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 $41.70 Option 3: DE Preventive Care PPO 2 to 9 $19.40 $38.10 $37.90 $57.00 10 to 25 $17.70 $34.80 $34.60 $52.10 26 to 50 $16.90 $33.20 $33.00 $49.60 Option 4: DE PPO Max 1000 2 to 9 $26.90 $54.00 $52.80 $79.50 10 to 25 $24.60 $49.30 $48.30 $72.50 26 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 $106.60 10 to 25 $31.80 $63.90 $71.90 $103.90 26 to 50 $30.20 $60.80 $68.40 $99.00 Option 6: DE PPO 1500 2 to 9 $37.90 $76.10 $75.30 $113.00 10 to 25 $34.60 $69.40 $75.90 $110.40 26 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 $106.70 Voluntary Option 2: DE Preventive Care PPO Max 2 to 9 $17.90 $35.30 $35.00 $52.80 10 to 25 $16.40 $32.30 $32.00 $48.30 26 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 $62.80 10 to 25 $19.50 $38.30 $38.10 $57.30 26 to 50 $18.50 $36.50 $36.30 $54.60 Voluntary Option 4: DE PPO Max 1000 2 to 9 $29.10 $58.40 $57.00 $85.90 10 to 25 $26.50 $53.30 $52.10 $78.40 26 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 $45.90 Option 3: DE Preventive Care PPO 2 to 9 $21.30 $41.90 $41.70 $62.70 10 to 25 $19.50 $38.30 $38.10 $57.30 26 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 $87.50 10 to 25 $27.10 $54.20 $53.10 $79.80 26 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 $117.30 10 to 25 $35.00 $70.30 $79.10 $114.30 26 to 50 $33.20 $66.90 $75.20 $108.90 * 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 1500 2 to 9 $41.70 $83.70 $82.80 $124.30 10 to 25 $38.10 $76.30 $83.50 $121.40 26 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 $117.40 Voluntary Option 2: DE Preventive Care PPO Max 2 to 9 $19.70 $38.80 $38.50 $58.10 10 to 25 $18.00 $35.50 $35.20 $53.10 26 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 $69.10 10 to 25 $21.50 $42.10 $41.90 $63.00 26 to 50 $20.40 $40.20 $39.90 $60.10 Voluntary Option 4: DE PPO Max 1000 2 to 9 $32.00 $64.20 $62.70 $94.50 10 to 25 $29.20 $58.60 $57.30 $86.20 26 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.
SIC Codes for Ineligible Industries* SIC Range SIC Description 7933 bowling Centers 8611 business Associations 7911 Dance Studios, Schools 7361-7363 Employment Agencies 7999 Misc Amusement and Recreation 8699 Misc Membership Organizations 8999 Misc Services 7991 Physical Fitness Facilities 8811 Private Households 7941-7948 Professional Sports Clubs & Producers, Race Tracks 8621-8651 Professional Membership Organizations, Labor Unions, Civic Social & Fraternal Organizations, Political Organizations 7992-7997 Public Golf Courses, Amusements, Membership Sports & Recreation Clubs 8661 Religious Organizations 7922-7929 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.
SIC Codes for Loaded Industries * SIC Range SIC Description 7319 advertising, Misc 7800-7910 amusement, Recreation & Entertainment 7912-7921 7930-7932 7934-7940 7949-7990 7998 8600-8610 associations & Trusts 8612-8620 8652-8660 8662-8698 5511-5599 auto Dealerships 7231-7241 beauty & Barber Shops 7331-7338 Direct Mailing, Secretarial Services 8700-8799 engineering & Mgmt Services 7000-7099 hotels 9721 international Affairs 3911-3915 Jewelry Manufacturing 8100-8199 Legal 8000-8059 Medical Groups 8071-8099 Medical Groups 7389 Misc Business Services 7379 Misc Computer Services 7692-7699 Misc Repair 5271 Mobile Home Dealers 4111-4121 Passenger Transportation 7221 Photo Studios 7384 Photofinishing Labs 6500-6799 Real Estate 7251-7299 Repairs, Cleaning, Personal Services 5800-5899 Restaurants 8211-8299 Schools, Libraries, Education 0761-0783 Seasonal Employees 7381-7382 Security Systems, Armored Cars 8800-8810 Private Households 8812-8899 8300-8499 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