City Officer: Lee, Edwin – Mayor – Filed: August 9, 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

Not Given



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


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