HMO POE

EMPLOYEE COST

POINT OF SERVICE

EMPLOYEE COST

DELTA DENTAL

EMPLOYEE COST

PER PAY

PER PAY

PER PAY

INDIVIDUAL

55.48

INDIVIDUAL

63.79

INDIVIDUAL

0

TWO PERSONS

111.15

TWO PERSONS

127.81

TWO PERSONS

11.05

FAMILY

150.85

FAMILY

173.56

FAMILY

22.49