in any area can be obtained in the Find a Dentist section of this website.
Q. When should I expect my invoice to arrive?
A. Billing statements are usually run on the 20th of the month prior to the billing month provided your payment for the previous month has been received. For example, your February invoice will run on January 20th.
Q. Who can I call with questions about my invoice?
A. Contact Delta Dental's Billings and Eligibility Department at 1-800-627-3961.
Q. When is my Delta Dental premium due each month?
A. Payments are due the 1st of the month. Send your payment to:
Delta Dental of South Dakota
PO Box 1157
Pierre, SD 57501
Please call our Billings and Eligibility Department at 1-800-627-3961 if you need additional copies of your invoice.
Q. How far back can our account be credited for changes/terminations?
A. Generally, accounts can be credited back to the last open enrollment.
Q. How do I add a new employee to my account?
A. When a new employee has met your company's eligibility waiting period requirements, you can add the employee by mailing or faxing an enrollment form to Delta Dental. Please have the new employee complete a Delta Dental of South Dakota enrollment form and mail or fax it to:
Delta Dental of South Dakota
PO Box 1157
Pierre, SD 57501
FAX 1-605-224-0909
Q. How do I change an employee's address?
A. You can mail or fax an updated enrollment form with the employee's name, ID number and their new address to:
Delta Dental of South Dakota
PO Box 1157
Pierre, SD 57501
FAX 1-605-224-0909
Q. I terminated an employee on my last invoice, but she is still on my current invoice. Why wasn't she terminated?
A. The employee's termination may have been processed after Delta Dental of South Dakota's billing cutoff date. Group administrators can check by calling our Billings and Eligibility Department at 1-800-627-3961.
Q. How do I confirm that an employee is eligible for coverage?
A. Groups already enrolled with Delta Dental of South Dakota can contact Billings and Eligibility at 1-800-627-3961.
Q. What happens if my employee's child's student status ends?
A. Based on your group's contract, the dependent is no longer eligible for coverage. If this results in a status change for the employee, please contact our Billings and Eligibility Department at 1-800-627-3961. Changes in enrollment can also be made by completing an enrollment application and mailing or faxing it to the Billings and Eligibility Department at:
Delta Dental of South Dakota
PO Box 1157
Pierre, SD 57501
FAX 1-605-224-0909
The enrollment form can be printed from our website.
Q. Can my employee add a family member to his/her dental coverage at any time?
A. Dependents can be added to an enrolled subscriber's coverage during your group's open enrollment period. However, coverage can also be added for dependents at any time as the result of a qualifying event.
Q. What are considered qualifying events?
A. Qualifying events include termination of employee, reduction of hours, retirement, death, divorce, marriage, loss of dependant status, legal separation, birth or legal adoption.
Q. Can I change my group's waiting period?
A. Any changes to the group contract, whether for eligibility or benefits, can be made on the renewal date of your group plan. The request will need to be made in writing by the Group Administrator and submitted to the Underwriting Department:
Delta Dental of South Dakota
PO Box 1157
Pierre, SD 57501
FAX 1-605-224-0909
A. Your insurance broker or Delta Dental Sales Representative can assist you in choosing the best coverage and rates for your company. You can contact your Delta Dental Sales Representative via e-mail or by calling 1-800-627-3961.
Q. Are there Delta Dental products available in other states?
A. Delta Dental of South Dakota is a member company of the national Delta Dental Plans Association. With Delta Dental National Coverage we can offer plans tailored to your organization's needs throughout all 50 states and Puerto Rico. Your employees will have access to the nation's largest dental network and to a centralized claims processing system that ensures prompt and accurate claims payment.
Q. Where is Delta Dental of South Dakota's claims processing center?
A. Our claims processing center and corporate offices are located at 720 N. Euclid Ave., Pierre, SD 57501.
Q. Does Delta Dental of South Dakota offer a toll-free number where our employees can get their questions answered?
A. Delta Dental's toll-free number is 1-800-627-3961.
Q. How is enrollment transferred?
A. Delta Dental will provide enrollment forms that can be mailed or faxed. For larger groups we will accept an electronic file if it includes all the required fields.
Q. What is the minimum size employer Delta Dental will cover? Is there a maximum size?
A. Employers with as few as three employees (or two if your business is a member of the South Dakota Retailers Association) can purchase a Delta Dental voluntary pooled group plan. There is no maximum. Click here for more information about all of Delta Dental of South Dakota's group plans.
Delta Dental does not offer individual plans.
Q. How is the Maximum Plan Allowance (MPA) - Delta Dental Allowed Amount - calculated?
A. The Maximum Plan Allowance (MPA) is the amount which equals the lesser of the covered charge for a service, supply, or any dental procedure covered under the dental plan or an amount which Delta Dental establishes annually as its maximum allowable fee for the same service, supply, or procedure.
