Employee Dental Rates Full-Time Bi-Weekly Rates Base Plan Plus Plan Total DMEI Total DMEI Bi-Weekly Rates You Pay You Pay Cost Pays Cost Pays Employee Only $15.31 $13.31 $2.00 $19.97 $13.31 $6.66 Employee & Spouse $30.64 $22.64 $8.00 $39.95 $22.64 $17.31 Employee & Child(ren) $26.82 $19.82 $7.00 $37.71 $19.82 $17.89 Family $38.29 $28.29 $10.00 $54.73 $28.29 $26.44 Full-Time Semi-Monthly Rates Base Plan Plus Plan Total DMEI Total DMEI Bi-Weekly Rates You Pay You Pay Cost Pays Cost Pays Employee Only $16.59 $14.42 $2.17 $21.63 $14.42 $7.21 Employee & Spouse $33.19 $24.52 $8.67 $43.27 $24.52 $18.57 Employee & Child(ren) $29.05 $21.47 $7.58 $40.85 $21.47 $19.38 Family $41.48 $30.65 $10.83 $59.29 $30.65 $28.64 Part-Time Bi-Weekly Rates Base Plan Plus Plan Total DMEI Total DMEI Bi-Weekly Rates You Pay You Pay Cost Pays Cost Pays Employee Only $15.31 $5.31 $10.00 $19.97 $5.31 $14.66 Employee & Spouse $30.64 $14.64 $14.64 $39.95 $14.64 $25.31 Employee & Child(ren) $26.82 $12.82 $12.82 $37.71 $12.82 $24.89 Family $38.29 $18.29 $18.29 $54.73 $18.29 $36.44 7
Benefits Enrollment Guide 2025 Page 6 Page 8