    |
Dental Benefit Rates
Effective 1/1/09 through 12/31/09
Dental Plan Name |
Single |
Member /Spouse |
Family |
Parent /Child |
DP/ Adult |
DP/ Child |
|||
|
Aetna Dental Expense Plan #399 |
10.34 |
17.96 |
29.39 |
21.77 |
7.63 |
7.62 |
|||
DENTAL PLAN ORGANIZATIONS |
|
|
|
|
|
|
|||
Aetna DMO #319 |
5.29 |
9.29 |
15.08 |
11.09 |
3.96 |
3.99 |
|||
Atlantic Southern Dental (BeneCare)#301 |
5.29 |
9.26 |
15.08 |
11.09 |
3.96 |
3.99 |
|||
Cigna Dental Health #305 |
5.29 |
9.29 |
15.08 |
11.09 |
3.96 |
3.99 |
|||
Community Dental Associates #302 |
5.29 |
9.26 |
15.08 |
11.09 |
3.96 |
3.99 |
|||
| Horizon Dental Choice #317 |
5.29 |
9.26 |
15.08 |
11.09 |
3.96 |
3.99 |
|||
| Healthplex (International Health Care) #307 |
5.29 |
9.26 |
15.08 |
11.09 |
3.96 |
3.99 |
|||
