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Dental Health Services (DPO) Information

Dental Health Services (DPO) Premiums

Coverage Type Annual Monthly Semi-monthly
(24 pay periods)*
Post-tax Pre-tax
Employee only $487 $40.60 $0.00 $20.30
Employee & Spouse $945 $78.74 $0.00 $39.37
Employee & Domestic Partner (non-dependent) $945 $78.74 $19.07 $20.30
Employee & 1 Child $945 $78.74 $0.00 $39.37
Employee & Children $1,768 $147.30 $0.00 $73.65
Employee & Spouse & Children $1,768 $147.30 $0.00 $73.65
Employee & Domestic Partner & Children (non-dependent) $1,768 $147.30 $34.28 $39.37

* Variances Due to Rounding