Dental Benefits
Hormel Foods offers affordable plan options from Delta Dental of MN for routine care and beyond.
Weekly Premiums (Dental + Vision Combined)
Dental and Vision share one payroll deduction - the rate below covers both.
Coverage LevelSingle
Tier 1 (under $75k)$8.00
Tier 2 ($75k-$149,999)$9.00
Tier 3 ($150k+)$10.00
Coverage LevelEmployee + Children
Tier 1 (under $75k)$10.00
Tier 2 ($75k-$149,999)$11.00
Tier 3 ($150k+)$12.00
Coverage LevelFamily
Tier 1 (under $75k)$12.00
Tier 2 ($75k-$149,999)$13.00
Tier 3 ($150k+)$14.00
COBRA Monthly Rates
COBRA monthly rate (Dental/Vision portion only, without 2% administrative fee) - same for Traditional Plan and Healthy Savings Plan enrollees
Coverage LevelSingle
Monthly Rate$46.11
Coverage LevelEmployee + Children
Monthly Rate$79.82
Coverage LevelFamily
Monthly Rate$128.48
Covered Services
ServiceDeductible (Individual)
In-Network$50
Out-of-Network$50
ServiceDeductible (Family)
In-Network$150
Out-of-Network$150
ServiceAnnual Maximum
In-Network$3,000
Out-of-Network$3,000
ServicePreventive Services
In-Network100%
Out-of-Network100%
ServiceBasic Services
In-Network80%
Out-of-Network80%
ServiceMajor Services
In-Network80%
Out-of-Network80%
ServiceOrthodontia
In-Network50%
Out-of-Network50%
ServiceOrthodontia Lifetime Maximum
In-Network
Delta Dental PPO Provider: 50%, up to $3,000Delta Dental Premier: 50%, up to $2,500
Out-of-Network50% up to $2,500
Notes
- Dental premium contributions are deducted from your paycheck on a pre-tax basis. Your tier of coverage determines your premium.
- The maximum fee allowed by Delta Dental differs for Delta Dental PPO dentists, Delta Dental Premier dentists, and nonparticipating dentists. If a Delta Dental PPO dentist provides services, the deductible is waived and payment percentages may increase, resulting in lower out-of-pocket costs.