Benefits Enrollment 2012-2013

2013 Dental Premiums
for Active Full-time and Regular Part-time Salaried Employees

MetLife and Delta Dental

MetLife

Employee Cost Per Month

Employee Only

$10.00

Employee + 1

$20.00

Employee + 2 or more

$30.00

Delta Dental

Employee Cost Per Month

Employee Only

$9.00

Employee + 1

$18.00

Employee + 2 or more

$27.00

2013 Dental Premiums
for Active Casual Employees

MetLife and Delta Dental

MetLife

Employee Cost Per Month

Employee Only

$30.00

Employee + 1

$60.00

Employee + 2 or more

$90.00

Delta Dental

Employee Cost Per Month

Employee Only

$27.00

Employee + 1

$54.00

Employee + 2 or more

$81.00

2013 Dental Premiums
for Active Full-Time Hourly Employees

MetLife and Delta Dental

MetLife

Employee Cost Per Month

Employee Only

$10.00

Employee + 1

$20.00

Employee + 2 or more

$30.00

Delta Dental

Employee Cost Per Month

Employee Only

$9.00

Employee + 1

$18.00

Employee + 2 or more

$27.00

2013 Dental Premiums
for Under Age 65 Retirees

MetLife and Delta Dental

MetLife

Retiree Shared Cost Per Month

Retiree Full Cost Per Month

Employee Only

$15.00

$58.00

Employee + 1

$30.00

$116.00

Employee + 2 or more

$44.00

$174.00

Delta Dental

Retiree Shared Cost Per Month

Retiree Full Cost Per Month

Employee Only

$12.00

$47.00

Employee + 1

$24.00

$94.00

Employee + 2 or more

$36.00

$141.00