Dental Rate SummarLakeood tulic SchoolsAll EmploeesAssumed Effectie Da - PDF document

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ensus MESSA Dental RateTOTALStroduct NameRate teriodt Ratet RateFF RateompositeTotal ostEstimated Annual SaingsSET SF ADN SET SF ADN Blue SF Dental ttO Blue SF Dental t ID: 895873

rate adn dental rates adn rate rates dental emplo

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1 Dental Rate SummarÇLakeÇood tuÄlic Sc
Dental Rate SummarÇLakeÇood tuÄlic SchoolsAll EmploÇeesAssumed EffectiÇe Date: Ï±/Ï/Ï®Ï¬Ï®Ï/urrent tlanÍ¾sÍ¿ and Segment:ÏtÏ®tFF/ompositeTotal Annual /ostRate teriod/ensusÏÏ°ÏÏÏ²Ï°$ÏµÏ³.Ï°Ï® $ÏÏ¬Ï°,Ï¬Ï°Ï´Ï/Ï/Ï®Ï¬Ï®ÏâÏÏ®/Ï¯Ï/Ï®Ï¬Ï®ÏMESSA Dental: Ï³Ï¬/Ï³Ï¬/Ï³Ï¬/Ï³Ï¬; $Ï®Ï¬Ï¬Ï¬/$ÏÏ¬Ï¬Ï¬Rate$Ï¯Ï®.ÏµÏ³$Ï²Ï®.ÏµÏµ$ÏÏÏ³.Ï°Ï°Administrators & NonâUnion Staf /ensusÏ®ÏÏ²$ÏÏ¯Ï´.Ï¬Ï® MESSA Dental: Ï´Ï¬/Ï´Ï¬/Ï´Ï¬/Ï´Ï¬; $Ï®Ï¬Ï¬Ï¬/$ÏÏ¯Ï¬Ï¬Rate$Ï°Ï.Ï¯Ïµ$Ï³Ï³.Ï°Ï´$ÏÏ°Ï±.Ï±ÏµTOTALS:ÏÏ°ÏÏ¯Ï´Ï¬troduct NameRate teriodÏt RateÏ®t RateFF Rate/ompositeTotal /ostEstimated Annual SaÇingsSET SF ADN: Ï´Ï¬/Ï´Ï¬/Ï´Ï¬/Ï´Ï¬; $Ï®Ï¬Ï¬Ï¬/$ÏÏ¯Ï¬Ï¬Ï³/Ï/Ï®Ï¬Ï®ÏâÏ²/Ï¯Ï¬/Ï®Ï¬Ï®Ï$Ï¯Ï².Ï³Ï°$Ï²Ï³.ÏÏ¯$ÏÏ¯Ï®.Ï®Ï°$ÏÏÏ.Ï´Ï¯$ÏÏ°Ï¯,Ï±ÏµÏ±SET SF ADN: Ï³Ï¬/Ï³Ï¬/Ï³Ï¬/Ï³Ï¬; $Ï®Ï¬Ï¬Ï¬/$ÏÏ¬Ï¬Ï¬Ï³/Ï/Ï®Ï¬Ï®ÏâÏ²/Ï¯Ï¬/Ï®Ï¬Ï®Ï$Ï¯Ï.Ï®Ï²$Ï±Ï².ÏÏ³$ÏÏ¬Ïµ.Ï±Ï°$ÏµÏ®.Ï´ÏBlue SF Dental ttO: Ï³Ï±/Ï³Ï¬/Ï³Ï¬/Ï³Ï¬; $Ï®Ï¬Ï¬Ï¬/$ÏÏ¬Ï¬Ï¬Ï±/$

