Small Group Dental Rates 2009

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Kristin Russell
5 years ago
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Rates for Unloaded Industries* Option 2: DE Preventive Care PPO Max 2 to 9 $16.30 $32.10 $31.90 $48.00 10 to 25 $14.80 $29.30 $29.10 $43.80 26 to 50 $14.10 $27.90 $27.70 $41.

1 Rates for Unloaded Industries* Option 2: DE Preventive Care PPO Max 2 to 9 $16.30 $32.10 $31.90 $ to 25 $14.80 $29.30 $29.10 $ to 50 $14.10 $27.90 $27.70 $41.70 Option 3: DE Preventive Care PPO 2 to 9 $19.40 $38.10 $37.90 $ to 25 $17.70 $34.80 $34.60 $ to 50 $16.90 $33.20 $33.00 $49.60 Option 4: DE PPO Max to 9 $26.90 $54.00 $52.80 $ to 25 $24.60 $49.30 $48.30 $ to 50 $23.40 $47.00 $45.90 $69.10 * if the group s SIC code does not appear on the list of Loaded Industries or Ineligible Industries, these Option 5: DE Active PPO, High Option 2 to 9 $34.80 $70.00 $71.30 $ to 25 $31.80 $63.90 $71.90 $ to 50 $30.20 $60.80 $68.40 $99.00 Option 6: DE PPO to 9 $37.90 $76.10 $75.30 $ to 25 $34.60 $69.40 $75.90 $ to 50 $33.00 $66.10 $72.20 $105.10

Rates for Unloaded Industries* Option 7: DE PPO 1500 (90th) 2 to 9 $38.40 $77.10 $76.30 $114.70 10 to 25 $35.10 $70.40 $77.00 $112.00 26 to 50 $33.40 $67.10 $73.30 $106.

2 Rates for Unloaded Industries* Option 7: DE PPO 1500 (90th) 2 to 9 $38.40 $77.10 $76.30 $ to 25 $35.10 $70.40 $77.00 $ to 50 $33.40 $67.10 $73.30 $ Voluntary Option 2: DE Preventive Care PPO Max 2 to 9 $17.90 $35.30 $35.00 $ to 25 $16.40 $32.30 $32.00 $ to 50 $15.60 $30.70 $30.40 $45.90 Voluntary Option 3: DE Preventive Care PPO 2 to 9 $21.40 $41.90 $41.70 $ to 25 $19.50 $38.30 $38.10 $ to 50 $18.50 $36.50 $36.30 $54.60 Voluntary Option 4: DE PPO Max to 9 $29.10 $58.40 $57.00 $ to 25 $26.50 $53.30 $52.10 $ to 50 $25.30 $50.80 $49.60 $74.70 * if the group s SIC code does not appear on the list of Loaded Industries or Ineligible Industries, these Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies. The Aetna companies that offer, underwrite or administer dental benefits coverage include Aetna Health Inc., Aetna Dental Inc. and/or Aetna Life Insurance Company (Aetna). All rates are for a 12-month policy period and subject to all dental underwriting guidelines. Some industries are ineligible for dental coverage. See underwriting guidelines in the Small Business Solutions brochure.

Rates for Loaded Industries* Option 2: DE Preventive Care PPO Max 2 to 9 $17.90 $35.30 $35.10 $52.80 10 to 25 $16.30 $32.20 $32.00 $48.20 26 to 50 $15.50 $30.70 $30.50 $45.

3 Rates for Loaded Industries* Option 2: DE Preventive Care PPO Max 2 to 9 $17.90 $35.30 $35.10 $ to 25 $16.30 $32.20 $32.00 $ to 50 $15.50 $30.70 $30.50 $45.90 Option 3: DE Preventive Care PPO 2 to 9 $21.30 $41.90 $41.70 $ to 25 $19.50 $38.30 $38.10 $ to 50 $18.60 $36.50 $36.30 $54.60 Option 4: DE Preventive Care PPO 2 to 9 $29.60 $59.40 $58.10 $ to 25 $27.10 $54.20 $53.10 $ to 50 $25.70 $51.70 $50.50 $76.00 Option 5: DE Active PPO, High Option 2 to 9 $38.30 $77.00 $78.40 $ to 25 $35.00 $70.30 $79.10 $ to 50 $33.20 $66.90 $75.20 $ * if the group s SIC code appears on the list of Loaded Industries, these rates apply. If group s SIC appears on the list of Ineligible Industries and the group is offering an Aetna medical plan, these Option 6: DE PPO to 9 $41.70 $83.70 $82.80 $ to 25 $38.10 $76.30 $83.50 $ to 50 $36.30 $72.70 $79.40 $115.60

Rates for Loaded Industries* Option 7: DE PPO 1500 (90th) 2 to 9 $42.20 $84.80 $83.90 $126.20 10 to 25 $38.60 $77.40 $84.70 $123.20 26 to 50 $36.70 $73.80 $80.60 $117.

