2027
2026
2027
2026
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
$11.00
$84.70
$33.88
$33.88
$37.18
$37.18
$92.98
$92.98
**Medicare Some and Medicare All recipients pay a family rate of $67.76 for UDB.
Coverage Type
Uniform Dental Benefit
Preventive Plan
State Active Employee
Self
Self + spouse,
Self + Child(ren)
Family
Active Employee
Local Active Employee
Retiree
Retiree
$11.00
$90.10
$36.04
$36.04
$96.24
$96.24
**Medicare Some and Medicare All recipients pay a family rate of $72.08 for UDB.
$5.00
$38.48
$38.48
$90.10**
$84.70**