2 Ï®Ï³.Ï´Ï´$Ï±Ï±.Ï³Ï±$ÏµÏ³.Ï±Ï²$Ï´Ï¯.Ï¯Ï²B
Ï®Ï³.Ï´Ï´$Ï±Ï±.Ï³Ï±$ÏµÏ³.Ï±Ï²$Ï´Ï¯.Ï¯Ï²Blue SF Dental ttO:Ï´Ï¬/Ï´Ï¬/Ï´Ï¬/Ï´Ï¬; $Ï®Ï¬Ï¬Ï¬/$ÏÏ±Ï¬Ï¬Ï±/Ï/Ï®Ï¬Ï®ÏâÏÏ®/Ï¯Ï/Ï®Ï¬Ï®Ï®$Ï¯Ï.Ï²Ï¬$Ï²Ï¯.Ï®Ï¬$ÏÏÏ¬.Ï²Ï¬$ÏµÏ°.Ï±Ï¬Guardian*MESSA rates include taÇes and fees. *SETSEG SF/ADN rates are illustratiÇe and include a $Ï².Ï¯Ï± per emploÇee per month dental administration/netÇork fee. The plan includes access to the ADN/DentemaÇ netÇork.*SETSEG SF/ADN rates are Äased on enrollment and adÇance selfâfunded reserÇe is reÆuired. *B/BSM rates are illustratiÇe onlÇ and do not include agent commissions. Declined To QuoteDeclined To Quote Printed On 3/31/2021 Vision Rate SummarÇLakeÇood tuÄlic SchoolsAll EmploÇeesAssumed EffectiÇe Date: Ï±/Ï/Ï®Ï¬Ï®Ï/urrent tlanÍ¾sÍ¿ and Segment:ÏtÏ®tFF/ompositeTotal Annual /ostRate teriodAll EmploÇees/ensusÏÏ°ÏÏ¯Ï´Ï¬$Ï®Ï.Ï¯Ï $Ï®Ï³,Ï¯Ï±Ï³Ï/Ï/Ï®Ï¬Ï®ÏâÏÏ®/Ï¯Ï/Ï®Ï¬Ï®ÏVSt Ï¯ $Ï¬/$Ï¬ /opaÇ: $Ï²Ï± FrameRate$Ï³.Ï±Ï

3 µ$ÏÏ².Ï¯Ï¬$Ï®Ï°.Ï±Ï®TOTALS:ÏÏ°ÏÏ¯Ï´Ï¬
µ$ÏÏ².Ï¯Ï¬$Ï®Ï°.Ï±Ï®TOTALS:ÏÏ°ÏÏ¯Ï´Ï¬troduct NameRate teriodÏt RateÏ®t RateFF Rate/ompositeTotal /ostEstimated Annual SaÇingsSET ADN SF $Ï¬/$Ï¬ /opaÇ â $Ï²Ï± FrameÏ³/Ï/Ï®Ï¬Ï®ÏâÏ²/Ï¯Ï¬/Ï®Ï¬Ï®Ï$ÏÏ®.Ï²Ï±$Ï®Ï¯.Ï°Ï²$Ï°Ï².Ï®Ïµ$Ï¯Ïµ.ÏÏ$Ï±Ï¬,Ï®Ï®Ï¯B/BSM Guardian*MESSA rates include taÇes and fees. *SETSEG SF/ADN rates are illustratiÇe and include a $Ï.Ï´Ï± per emploÇee per month Çision administration fee.*SETSEG SF/ADN rates are Äased on enrollment and adÇance selfâfunded reserÇe is reÆuired. Declined To QuoteDeclined To QuoteDeclined To Quote Printed On 3/31/2021 Medical Rate SummarÇLakeÇood tuÄlic SchoolsAll EmploÇeesAssumed EffectiÇe Date: Ï±/Ï/Ï®Ï¬Ï®Ï/urrent tlanÍ¾sÍ¿ and Segment:ÏtÏ®tFFTotal Annual /ostTeachers MESSA AB/ I/ensusÏµÏ®Ï®Ï±Ï¯Ï²MESSA AB/ tlan Ï $ÏÏ°Ï¬Ï¬âÏ¬%; Ï¯âTier RÇ /ensusÏ®ÏÏ±ÏÏ³trioritÇ Health HMO HSA $ÏÏ°Ï¬Ï¬âÏ®Ï¬%; $ÏÏ¬/$Ï°Ï¬/$Ï´Ï¬ RÇ Printed On 3/31/2021