The benefits described in this booklet are provided under the self-funded State Dental Plan administered by Delta Dental Plan of Michigan, Inc. (Delta Dental) under the direction of the Michigan Department of Civil Service (MDCS). These benefits are not insured with Delta Dental but will be payable from funds administered by MDCS. MDCS is responsible for implementing State Dental Plan benefits and future changes in benefits. Delta Dental will provide certain services on behalf of MDCS through an administrative services only contract. Information concerning people enrolled under the State Dental Plan may be reviewed by Delta Dental Plan of Michigan, Inc. Every effort has been made to ensure the accuracy of this benefit booklet. However, if statements in this booklet differ from applicable Delta Dental coverage documents, then the terms and conditions of those coverage documents will prevail. For a copy of the coverage documents, write to:
Delta Dental
Customer Service Department
P.O. Box 30416
Lansing, Michigan 48909-7916
DELTA DENTAL PLAN OF MICHIGAN, INC. CUSTOMER SERVICE If you have any questions that are not answered in this benefit booklet, or for names of preferred provider member dentists in your area, please call the Customer Service department at Delta Dental Plan of Michigan:1-800-524-0150 Monday through Saturday.This is also available in alternative accessible formats upon request. For further information, call TTY/TDD: 1-517-349-6000.Or using Delta Dental’s on-line Dentist Directory at: www.deltadentalmi.com. You may send written inquiries to:
Delta Dental Plan of Michigan
Customer Service Department
P.O. Box 30416
Lansing, Michigan 48909-7916
Please include your group name (State of Michigan), your group number (8700), the subscriber’s Social Security number and your daytime telephone number on any written inquiries.
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