DentalandVisionIns.com
Rates

Contact us for lower rates on groups of 50 or more lives.  (800) 296-0192

A monthly administration fee of $10 is charged
to all groups of less than 20 covered employees.

Rate Tables for NEW groups enrolling 
July 1, 2008 through June 1, 2009 effective dates. 

Clients that enroll July 1 through December 1 will renew July 1.
Clients that enroll January 1 through June 1 will renew January 1.

Download Microsoft Excel based Quote program
 

Delta Dental Premier Plans

Plan Name

EE

EE + 1

EE + 2

Plan 2000

$68.80

$131.40

$193.30

|$25 deductible,
100, 80, 50 plan with $2000 maximum benefit

Plan I

$64.00

$122.90

$183.10


$25 deductible,
100, 80, 50 plan with $1500 maximum benefit

Plan 1500

$61.80

$118.30

$175.80


$50 deductible,
100, 80, 50 plan with $1500 maximum benefit

Plan II

$54.50

$103.70

$147.20


$35 deductible,
80, 80, 50 plan with $1500 maximum benefit.

Plan III

$51.60

$97.80

$136.90


$50 deductible,
80, 80, 50 plan with $1500 maximum benefit.

Plan IV  

$41.10

$78.90

$114.40


$50 deductible,
80,80,50 plan with $1000 maximum benefit

add Ortho

$2.10

$3.40

$11.60


50% with a maximum of $1500 lifetime
Delta Dental PPO Plans

Plan Name

EE

EE + 1

EE + 2

PPO Option I

 $50.50 $96.80 $140.30


PPO $50 deduct, 100/80, 80/50, 50/50 plan with a $1500 maximum benefit

PPO Option II

 $41.30 $79.00 $112.30


PPO $50 deduct, 100/50, 80/50, 50/50 plan with a $1500 maximum benefit

PPO Option III

 $32.90 $61.50 $91.00


PPO $50 deduct, 80/50, 80/50, 50/50 plan with a $1000 maximum benefit

add PPO Ortho

$2.10

$3.40

$11.60


50% with a maximum of $1500 lifetime, Any Dentist.

VSP Vision A Plans (Rates Valid through 12/31/2009)
Plans with a 12 month Exam, 24 month Lenses, and 24 month Frame waiting period *

Co Payment

 EE ES EC ESC

$20 exam/$25 materials co-pay

 $6.40 $10.20 $10.40 $16.70

$25 co-pay

 $9.30 $14.80 $15.10 $24.30

$10 co-pay

 $9.80 $15.70 $16.00 $25.80

No co-pay

 $12.70 $20.20 $20.60 $33.30

VSP Vision B Plans (Rates valid through 12/31/2009)
Plans with a 12 month Exam, 12 month Lenses, and 24 month Frame waiting period *

Co Payment

EE

ES

EC

ESC

$10 exam/$25 materials co-pay

$9.90

$15.80

$16.10

$25.90

$25 co-pay

$10.60

$16.90

$17.20

$27.70

$10 co-pay

$13.20

$21.20

$21.60

$34.80

No Co-pay

$14.90

$23.80

$24.30

$39.10

Rates for Voluntary VSP Vision B Plans

Co Payment

EE

ES

EC

ESC

$10 exam/$25 materials co-pay

$11.50

$18.40

$18.70

$30.10

$25 co-pay

$12.30

$19.60

$20.00

$32.20

$10 co-pay

$15.40

$24.60

$25.10

$40.40

No Co-pay

$17.30

$27.70

$28.20

$45.40

VSP Vision C Plans (Rates valid through 12/31/2009)
Plans with a 12 month Exam, 12 month Lenses, and 12 month Frame waiting period *

Co Payment

EE

ES

EC

ESC

$10 exam/$25 materials co-pay

$11.90

$23.80

$25.50

$40.70

$25 co-pay

$12.30

$24.50

$26.20

$41.80

$10 co-pay

$14.00

$28.00

$30.00

$47.90

No Co-pay

$15.60

$31.20

$33.30

$53.20

Rates for Voluntary VSP Vision C Plans

Co Payment

EE

ES

EC

ESC

$10 exam/$25 materials co-pay

$13.80

$27.70

$29.60

$47.30

$25 co-pay

$14.30

$28.50

$30.40

$48.50

$10 co-pay

$16.30

$32.50

$34.80

$55.60

No Co-pay

$18.10

$36.20

$38.70

$61.80

*the waiting period is from your last date of service.