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State of Delaware Office of Pensions

Dental Rates Tables

Rates effective July 1, 2022
through June 30, 2023

Total Monthly
Rate

State
Pays

Pensioner
Pays

Dental - Dominion National HMO
  • Administered by Dominion National

Individual

$27.94 $0 $27.94

Individual & Spouse

$51.96 $0 $51.96

Individual & Child(ren)

$56.00 $0 $56.00

Family

$76.08 $0 $76.08
 

Dental - Delta Dental PPO plus Premier
  • Administered by Delta Dental

Individual

$37.44 $0 $37.44

Individual & Spouse

$76.42 $0 $76.42

Individual & Child(ren)

$75.02 $0 $75.02

Family

$125.20 $0 $125.20
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Delaware Office of Pensions Logo
State of Delaware Office of Pensions
McArdle Building, 860 Silver Lake Blvd., Suite #1
Dover, DE 19904-2402
Toll Free: (800) 722-7300, Local: (302) 739-4208
SLC 570A
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