PACIFIC DENTAL INDEMNITY PLAN BI-WEEKLY RATES
APRIL 1, 2005 THROUGH MARCH 31, 2007

 

AREA

EMPLOYEE ONLY

EMPLOYEE + SPOUSE

EMPLOYEE + CHILD

EMPLOYEE
+2 or 3 DEPENDENTS

EMPLOYEE
+4 OR MORE DEPENDENTS

1

$14.00

$28.00

$23.00

$39.00

$47.00

2

$16.00

$30.00

$25.00

$43.00

$52.00

3

$17.00

$33.00

$27.00

$47.00

$56.00

4

$19.00

$36.00

$30.00

$51.00

$61.00

5

$20.00

$39.00

$33.00

$56.00

$67.00

6

$22.00

$43.00

$35.00

$61.00

$73.00