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Choose Your Dental Plan
Payroll Period View:
Weekly
Bi-weekly
Monthly
Annual
Semi-monthly
Plan Choices
Your
Contribution
Employer
Contribution
Total
Plan Cost
PPO Standard Dental Plan
Employee
$10.00
$30.00
$40.00
Employee + One
$20.00
$50.00
$70.00
Employee + Family
$40.00
$90.00
$130.00
PPO Dental Plus
Employee
$20.00
$50.00
$70.00
Employee + One
$60.00
$70.00
$130.00
Employee + Family
$110.00
$90.00
$200.00
I choose to
waive
my Dental benefit.
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