2026 Dental Plan — Guardian Life
DeVal Lifecycle

DeVal Lifecycle offers comprehensive dental coverage through Guardian Life with two plan options: DHMO and Guardian PPO. Coverage is available for all eligible production and non-production employees and their dependents (up to age 26).

Plan Options Overview:

  • DHMO (Living in PA Employees): Uses the Dominion / Select network. No annual deductible, unlimited calendar year maximum, $10 office visit copay, and discounted fee schedules.
  • DHMO (Living in NJ Employees): Uses the Managed Dental Guard network. No annual deductible, unlimited calendar year maximum, $10 office visit copay, and set copay schedules.
  • Guardian (PPO): Uses the DentalGuard Preferred network. $50 individual / $150 family deductible (waived for preventive services), $1,500 calendar year maximum per person, and out-of-network reimbursement.

Important Notes:

  • Nonparticipating providers will be reimbursed based upon Guardian’s negotiated fee schedule.
  • Payroll deductions are per pay on a 52-pay schedule.
  • Find a participating dentist online at guardiananytime.com.
  • This is a summary only. Please refer to the Guardian benefits information for a more detailed plan summary.

Select A Plan

  • Residency / Eligibility

    Employees Living in Pennsylvania

  • Network Name

    Dominion / Select

  • Annual Deductible (Single / 3x Family)

    None

  • Calendar Year Maximum Benefit per Person

    Unlimited

  • Deductible Waived for Preventive Services

    Not Applicable

  • Office Visit Copay

    $10

  • Dependent Definition

    To Age 26

  • Oral Exams (Preventive Services)

    100%

  • Fluoride Treatment (Preventive Services)

    100%

  • X-Rays (Preventive Services)

    100%

  • Sealants (Preventive Services)

    70% - 90%

  • Fillings (Basic Services)

    70% - 90%

  • Minor Oral Surgery (Basic Services)

    70% - 90%

  • Endodontics (Basic Services)

    65% - 70%

  • Periodontics (Basic Services)

    65% - 90%

  • Major Oral Surgery (Major Services)

    65% - 70%

  • Bridges & Dentures (Major Services)

    65% - 70%

  • Crowns / Inlays / Onlays (Major Services)

    65% - 70%

  • Orthodontic Benefit

    40% - 45% (Children & Adults)

  • Lifetime Maximum Benefit Per Member (Orthodontia)

    Not Applicable

  • Per Pay Cost - Employee (52 pays)

    $0.61

  • Per Pay Cost - Employee/Child(ren) (52 pays)

    $2.96

  • Per Pay Cost - Employee/Spouse (52 pays)

    $2.39

  • Per Pay Cost - Family (52 pays)

    $4.14

Carrier: Guardian Life
Website / Find a Dentist: guardiananytime.com
Network: Dominion / Select

Nonparticipating providers will be reimbursed based upon Guardian’s negotiated fee schedule. This is a summary only. Please refer to the Guardian benefits information for a more detailed plan summary.

DHMO (PA Employees) DHMO (NJ Employees) Guardian (PPO)

Residency / Eligibility

Employees Living in Pennsylvania

Residency / Eligibility

Employees Living in New Jersey

Residency / Eligibility

All Eligible Production & Non-Production Employees

Network Name

Dominion / Select

Network Name

Managed Dental Guard

Network Name

DentalGuard Preferred

Annual Deductible (Single / 3x Family)

None

Annual Deductible (Single / 3x Family)

None

Annual Deductible (Single / 3x Family)

$50 / $150

Calendar Year Maximum Benefit per Person

Unlimited

Calendar Year Maximum Benefit per Person

Unlimited

Calendar Year Maximum Benefit per Person

$1,500

Deductible Waived for Preventive Services

Not Applicable

Deductible Waived for Preventive Services

Not Applicable

Deductible Waived for Preventive Services

Yes

Office Visit Copay

$10

Office Visit Copay

$10

Office Visit Copay

Not Applicable

Dependent Definition

To Age 26

Dependent Definition

To Age 26

Dependent Definition

To Age 26

Oral Exams (Preventive Services)

100%

Oral Exams (Preventive Services)

$0

Oral Exams (Preventive Services)

100%

Fluoride Treatment (Preventive Services)

100%

Fluoride Treatment (Preventive Services)

$0

Fluoride Treatment (Preventive Services)

100%

X-Rays (Preventive Services)

100%

X-Rays (Preventive Services)

$0

X-Rays (Preventive Services)

100%

Sealants (Preventive Services)

70% - 90%

Sealants (Preventive Services)

$0

Sealants (Preventive Services)

100%

Fillings (Basic Services)

