|
|
 |
|
| HOW MUCH DO I PAY? |
|
| |
| The annual Premium for the Initial Contract Term is: |
| |
Enrollee only (one person):
plus a one-time enrollment fee of $10.00 |
$87.36 |
Enrollee and one dependent (spouse or child):
plus a one-time enrollment fee of $10.00 |
$144.12 |
Enrollee and two or more dependents:
plus a one-time enrollment fee of $10.00 |
$213.12 |
|
| |
| |
| |
| |
HIPAA Notice of Privacy Practices | Web Site Privacy Notice © 2011 Delta Dental |
|