City Officer: Board of Supervisors – Filed: August 3, 2012 – Contractor: Delta Dental of California (Delta Dental PPO Active Self Insured and Retiree PPO fully insured, and DeltaCare DHMO)

Nature of Contract

Dental Benefits

Date Contract Approved

July 31, 2012

Amount

$53,403,894.00*

Delta Dental PPO – Policy Number 1673 – Retirees $10,766,513.00

Delta Dental PPO – Policy 9502 – Actives: (Self-funded Claims + Admin.) $41,675,275.00

DeltaCare USA – DHMO Policy #01797 – DeltaCare: $962,106.00

Form

Download Form Download Yyyymmdd_20120803_126_Board_of_Supervisors_Delta_Dental_of_California_Delta_Dental_PPO_Redacted

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