BENEFITS - DENTAL RATES
| Rates effective July 1, 2011 through June 30, 2012 |
Total Monthly Rate |
State Pays |
Employee Pays |
Dental - Dominion Dental HMO |
|||
|
|||
Employee |
$22.68 | $0 | $22.68 |
Employee & Spouse |
$42.14 | $0 | $42.14 |
| Employee & Child(ren) | $45.42 | $0 | $45.42 |
| Family | $61.66 | $0 | $61.66 |
Dental - Delta Dental PPO plus Premier |
|||
|
|||
| Employee |
$31.62 | $0 | $31.62 |
Employee & Child(ren) |
$64.54 | $0 | $64.54 |
| Employee & Spouse | $63.34 | $0 | $63.34 |
| Family | $105.70 | $0 | $105.70 |