70% - 90%

Fillings (Basic Services)

$0

Fillings (Basic Services)

80%

Minor Oral Surgery (Basic Services)

70% - 90%

Minor Oral Surgery (Basic Services)

$0

Minor Oral Surgery (Basic Services)

80%

Endodontics (Basic Services)

65% - 70%

Endodontics (Basic Services)

$120 - $270 copay

Endodontics (Basic Services)

80%

Periodontics (Basic Services)

65% - 90%

Periodontics (Basic Services)

$380 copay

Periodontics (Basic Services)

80%

Major Oral Surgery (Major Services)

65% - 70%

Major Oral Surgery (Major Services)

$114 - $160 copay

Major Oral Surgery (Major Services)

50%

Bridges & Dentures (Major Services)

65% - 70%

Bridges & Dentures (Major Services)

$452 - $500 copay

Bridges & Dentures (Major Services)

50%

Crowns / Inlays / Onlays (Major Services)

65% - 70%

Crowns / Inlays / Onlays (Major Services)

$375 copay

Crowns / Inlays / Onlays (Major Services)

50%

Orthodontic Benefit

40% - 45% (Children & Adults)

Orthodontic Benefit

$2,500 - $2,800 copay (Children & Adults)

Orthodontic Benefit

50% (Children Only)

Lifetime Maximum Benefit Per Member (Orthodontia)

Not Applicable

Lifetime Maximum Benefit Per Member (Orthodontia)

Not Applicable

Lifetime Maximum Benefit Per Member (Orthodontia)

$1,000

Per Pay Cost - Employee (52 pays)

$0.61

Per Pay Cost - Employee (52 pays)

$0.61

Per Pay Cost - Employee (52 pays)

$5.44

Per Pay Cost - Employee/Child(ren) (52 pays)

$2.96

Per Pay Cost - Employee/Child(ren) (52 pays)

$2.96

Per Pay Cost - Employee/Child(ren) (52 pays)

$14.02

Per Pay Cost - Employee/Spouse (52 pays)

$2.39

Per Pay Cost - Employee/Spouse (52 pays)

$2.39

Per Pay Cost - Employee/Spouse (52 pays)

$12.78

Per Pay Cost - Family (52 pays)

$4.14

Per Pay Cost - Family (52 pays)

$4.14

Per Pay Cost - Family (52 pays)

$23.65

  • Residency / Eligibility

    Employees Living in New Jersey

  • Network Name

    Managed Dental Guard

  • Annual Deductible (Single / 3x Family)

    None

  • Calendar Year Maximum Benefit per Person

    Unlimited

  • Deductible Waived for Preventive Services

    Not Applicable

  • Office Visit Copay

    $10

  • Dependent Definition

    To Age 26

  • Oral Exams (Preventive Services)

    $0

  • Fluoride Treatment (Preventive Services)

    $0

  • X-Rays (Preventive Services)

    $0

  • Sealants (Preventive Services)

    $0

  • Fillings (Basic Services)

    $0

  • Minor Oral Surgery (Basic Services)

    $0

  • Endodontics (Basic Services)

    $120 - $270 copay

  • Periodontics (Basic Services)

    $380 copay

  • Major Oral Surgery (Major Services)

    $114 - $160 copay

  • Bridges & Dentures (Major Services)

    $452 - $500 copay

  • Crowns / Inlays / Onlays (Major Services)

    $375 copay

  • Orthodontic Benefit

    $2,500 - $2,800 copay (Children & Adults)

  • Lifetime Maximum Benefit Per Member (Orthodontia)

    Not Applicable

  • Per Pay Cost - Employee (52 pays)

    $0.61

  • Per Pay Cost - Employee/Child(ren) (52 pays)

    $2.96

  • Per Pay Cost - Employee/Spouse (52 pays)

    $2.39

  • Per Pay Cost - Family (52 pays)

    $4.14

Carrier: Guardian Life
Website / Find a Dentist: guardiananytime.com
Network: Managed Dental Guard

Nonparticipating providers will be reimbursed based upon Guardian’s negotiated fee schedule. This is a summary only. Please refer to the Guardian benefits information for a more detailed plan summary.

