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Delta Dental PPO Rates

Delta Dental PPO
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective November 1, 2009 through October 31, 2010
Monthly family rates are based on the age of primary applicant
2 - 19 $34 $71 $107 $68
20 - 34 38 77 113 75
35 - 44 43 86 127 85
45 - 64 48 93 139 92