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Delta Dental Insurance

All full-time employees: Dental benefits are provided by Delta Dental, a recognized leader in dental carriers with a wide selection of participating providers within their network. Two plan options are available as noted below. Benefits are effective on the first of the month following date of hire and terminate at the end of the month of their employment termination date.

High Dental Plan

Low Dental Plan

Deductible Basic/Major

$50 Ind/$150 Fam

$50 Ind/$150 Fam

$1, 5 00

Annual Maximum

$1,000

Preventive/Basic/Major

100%/80%/50%

100%/70%/50%

50%-$1,000 Lifetime Max

Orthodontics

N/A

Employee Payroll Deduction Per Pay Period:

Employee + Spouse

Employee + Child(ren)

Medical

Employee

Family

$ 353.84

$ 645.22

$ 429.24

Open Access Plus

$ 113.55

Open Access In-Network Open Access Plus HSA HDHQP

$ 3 57.47

$ 3 07.2 6

$ 85.11

$ 5 80.89

$ 217.54

$ 58.88

$ 2 61.05

$ 392.56

Dental

$ 3.27

$ 12.54

Dental Low

$ 26.67

$ 13.73

$ 45.46

$ 12.32

$ 28.79

$ 26.99

Dental High

Vision

$ 9.56

$ 6.06

Voluntary

$ 6.0 0

$ 3.0 4

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