Click here for a DeltaCare USA Enrolllment/Change form. IMPORTANT!  THIS FORM MUST BE SUBMITTED TO CARPENTERS ADMINISTRATIVE OFFICE, NOT TO DeltaCare USA.

Click here for the DeltaCare USA plan details.

For a list of Arizona dental offices, click here.

Total Dental Administrators--Plan A200S--is a Dental Maintenance Organization (DMO), which contracts with selected dentist. You must select a dentist at the time of enrollment from their Participating Provider Directory.

Each participating dental facility listed in the directory has a Dental Office Code number listed.

Be sure to use the CODE number to identify your selection on the Enrollment Form. For more information please call (877) 725-8758 or click here to log on to their website. Use plan code A200S.

Click here for a TDA Enrolllment/Change form. IMPORTANT!  THIS FORM MUST BE SUBMITTED TO CARPENTERS ADMINISTRATIVE OFFICE, NOT TO TDA.

For a directory of TDA dentists, please click here.

For a copy of the Plan, please click here.

For more information on TDA Dental, click here.

Fee-for-Service

All new or reinstated eligibles must enroll in a DMO plan when they reside outside a DMO service area until the next schedules open enrollment period.

• You may go to any dental provider you choose
• Benefits are paid according to a schedule (See SPD for Dental Schedule)
• The difference between what your provider charges and the amount paid according to the schedule will be your responsibility
• Preauthorization is recommended for any services over $500
• Maximum we pay per calendar year is $1500 per family member
• Obtain a dental claim form from the Fund Office and send an itemized bill directly to the Trust to: P.O. Box 17973 Los Angeles, CA 90017-0973
• In some areas, the Trust maintains a panel of dentists that have agreed to accept the Plan’s dental allowances as payment in full (excludes orthodontic and lab fees).

For a list of the Fee-for-Service Dental Panel dentists, please click here.

For the Fee-for-Service Dental Allowances, please click here.