Coverage Type
Uniform Dental Benefit
Preventive Plan
State Active Employee
Local Active Employee
Retiree
Retiree
Active Employee
Self
Self + spouse,
Self + Child(ren)
Family
$4.00
$32.72
$32.72
$36.10
$36.10
$10.00
$81.80
$81.80*
$90.28
$90.28
*Medicare Some and Medicare All recipients pay a family rate of $65.44 for UDB.
2025
2024
2025
2024
Coverage Type
Uniform Dental Benefit
Preventive Plan
State Active Employee
Self
Self + spouse,
Self + Child(ren)
Family
Active Employee
Local Active Employee
Retiree
Retiree
$3.00
$10.00
$80.20
$80.20*
$32.08
$32.08
$36.10
$36.10
$90.28
$90.28
*Medicare Some and Medicare All recipients pay a family rate of $64.16 for UDB.