When reviewing your plan information, please be sure to choose the document that corresponds to the plan you are enrolled in, as these documents are specific to the stated plan.
If you would like a printed copy of any of these documents, or access in another language, contact the Benefits Office at 503-988-3477 or employee.benefits@multco.us.
View your current benefits on the Workday Benefits application.
2022 Plan Documents
For Local 88, ONA, Non-Represented, JCSS, MCCDA, DSA, Dentists, Physicians, Prosecuting Attorneys, FOPPO, and IBEW
Delta Dental 50 plan
- 2022 Delta Dental 50 Plan Summary (2.36 MB)
- 2022 Delta Dental 50 Plan Booklet (SPD) (2.66 MB)
For IUOE
Delta Dental plan
- 2022 Delta Dental Plan Summary (IUOE only) (1.76 MB)
- 2022 Delta Dental Plan Booklet (SPD) (IUOE only) (2.68 MB)
2021 Plan Documents
For Local 88, ONA, Non-Represented, JCSS, MCCDA, DSA, Dentists, Physicians, Prosecuting Attorneys
Moda PPO 400 plan
- 2021 Moda PPO 400 Summary of Benefits and Coverage SBC (1.84 MB)
- 2021 Moda PPO 400 Plan Booklet (SPD) (2.34 MB)
Moda Major Medical plan
- 2021 Moda Major Medical w Value Rx Summary of Benefits and Coverage SBC (1.83 MB)
- 2021 Moda Major Medical Plan Booklet (SPD) (2.25 MB)
Delta Dental 50 plan
- 2021 Delta Dental 50 Plan Summary (2.31 MB)
For FOPPO and IUOE members
Moda Performance plan
- 2021 Moda Performance Summary of Benefits and Coverage SBC (1.83 MB)
- 2021 Moda Performance Plan Booklet (SPD) (2.33 MB)
Moda Preferred plan
- 2021 Moda Preferred Plan Summary of Benefits and Coverage (SBC) (1.83 MB)
- 2021 Moda Preferred Plan Booklet (SPD) (2.34 MB)
Moda Major Medical plan
Delta Dental Plan
- 2021 Delta Dental Plan Summary (1.72 MB)
For IBEW members
Moda Platinum plan
- 2021 Moda Platinum Plan Summary of Benefits and Coverage (SBC) (1.83 MB)
- 2021 Moda Platinum Plan Booklet (SPD) (2.34 MB)
Moda Major Medical plan
Delta Dental Plan
- 2021 Delta Dental Plan Summary (1.72 MB)
Additional Documents
- Oral Health, Total Health flyer and enrollment form (572.09 KB)
- Delta Dental PPO Provider Guide (1.18 MB)
Who do I contact?
Delta Dental Customer Service 503-265-4714 or 888-447-8194
For Dental Providers, choose your provider from the available networks:
- Delta PPO Network dentists offer services with the lowest out-of-pocket costs.
- Dentists on the Premier Network are also in-network providers, but services can be more costly.
- Services provided by an out-of-network provider are subject to balance billing and therefore, most costly.
More Moda forms, i.e.: reimbursement or release of information forms are on the Moda Forms site.
