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ABC with XYZ Acquisition
Page
6
of
14
ABC Executive Dental Plan
Yes, it does pay 100% of everything.
ABC Rates – Met Dental
MetLife 2014 Premium Rates
High Plan
Low Plan
Executive Plan
EE Only
$32.26
$17.45
$109.11
Employee + Spouse
$65.48
$35.43
$221.48
Employee + Child(ren)
$63.54
$34.37
$214.95
Family
$102.25
$55.31
$345.87
MetLife 2015 Premium Rates
High Plan
Low Plan
Executive Plan
EE Only
$32.26
$17.45
$109.11
Employee + Spouse
$65.48
$35.43
$221.48
Employee + Child(ren)
$63.54
$34.37
$214.95
Family
$102.25
$55.31
$345.87
MetLife 2016 Premium Rates
**
Adjusted for increased enrollment
w/XYZ EEs
High Plan
Low Plan
Executive Plan
EE Only
$36.17
$20.32
$112.38
Employee + Spouse
$69.59
$38.11
$228.12
Employee + Child(ren)
$71.03
$40.67
$221.40
Family
$114.09
$64.77
$356.25
**Effective 1/1/2016, OON reimbursements changed from 90
th
% to MAC
For the combined group, 2017 rates are capped at a +4% increase.