For all dental procedures covered under the plan, the maximum allowable fee is established by Delta Dental of South Dakota for a covered dental procedure that is dentally necessary and dentally appropriate. It is developed from various sources, such as contracts with dentists, input from our dental consultants, the simplicity or complexity of the procedure, the billed charge for the same procedures by dentists in South Dakota, and a leading economic indicator.
For services billed by dentists outside of South Dakota, the maximum allowable fee is based on information from that state's Delta Dental member company.
Q. How many employees are necessary for enrollment?
A. It depends on the plan you purchase, and ranges from as few as three employees with our Voluntary I Dental Plan to full participation in our fully insured plans.
Q. When will our benefits coverage be effective?
A. In most cases, your benefits coverage will be effective on the first of the month following the receipt of your completed group application materials and employee enrollment.
Q. How do we order supplies?
A. Upon completion of your group's enrollment, an ID card and Dental Benefit Handbook will be sent for each employee enrolled with Delta Dental of South Dakota. You can also find enrollment and claims forms on this web site.
Q. An employee misplaced his ID card. How can he get a replacement?
A. Group administrators can either e-mail us or contact Delta Dental's Billings and Eligibility Department at 1-800-627-3961 to request a replacement ID card.
Q. Does Delta Dental of South Dakota cover out of state services for my employees?
A. Whether your employees live outside of South Dakota or require dental treatment while traveling, they will have access to one of the nation's largest dentist networks. A list of Delta Dental participating dentists in any area can be obtained in the Find a Dentist section of this website.
Q. When should I expect my invoice to arrive?
A. Billing statements are usually run on the 20th of the month prior to the billing month provided your payment for the previous month has been received. For example, your February invoice will run on January 20th.
Q. Who can I call with questions about my invoice?
A. Contact Delta Dental's Billings and Eligibility Department at 1-800-627-3961.
Q. When is my Delta Dental premium due each month?
A. Payments are due the 1st of the month. Send your payment to:
Delta Dental of South Dakota
PO Box 1157
Pierre, SD 57501
Please call our Billings and Eligibility Department at 1-800-627-3961 if you need additional copies of your invoice.
Q. How far back can our account be credited for changes/terminations?
A. Generally, accounts can be credited back to the last open enrollment.
Q. How do I add a new employee to my account?
A. When a new employee has met your company's eligibility waiting period requirements, you can add the employee by mailing or faxing an enrollment form to Delta Dental. Please have the new employee complete a Delta Dental of South Dakota enrollment form and mail or fax it to:
Delta Dental of South Dakota
PO Box 1157
Pierre, SD 57501
FAX 1-605-224-0909
Q. How do I change an employee's address?
A. You can mail or fax an updated enrollment form with the employee's name, ID number and their new address to:
Delta Dental of South Dakota
PO Box 1157
Pierre, SD 57501
FAX 1-605-224-0909
Q. I terminated an employee on my last invoice, but she is still on my current invoice. Why wasn't she terminated?
A. The employee's termination may have been processed after Delta Dental of South Dakota's billing cutoff date. Group administrators can check by calling our Billings and Eligibility Department at 1-800-627-3961.
Q. How do I confirm that an employee is eligible for coverage?
A. Groups already enrolled with Delta Dental of South Dakota can contact Billings and Eligibility at 1-800-627-3961.
Q. What happens if my employee's child's student status ends?
A. Based on your group's contract, the dependent is no longer eligible for coverage. If this results in a status change for the employee, please contact our Billings and Eligibility Department at 1-800-627-3961. Changes in enrollment can also be made by completing an enrollment application and mailing or faxing it to the Billings and Eligibility Department at:
Delta Dental of South Dakota
PO Box 1157
Pierre, SD 57501
FAX 1-605-224-0909
The enrollment form can be printed from our website.
Q. Can my employee add a family member to his/her dental coverage at any time?
A. Dependents can be added to an enrolled subscriber's coverage during your group's open enrollment period. However, coverage can also be added for dependents at any time as the result of a qualifying event.
Q. What are considered qualifying events?
A. Qualifying events include termination of employee, reduction of hours, retirement, death, divorce, marriage, loss of dependant status, legal separation, birth or legal adoption.
Q. Can I change my group's waiting period?
A. Any changes to the group contract, whether for eligibility or benefits, can be made on the renewal date of your group plan. The request will need to be made in writing by the Group Administrator and submitted to the Underwriting Department:
Delta Dental of South Dakota
PO Box 1157
Pierre, SD 57501
FAX 1-605-224-0909
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