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
$33.88
$33.88
$37.18
$37.18
$11.00
$84.70
$84.70*
$92.98
$92.98
*Medicare Some and Medicare All recipients pay a family rate of $67.76 for UDB.
2026
2025
2026
2025
Coverage Type
Uniform Dental Benefit
Preventive Plan
State Active Employee
Self
Self + spouse,
Self + Child(ren)
Family
Active Employee
Local Active Employee
Retiree
Retiree
*Medicare Some and Medicare All recipients pay a family rate of $65.44 for UDB.
$4.00
$10.00
$81.80
$81.80*
$32.72
$32.72
$36.10
$36.10
$90.28
$90.28