Coverage Type
Delta Dental PPO™ - Select Plan
Delta Dental PPO plus Premier™ - Select Plus Plan
Active Employee
Active Employee
Retiree
Retiree
Self
$9.08
$15.08
$21.60
$32.06
Self+ Spouse
$18.16
$30.66
$43.22
$64.10
Self+ Child(ren)
$12.24
$20.70
$40.12
$59.30
Family
$21.76
$36.80
$66.20
$97.78
Coverage Type
Delta Dental PPO™ - Select Plan
Delta Dental PPO plus Premier™ - Select Plus Plan
Active Employee
Active Employee
Retiree
Retiree
Self
$9.76
$16.22
$20.98
$31.12
Self+ Spouse
$19.52
$32.96
$41.96
$62.24
Self+ Child(ren)
$13.16
$22.26
$38.96
$57.58
Family
$23.40
$39.56
$64.28
$94.94
2024
2023
2024
2023