Page 5 - Agate Software 2021 Renewal
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AGATE SOFTWARE

                                            DELTA DENTAL RENEWAL
                                                   Effective January 1, 2021


                                                           Current             Renewal
                                             # of
                                          employees     Delta Dental         Delta Dental

          SINGLE                             36            $31.08               $31.08
          DOUBLE                             5             $62.03               $62.03
          FAMILY                             14            $130.84             $130.84

          Est. Monthly Premium               55           $3,260.79           $3,260.79
          Est. Annual Premium                            $39,129.48           $39,129.48
                                                                             NO INCREASE
                                               Benefits
          Deductible
          Single                                            $50                  $50
          Family                                            $150                $150

          Preventive Services                               100%                100%

          Basic Services                                    80%                  80%

          Major Services                                    50%                  50%


          Annual Maximum                                   $1,000               $1,000

          Orthodontics                                      50%                  50%

          Lifetime Maximum                                 $1,000               $1,000

          3/1/20 added Orthodontics to plan.  2019 rates decreased 2.3%
          2018 pediatric dental was stripped out, 2017 rates decreased 6%, 2016 rates decreased 3.6%
          2015 rates increased 5.3% (added pediatric dental), 2014 rates increased 1.9%. 2013 Delta was implemented.
          Moved to Jan renewal beginning Jan 2021

          Prepared August 2020
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