|
Delta
Dental Rates
| |
*Delta
Preferred
|
**Delta
Premier
|
**Delta
Care
|
|
Level
1 & 2
|
Level
3
|
Level
4
|
Level
5
|
| Employee
Only |
$37.63 |
$30.28 |
$19.39
|
$19.95
|
$20.50
|
$39.54
|
| Employee
+ One |
$73.67 |
$54.63 |
$32.01
|
$32.93
|
$33.82
|
$65.24
|
| Employee
& Family |
$126.15 |
$83.76 |
$47.35
|
$48.74
|
$50.05
|
$96.51
|
Level
1 & 2
- Los Angeles and Orange Counties
Level
3
- Alameda, Contra Costa, Fresno, Kern, Mariposa, Riverside, San
Bernardino, San Diego, San Francisco, San Mateo, Santa Clara and
Ventura Counties
Level
4
- Alpine, Amador, Calaveras, Colusa, El Dorado, Imperial, Inyo,
Kings, Madera, Marin, Merced, Monterey, Napa, Nevada, Placer, Plumas,
Sacramento, San Joaquin, San Luis Obispo, Santa Barbara, Sierra,
Solano, Sonoma, Stanislaus, Tuolumne, Tulare, and Yolo Counties
Level
5
- Butte, Del Norte, Glenn, Humboldt, Lake, Lassen, Mendocino, Modoc,
Mono, San Benito, Santa Cruz, Shasta, Siskiyou, Sutter, Tehama,
Trinity, and Yuba Counties
* Rates
are effective through 09/30/2006.
** Rates are effective through 11/30/2006.
Vision
Service Plan Rates
|
MONTHLY RATE COMPARISON
|
*Plan A (Non-Voluntary) |
*Plan
B (Voluntary) |
| Employee
Only |
$ 7.86
|
$
13.14
|
| Employee
+ One |
$
12.21
|
$
19.02
|
| Employee
& Family |
$
19.36
|
$
34.16
|
*Rates are effective through 04/31/07.
|