Dental Insurance Rates for Nonexempt Staff

DPPO High (Group No. 004623-9901)

Rate Type Employee Only Employee + Spouse Employee + Child(ren) Family
Employee Contribution Weekly* / Monthly $3.12 / $12.46 $6.00 / $24.00 $6.38 / $25.51 $10.61 / $42.42
University Contribution Monthly $37.39 $72.01 $76.53 $127.26
Total Monthly Premium $49.85 $96.01 $102.04 $169.68
Employee / University Monthly % 25 / 75 25 / 75 25 / 75 25 / 75

* 48 weekly payroll deductions will be taken during the calendar year.

DPPO Low (Group No. 004623-9902)

Rate Type Employee Only Employee + Spouse Employee + Child(ren) Family
Employee Contribution Weekly* / Monthly $2.40 / $9.59 $4.62 / $18.47 $4.91 / $19.63 $8.16 / $32.64
University Contribution Monthly $28.76 $55.40 $58.88 $97.92
Total Monthly Premium $38.35 $73.87 $78.51 $130.56
Employee / University Monthly % 25 / 75 25 / 75 25 / 75 25 / 75

* 48 weekly payroll deductions will be taken during the calendar year.