4 Rates for Loaded Industries* Option 7: DE PPO 1500 (90th) 2 to 9 $42.20 $84.80 $83.90 $ to 25 $38.60 $77.40 $84.70 $ to 50 $36.70 $73.80 $80.60 $ Voluntary Option 2: DE Preventive Care PPO Max 2 to 9 $19.70 $38.80 $38.50 $ to 25 $18.00 $35.50 $35.20 $ to 50 $17.20 $33.80 $33.40 $50.50 Voluntary Option 3: DE Preventive Care PPO 2 to 9 $23.50 $46.10 $45.90 $ to 25 $21.50 $42.10 $41.90 $ to 50 $20.40 $40.20 $39.90 $60.10 Voluntary Option 4: DE PPO Max to 9 $32.00 $64.20 $62.70 $ to 25 $29.20 $58.60 $57.30 $ to 50 $27.80 $55.90 $54.60 $82.20 * if the group s SIC code appears on the list of Loaded Industries, these rates apply. If group s SIC appears on the list of Ineligible Industries and the group is offering an Aetna medical plan, these Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies. The Aetna companies that offer, underwrite or administer dental benefits coverage include Aetna Health Inc., Aetna Dental Inc. and/or Aetna Life Insurance Company (Aetna). All rates are for a 12-month policy period and subject to all dental underwriting guidelines. Some industries are ineligible for dental coverage. See underwriting guidelines in the Small Business Solutions brochure.

5 SIC Codes for Ineligible Industries* SIC Range SIC Description 7933 bowling Centers 8611 business Associations 7911 Dance Studios, Schools Employment Agencies 7999 Misc Amusement and Recreation 8699 Misc Membership Organizations 8999 Misc Services 7991 Physical Fitness Facilities 8811 Private Households Professional Sports Clubs & Producers, Race Tracks Professional Membership Organizations, Labor Unions, Civic Social & Fraternal Organizations, Political Organizations Public Golf Courses, Amusements, Membership Sports & Recreation Clubs 8661 Religious Organizations Theatrical Producers, Bands, Orchestras, Actors * if the group s SIC code appears above and the group offers Aetna medical, the dental rates for Loaded Industries apply. If the group s SIC code appears above and the group does not offer Aetna medical, the group is not eligible for Aetna dental products. Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies. The Aetna companies that offer, underwrite or administer dental benefits coverage include Aetna Health Inc., Aetna Dental Inc. and/or Aetna Life Insurance Company (Aetna). All rates are for a 12-month policy period and subject to all dental underwriting guidelines. Some industries are ineligible for dental coverage. See underwriting guidelines in the Small Business Solutions brochure.

6 SIC Codes for Loaded Industries * SIC Range SIC Description 7319 advertising, Misc amusement, Recreation & Entertainment associations & Trusts auto Dealerships beauty & Barber Shops Direct Mailing, Secretarial Services engineering & Mgmt Services hotels 9721 international Affairs Jewelry Manufacturing Legal Medical Groups Medical Groups 7389 Misc Business Services 7379 Misc Computer Services Misc Repair 5271 Mobile Home Dealers Passenger Transportation 7221 Photo Studios 7384 Photofinishing Labs Real Estate Repairs, Cleaning, Personal Services Restaurants Schools, Libraries, Education Seasonal Employees Security Systems, Armored Cars Private Households Social Services; Museums, Art Galleries, Botanical Gardens 7631 Watch, Clock & Jewelry Repair * if the group s SIC code appears at left, dental rates for Loaded Industries apply to the group. Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies. The Aetna companies that offer, underwrite or administer dental benefits coverage include Aetna Health Inc., Aetna Dental Inc. and/or Aetna Life Insurance Company (Aetna). All rates are for a 12-month policy period and subject to all dental underwriting guidelines. Some industries are ineligible for dental coverage. See underwriting guidelines in the Small Business Solutions brochure.v

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