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GROUP DELTA DENTAL RATES
| | | Tier 2 Rates July 1, 2001 through December 31, 2001 | Tier 4 Rates* July 1, 2001 through December 31, 2001 |
| Plan I | $2,000 Max, w/ Ortho | Employee = $22.72 Family = $72.50 | Employee = $22.72 Employee & Spouse = $46.43 Employee & Children = $43.02 Family = $75.35 |
| Plan II | $2,000 Max, w/o Ortho | Employee = $22.72 Family = $63.40 | Employee = $22.72 Employee & Spouse = $46.23 Employee & Children = $39.16 Family = $69.20 |
| Plan III | $1,500 Max, w/ Ortho | Employee = $16.17 Family = $53.32 | Employee = $16.17 Employee & Spouse = $32.97 Employee & Children = $30.56 Family = $53.51 |
| Plan IV | $1,500 Max, w/o Ortho | Employee = $16.17 Family = $44.68 | Employee = $16.17 Employee & Spouse = $32.82 Employee & Children = $27.81 Family = $49.15 |
| | *4-tier must have 10 or more enrolled |
Plan Comparison | Procedures
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