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Delta Dental Premier Rates

Delta Dental Premier
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 $38 $77 $111 $75
20 - 34 40 81 118 81
35 - 44 49 100 150 97
45 - 64 51 102 152 102