
HSU DENTAL INSURANCE PREMIUMS CY 2006 Employee Employee Full Family Employee & Spouse Only (plus 1 or more children) Individual One parent Family Family Insured & Spouse Fortis Freedom Schedule(1) $24.97 $59.90 $83.51 $48.57 Fortis Freedom Preferred Plan(1) $40.30 $87.19 $125.21 $78.31 BCBS - Dental Indemnity USA $28.30 $57.70 $97.20 $56.50 Region 2 Gold Plan (2) AFLAC - Dental Insurance Level One (2) $18.90 $34.40 $45.40 $30.40 w/Orthodontic Rider to age 15 $29.50 $29.50 Total Premium $18.90 $63.90 $74.90 $30.40 Level Two (2) $22.90 $39.90 $53.90 $36.90 w/Orthodontic Rider to age 15 $29.50 $29.50 Total Premium $22.90 $69.40 $83.40 $36.90 For new employees:
(1) Employees hired January 1, 2005 and later are eligible to enroll in one of two dental plans from Fortis Dental.
(2) This coverage is only available for employees who had this insurance prior to January 1, 2005.
Return to HSU Benefits Link 01/12/2006