PowerPoint Presentation

DENTAL Delta Dental PPO PLUS PREMIER – Low Option

IN NETWORK Diagnostic and Preventive

100%/100%/100%

Basic Dental Care Major Dental Care

90%/80%/80% 0%/0%/0% 0%/0%/0% $50/$50/$50

Orthodontics Deductible Annual Max

$2,500/$2500/$2500

Orthodontic Lifetime Max

N/A

Annual Max Over MaxOver Account Limit

$625

$2,500

EMPLOYEE MONTHLY DEDUCTIONS Employee

$4.70 $10.03 $10.38 $16.01

Employee/Spouse Employee/Child(ren)

Family