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California Residents Only
Summary of Benefits
If you need Adobe Acrobat to read the following benefit summaries click
the following link.
Download Adobe
Acrobat
Provider Panels. Click here.
Rates! Per pay period. Listed
separately by state and by type of membership. Includes discounted rates for
selecting both a dental and vision plan. The vision plan is provided by Vision
Service Plan .
Rates Effective 8/01/2006 through 7/31/2008
Gemini 70 |
Dental + Vision |
Dental Only |
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IFPTE Member |
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IFPTE Member |
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Employee |
$13.23 |
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$7.06 |
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Employee + 1 |
$18.82 |
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$10.50 |
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Employee + Fam |
$26.52 |
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$14.79 |
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Rates Effective 8/01/2004 through 7/31/2005
Gemini 50 |
Dental + Vision |
Dental Only |
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IFPTE Member |
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IFPTE Member |
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Employee |
$16.22 |
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$10.05 |
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Employee + 1 |
$24.21 |
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$13.11 |
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Employee + Fam |
$34.90 |
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$23.17 |
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Forms to Print! Click on the desired
form to enlarge the view and select print from you web browser. If you do not have
access to a printer see our contact information below. Please mail us your
enrollment form and turn your direct deposit form in to your payroll office.
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DentiCare's
enrolment form
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IFPTE Member
direct deposit form |
Associate Member
direct deposit form |
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