Dental Coverage Monthly Premiums
(Rates Effective 1/1/2009)
ACTIVE EMPLOYEES
| Prepaid Plan | |
| Employee | 8.90 |
| Employee plus one dependent | 15.78 |
| Employee plus two or more dependents | 21.70 |
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| Preferred Dental Option | |
| Employee | 18.78 |
| Employee plus one dependent | 35.61 |
| Employee plus two or more dependents | 56.56 |
COBRA PARTICIPANTS
| Prepaid Plan | |
| Employee | 9.08 |
| Employee plus one dependent | 16.10 |
| Employee plus two or more dependents | 22.13 |
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|
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| Preferred Dental Option | |
| Employee | 19.16 |
| Employee plus one dependent | 36.32 |
| Employee plus two or more dependents | 57.69 |