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Dental & Vision
Premium Cost Sharing
Dental
PPO
Dental Plan
Delta Dental
Monthly Per Paycheck
Enrollment Tier
Employee Cost Employee Cost
Employee only $58.86 $0.00
Employee + one dependent $118.22 $59.36
Employee + 2 or more dep. $198.62 $139.76
Vision
PPO
Vision Plan
Humana
Monthly Per Paycheck
Enrollment Tier
Employee Cost Employee Cost
Employee only $4.75 $0.00
Employee + Spouse $9.50 $4.75
Employee + Child(ren) $9.02 $4.27
Employee + Family $14.18 $9.43
*Rate is valid effective 8/1/2017-7/31/2018
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