DHMO (NJ Employees) DHMO (PA Employees) Guardian (PPO)

Residency / Eligibility

Employees Living in New Jersey

Residency / Eligibility

Employees Living in Pennsylvania

Residency / Eligibility

All Eligible Production & Non-Production Employees

Network Name

Managed Dental Guard

Network Name

Dominion / Select

Network Name

DentalGuard Preferred

Annual Deductible (Single / 3x Family)

None

Annual Deductible (Single / 3x Family)

None

Annual Deductible (Single / 3x Family)

$50 / $150

Calendar Year Maximum Benefit per Person

Unlimited

Calendar Year Maximum Benefit per Person

Unlimited

Calendar Year Maximum Benefit per Person

$1,500

Deductible Waived for Preventive Services

Not Applicable

Deductible Waived for Preventive Services

Not Applicable

Deductible Waived for Preventive Services

Yes

Office Visit Copay

$10

Office Visit Copay

$10

Office Visit Copay

Not Applicable

Dependent Definition

To Age 26

Dependent Definition

To Age 26

Dependent Definition

To Age 26

Oral Exams (Preventive Services)

$0

Oral Exams (Preventive Services)

100%

Oral Exams (Preventive Services)

100%

Fluoride Treatment (Preventive Services)

$0

Fluoride Treatment (Preventive Services)

100%

Fluoride Treatment (Preventive Services)

100%

X-Rays (Preventive Services)

$0

X-Rays (Preventive Services)

100%

X-Rays (Preventive Services)

100%

Sealants (Preventive Services)

$0

Sealants (Preventive Services)

70% - 90%

Sealants (Preventive Services)

100%

Fillings (Basic Services)

$0

Fillings (Basic Services)

70% - 90%

Fillings (Basic Services)

80%

Minor Oral Surgery (Basic Services)

$0

Minor Oral Surgery (Basic Services)

70% - 90%

Minor Oral Surgery (Basic Services)

80%

Endodontics (Basic Services)

$120 - $270 copay

Endodontics (Basic Services)

65% - 70%

Endodontics (Basic Services)

80%

Periodontics (Basic Services)

$380 copay

Periodontics (Basic Services)

65% - 90%

Periodontics (Basic Services)

80%

Major Oral Surgery (Major Services)

$114 - $160 copay

Major Oral Surgery (Major Services)

65% - 70%

Major Oral Surgery (Major Services)

50%

Bridges & Dentures (Major Services)

$452 - $500 copay

Bridges & Dentures (Major Services)

65% - 70%

Bridges & Dentures (Major Services)

50%

Crowns / Inlays / Onlays (Major Services)

$375 copay

Crowns / Inlays / Onlays (Major Services)

65% - 70%

Crowns / Inlays / Onlays (Major Services)

50%

Orthodontic Benefit

$2,500 - $2,800 copay (Children & Adults)

Orthodontic Benefit

40% - 45% (Children & Adults)

Orthodontic Benefit

50% (Children Only)

Lifetime Maximum Benefit Per Member (Orthodontia)

Not Applicable

Lifetime Maximum Benefit Per Member (Orthodontia)

Not Applicable

Lifetime Maximum Benefit Per Member (Orthodontia)

$1,000

Per Pay Cost - Employee (52 pays)

$0.61

Per Pay Cost - Employee (52 pays)

$0.61

Per Pay Cost - Employee (52 pays)

$5.44

Per Pay Cost - Employee/Child(ren) (52 pays)

$2.96

Per Pay Cost - Employee/Child(ren) (52 pays)

$2.96

Per Pay Cost - Employee/Child(ren) (52 pays)

$14.02

Per Pay Cost - Employee/Spouse (52 pays)

$2.39

Per Pay Cost - Employee/Spouse (52 pays)

$2.39

Per Pay Cost - Employee/Spouse (52 pays)

$12.78

Per Pay Cost - Family (52 pays)

$4.14

Per Pay Cost - Family (52 pays)

$4.14

Per Pay Cost - Family (52 pays)

$23.65

  • Residency / Eligibility

    All Eligible Production & Non-Production Employees

  • Network Name

    DentalGuard Preferred

  • Annual Deductible (Single / 3x Family)

    $50 / $150

  • Calendar Year Maximum Benefit per Person

    $1,500

  • Deductible Waived for Preventive Services

    Yes

  • Office Visit Copay

    Not Applicable

  • Dependent Definition

    To Age 26

  • Oral Exams (Preventive Services)

    100%

  • Fluoride Treatment (Preventive Services)

    100%

  • X-Rays (Preventive Services)

    100%

  • Sealants (Preventive Services)

    100%

  • Fillings (Basic Services)

    80%

  • Minor Oral Surgery (Basic Services)

    80%

  • Endodontics (Basic Services)

    80%

  • Periodontics (Basic Services)

    80%

  • Major Oral Surgery (Major Services)

    50%

  • Bridges & Dentures (Major Services)

    50%

  • Crowns / Inlays / Onlays (Major Services)

    50%

  • Orthodontic Benefit

    50% (Children Only)

  • Lifetime Maximum Benefit Per Member (Orthodontia)

    $1,000

  • Per Pay Cost - Employee (52 pays)

    $5.44

  • Per Pay Cost - Employee/Child(ren) (52 pays)

    $14.02

  • Per Pay Cost - Employee/Spouse (52 pays)

    $12.78

  • Per Pay Cost - Family (52 pays)

    $23.65

Provider: Guardian
Find a provider: guardiananytime.com

Nonparticipating providers will be reimbursed based upon Guardian’s negotiated fee schedule.

