Vision Summary | Dental Summary | Medical Summary
2008/2009 Dental Rates |
|||||||||
| Coverage and premiums fall within one of three tiers: | |||||||||
Dental Pre-Paid Monthly |
Dental Pre-Paid Per Pay |
Dental PPO Monthly |
Dental PPO Per Pay |
||||||
| Tier 1 - Employee | 5 |
2.31 |
16 |
7.38 |
|||||
| Tier 2 - Employee + 1 | 9 |
4.15 |
37 |
17.08 |
|||||
| Tier 3 - Family | 14 |
6.46 |
63 |
29.08 |
|||||
| Premiums can be all pre-tax or a combination of pre-tax and post-tax depending on who is covered: | |||||||||
Tier |
Pre-Tax Per Pay |
Pre-Tax Per Pay |
Post-Tax Per Pay |
Total Premium Per Pay |
Imputed Income Per Pay |
||||
Employee |
Spouse, child, domestic partner, older child |
Domestic partner, older child |
|||||||
| PRE-PAID: Total Dental Administrators | |||||||||
| Employee | 1 |
2.31 |
+ |
+
|
= |
2.31 |
|||
| Employee + 1 pre-tax dependent(s) | 2 |
2.31 |
+ |
1.84 |
+ |
= |
4.15 |
||
| Employee + 1 post-tax dependent(s) | 2 |
2.31 |
+ |
+ |
1.84 |
= |
4.15 |
2.29 |
|
| Employee + pre-tax dependent(s) | 3 |
2.31 |
+
|
4.15 |
+
|
= | 6.46 |
||
| Employee + post-tax dependent(s) | 3 |
2.31 |
+
|
+
|
4.15 |
= |
6.46 |
4.03 |
|
| Employee + pre-tax dependent and post-tax dependent(s) | 3 |
2.31 |
+
|
1.84 |
+
|
2.31 |
= |
6.46 |
1.74 |
| Employee + pre-tax dependents and post-tax dependent(s) | 3 |
2.31 |
+ |
4.15 |
+ |
= |
6.46 |
||
| PREFERRED PROVIDER: Delta Dental | |||||||||
| Employee | 1 |
7.38 |
+ |
+
|
= |
7.38 |
|||
| Employee + 1 pre-tax dependent(s) | 2 |
7.38 |
+ |
9.70 |
+ |
= |
17.08 |
||
| Employee + 1 post-tax dependent(s) | 2 |
7.38 |
+ |
+ |
9.70 |
= |
17.08 |
9.24 |
|
| Employee + pre-tax dependent(s) | 3 |
7.38 |
+
|
21.70 |
+
|
= | 29.08 |
||
| Employee + post-tax dependent(s) | 3 |
7.38 |
+
|
+
|
21.70 |
= |
29.08 |
20.91 |
|
| Employee + pre-tax dependent and post-tax dependent(s) | 3 |
7.38 |
+
|
9.70 |
+
|
12.00 |
= |
29.08 |
11.67 |
| Employee + pre-tax dependents and post-tax dependent(s) | 3 |
7.38 |
+ |
21.70 |
+ |
= |
29.08 |
||