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Human Resources > Benefits > Dental > Contributions

Contributions

2007 2006 Premiums
Full Time Employees Part Time Employees Leave of Absence
COBRA Retiring NRSA Post
Doctoral Fellows

2007 Monthly Health and Dental Employee Premiums (PDF PDF)

Full Time Employees Dental Premium Rates

Plan You only You + spouse You + child(ren) You + spouse and child(ren)
Blue Cross Dental PPO $17 $36 $40 $57
First Commonwealth DHMO $7 $13 $14 $20
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Part Time Employees Dental Premium Rates

Plan You only You + spouse You + child(ren) You + spouse and child(ren)
Blue Cross Dental PPO $27 $58 $64.50 $91.50
First Commonwealth DHMO $11.50 $21 $22 $32

NOTE: Part Time status is defined as employees scheduled to work at least 17.5 hours per week or at least a 50% appointment but less than 100%.
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Leave of Absence (Personal - At Large) Dental Premium Rates

Coverage You only You + spouse You + child(ren You + spouse and child(ren)
Blue Cross Denta PPO $37 $80 $89 $126
First Commonwealth DHMO $16 $29 $30 $44
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COBRA Dental Premium Rates

Plan You only You + spouse You + child(ren) You + spouse and child(ren)
Blue Cross Dental PPO $37.74 $81.60 $90.78 $128.52
First Commonwealth DHMO $16.32 $29.58 $30.60 $44.88

2006 Monthly COBRA Premiums (PDF PDF)

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Retiree Premium Dental Premium Rates

Coverage Blue Cross
PPO Dental		 First Commonwealth DHMO
Single $37 $16
Family $105 $37

2005 Monthly Retiree Premiums (PDF PDF)

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NRSA Post Doctoral Fellows Dental Premium Rates

PLAN Single Coverage Family Coverage
Employee Single University Grant Single Total Single Employee Family University Family Total Family
Blue Cross Dental $0 $37 $37 $30 $75 $105
First Commonwealth Dental $0 $16 $16 $10 $27 $37
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