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Delta Dental PPO Rates

Delta Dental PPO
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective November 1, 2008 through October 31, 2009
Monthly family rates are based on the age of primary applicant
2 - 19 $33 $67 $101 $64
20 - 34 36 72 107 70
35 - 44 41 81 120 80
45 - 64 45 88 131 87