Office of Human Resources - Benefits Design & Management

Dental Premium Chart (10.1.09-9.30.10) | MAIN OPEN ENROLLMENT PAGE | DENTAL MAIN

Pay Period Monthly
DENTAL PLANS EMPLOYEE  EMPLOYEE  UNIVERSITY TOTAL  COBRA  35% COBRA 
thru 12/31/09*
Delta Dental
SINGLE  $13.78  $29.86  $4.96  $34.82  $35.52  $12.43
EMP + 1  $31.35  $67.93  $9.92  $77.85  $79.41  $27.79
FAMILY  $54.52  $118.12  $13.70  $131.82  $134.46  $47.06
xxxxxxx
Total Dental Administrators 
SINGLE  $2.31  $5.00  $4.96  $9.96  $10.16  $3.56
EMP + 1  $4.15  $9.00  $9.92  $18.92  $19.30  $ 6.76
FAMILY  $6.46  $14.00  $13.70  $27.70  $ 28.25  $9.89
*If eligible for premium assistance