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Plan 2 Summary
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Short Term Medical
 
Medical Dental Short Term Medical Voluntary Indemnity
Pre-Tax COBRA

2009 ASA Dental Plan #2 (Group #0974)

Monthly Rates:

Employee $45.25
Employee + Spouse $90.53
Employee + Child(ren) $93.06
Employee + Spouse + Child(ren) $138.33

Plan # 2 (100/80/50 PPO Plan) Features
  • 100% Preventive benefits
  • 80% Basic benefits
  • 50% Major benefits
  • $50 annual deductible (waived for Preventive benefits)
  • $1000 maximum annual benefit per subscriber
  • To receive the maximum percentages shown above, you are required to access WDS PPO dentists only. Coverage percentages decrease to 80/70/40 when you seek services outside the WDS PPO network.

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