This is a summary only. Please refer to the Guardian benefits information for a more detailed plan summary.

Guardian (PPO) DHMO (PA Employees) DHMO (NJ Employees)

Residency / Eligibility

All Eligible Production & Non-Production Employees

Residency / Eligibility

Employees Living in Pennsylvania

Residency / Eligibility

Employees Living in New Jersey

Network Name

DentalGuard Preferred

Network Name

Dominion / Select

Network Name

Managed Dental Guard

Annual Deductible (Single / 3x Family)

$50 / $150

Annual Deductible (Single / 3x Family)

None

Annual Deductible (Single / 3x Family)

None

Calendar Year Maximum Benefit per Person

$1,500

Calendar Year Maximum Benefit per Person

Unlimited

Calendar Year Maximum Benefit per Person

Unlimited

Deductible Waived for Preventive Services

Yes

Deductible Waived for Preventive Services

Not Applicable

Deductible Waived for Preventive Services

Not Applicable

Office Visit Copay

Not Applicable

Office Visit Copay

$10

Office Visit Copay

$10

Dependent Definition

To Age 26

Dependent Definition

To Age 26

Dependent Definition

To Age 26

Oral Exams (Preventive Services)

100%

Oral Exams (Preventive Services)

100%

Oral Exams (Preventive Services)

$0

Fluoride Treatment (Preventive Services)

100%

Fluoride Treatment (Preventive Services)

100%

Fluoride Treatment (Preventive Services)

$0

X-Rays (Preventive Services)

100%

X-Rays (Preventive Services)

100%

X-Rays (Preventive Services)

$0

Sealants (Preventive Services)

100%

Sealants (Preventive Services)

70% - 90%

Sealants (Preventive Services)

$0

Fillings (Basic Services)

80%

Fillings (Basic Services)

70% - 90%

Fillings (Basic Services)

$0

Minor Oral Surgery (Basic Services)

80%

Minor Oral Surgery (Basic Services)

70% - 90%

Minor Oral Surgery (Basic Services)

$0

Endodontics (Basic Services)

80%

Endodontics (Basic Services)

65% - 70%

Endodontics (Basic Services)

$120 - $270 copay

Periodontics (Basic Services)

80%

Periodontics (Basic Services)

65% - 90%

Periodontics (Basic Services)

$380 copay

Major Oral Surgery (Major Services)

50%

Major Oral Surgery (Major Services)

65% - 70%

Major Oral Surgery (Major Services)

$114 - $160 copay

Bridges & Dentures (Major Services)

50%

Bridges & Dentures (Major Services)

65% - 70%

Bridges & Dentures (Major Services)

$452 - $500 copay

Crowns / Inlays / Onlays (Major Services)

50%

Crowns / Inlays / Onlays (Major Services)

65% - 70%

Crowns / Inlays / Onlays (Major Services)

$375 copay

Orthodontic Benefit

50% (Children Only)

Orthodontic Benefit

40% - 45% (Children & Adults)

Orthodontic Benefit

$2,500 - $2,800 copay (Children & Adults)

Lifetime Maximum Benefit Per Member (Orthodontia)

$1,000

Lifetime Maximum Benefit Per Member (Orthodontia)

Not Applicable

Lifetime Maximum Benefit Per Member (Orthodontia)

Not Applicable

Per Pay Cost - Employee (52 pays)

$5.44

Per Pay Cost - Employee (52 pays)

$0.61

Per Pay Cost - Employee (52 pays)

$0.61

Per Pay Cost - Employee/Child(ren) (52 pays)

$14.02

Per Pay Cost - Employee/Child(ren) (52 pays)

$2.96

Per Pay Cost - Employee/Child(ren) (52 pays)

$2.96

Per Pay Cost - Employee/Spouse (52 pays)

$12.78

Per Pay Cost - Employee/Spouse (52 pays)

$2.39

Per Pay Cost - Employee/Spouse (52 pays)

$2.39

Per Pay Cost - Family (52 pays)

$23.65

Per Pay Cost - Family (52 pays)

$4.14

Per Pay Cost - Family (52 pays)

$4.14