Coverage Type
Uniform Dental Benefit
Preventive Plan
State Active Employee
Local Active Employee
Retiree
Retiree
Active Employee
Self
Self + spouse,
Self + Child(ren)
Family
$3.00
$32.08
$32.08
$36.10
$36.10
$10.00
$80.20*
$80.20
$90.28
$90.28
*Medicare Some and Medicare All recipients pay a family rate of $64.16 for UDB.
2024
2023
Coverage Type
Uniform Dental Benefit
Preventive Plan
State Active Employee
Self
Self + spouse,
Self + Child(ren)
Family
Active Employee
Local Active Employee
Retiree
Retiree
$4.00
$9.00
$77.90
$77.90*
$31.16
$31.16
$34.72
$34.72
$86.80
$86.80
*Medicare Some and Medicare All recipients pay a family rate of $62.32 for UDB.
2024
2023