Dental Coverage Monthly Premiums
(Rates Effective 1/1/2010)
ACTIVE EMPLOYEES
| Active | COBRA | COBRA ARRA | COBRA Disability | Retiree | |
| Prepaid Plan | |||||
| Head of contract | 8.90 | 9.08 | 3.12 | 13.35 | 12.07 |
| Head of contract plus one dependent | 15.78 | 16.10 | 5.52 | 23.67 | 19.53 |
| Head of contract plus two or more dependents | 21.70 | 22.13 | 7.60 | 32.55 | 29.91 |
| Preferred Provider Option | |||||
| Head of contract | 20.19 | 20.59 | 7.07 | 30.29 | 24.63 |
| Head of contract plus one dependent | 38.28 | 39.05 | 13.40 | 57.42 | 45.94 |
| Head of contract plus two or more dependents | 60.80 | 62.02 | 21.28 | 91.20 | 67.49 |