DENTAL Good dental hygiene has substantial impact on your overall health. Prevent oral both conditions and other diseases through regular preventive dental care. Hover over the insurance terms below to learn what they mean! DPPO LOW PLAN DPPO HIGH PLAN ANNUAL Individual: $50 Individual: $50 DEDUCTIBLE Family: $150 Family: $150 PREVENTIVE 100% 100% SERVICES BASIC 70% 70% SERVICES MAJOR 50% 50% SERVICES ANNUAL PLAN $1,000 $1,000 MAXIMUM ORTHO 50% 50% SERVICES Children Only Children Only ORTHO $1,000 $1,500 LIFETIME MAXIMUM RATES PER Employee: $11.89 Employee: $13.61 BIWEEKLY Employee + Spouse: $25.05 Employee + Spouse: $28.68 PAY PERIOD Employee + Children: $31.61 Employee + Children: $34.68 Family: $46.74 Family: $51.95 The rates and benefit plan information shown in this guide are illustrative only. To the extent the rates or the benefit plan information summarized herein differs from the underlying plan details specified in the insurance documents that govern the terms and conditions of the plans of insurance described in this guide, the underlying insurance documents will govern in all cases. The insurance carrier will determine the actual rates based upon the final member enrollment, plan selection, funding, type, and eligibility criteria. Until that time, and the carrier's final communication, the rates will be subject to change.