Welcome to the Family Dental Plan benefits page.  We offer a dental plan through DeltaCare USA.

With DeltaCare, you select one conveniently located network dentist to provide dental care for you and your family.  You pay a small copayment or, for some services, no copayment.  There are no deductibles or maximums and virtually no claim forms to worry about.

About DeltaCare
Delta Dental offers a dental HMO program, DeltaCare, to take care of the dental care needs for you and your family.  The DeltaCare program focuses on preventing dental problems and assuring the delivery of quality dental care.

Delta Care has contracted with a network of dental offices.  Please follow this link to search for DeltaCare Providers.  Make sure you select ONLY the DeltaCare USA Network.  As an enrollee in the DeltaCare program, you select one office for your entire family's needs.  DeltaCare's network of dental offices is composed of established dental practices.

Who Can Join
As a California resident, you are eligible to join the Small Business Benefit Plan Trust, Wolfpack Insurance Services DeltaCare program.
Your eligible dependents include your lawful spouse and unmarried children under 26 years old, including stepchildren and children placed with you for adoption or foster care.  An unmarried child 26 years of age or older may continue to be eligible as a dependent if incapable of self-support because of physical handicap or mental retardation that commenced prior to age 26, provided that the person is legally residing with and dependent upon the eligible member, and DeltaCare received notice of the disability.

No Claim Forms
The dental location you choose provides all primary dental services.  There are no claim forms to complete or percentage of usual charges for you to pay.

No Deductibles
With the DeltaCare program, there are no required deductibles so pay, so your benefits begin immediately.

No Dollar Limit of Dental Benefits
No annual maximum

No Pre-Existing Condition Restrictions
Pre-existing conditions are not excluded in the DeltaCare program.  Exception: work in progress.

Prepaid Program Saves on Dental Costs
Your out-of-pocket savings could be substantial.  You know the exact cost prior to treatment, allowing you to predict future dental expenses.
When you enroll in this program, you are enrolling for a period of one year. 

Emergency Services
Out-of-area dental emergencies are covered up to a maximum of $100.00. 

Quality Review of Dental Providers
On-site audits of participating dental locations ensure that established standards of quality are maintained.

Specialty Services
The DeltaCare program offers services in dental specialty areas.  These include periodontics (treatment of diseased gums and bone), endodontics (root canal therapy) and oral surgery procedures.  If an enrollee is assigned to a dental school clinic for specialist services, those services may be provided by a dentist, a dental instructor a clinician or a dental student under the supervision of a dentist.
The DeltaCare program provides all reasonable and customary dental care (subject to the provisions, limitations and exclusions and governing administrative policies shown in the Combined Evidence of Coverage and Disclosure Form) if care is provided by your assigned DeltaCare network dentist.

When you enroll in DeltaCare, you select a DeltaCare Provider to take care of the dental needs for you and your family.  After you have enrolled, you will receive a Combined Evidence of Coverage and Disclosure Form that fully describes the benefits of your dental program, and a DeltaCare membership card.  This card will have the address and telephone number of your participating network dentist.  To receive all necessary dental care covered by the program, simply call your selected dental office to make an appointment.

Remember to always contact your DeltaCare network dentist. 
Dental services which are not performed by this dentist or are not authorized in advance by DeltaCare will not be covered under the DeltaCare program.

The following is a listing of all dental procedures and what you would pay for services.

This brochure constitutes only a summary of the plan and is not a full list of the Limitations and Exclusions.  The plan contract must be consulted to determine the exact terms and conditions of coverage. 
The full Evidence of Coverage may be reviewed by following this link.

2. Individual Enrollment with Calendar Year Quarterly payment via check. 

Quarterly Rate; One person: $102.60, Two persons: $182.10, Three persons or more: $267.30.
Quarterly clients are also charged a $3.00 administration fee with each invoice.
A one time enrollment fee of $5.00 is charged to with all new applications.
Enroll on line and make the initial premium payment via credit card or check.  Once enrolled, you will be billed on a calendar year quarterly basis.  Dues must be paid in full by the 15th of the month prior to the coverage month or your coverage will be automatically terminated. 

Click Here To Enroll as an Individual

1. Submit the first payment with your enrollment form.  Once enrolled, the employer group will be billed on a monthly basis. 
   Click Here To Print the List Bill Enrollment Form
2. Return the enrollment form and the first monthly payment along with the enrollment fee and administration fee to:
   Upload here   
    Wolfpack Insurance Services, Inc.
       P. O. Box 156
       Belmont CA 94002

Click here for a plan description

Click here for a Marketing Brochure

Wolfpack Insurance Services Group # 01675-0001, Plan: 11B