You may enroll for Dental Only Coverage. All members must be enrolled for the same coverage and premium payment schedule. These rates are effective July 1, 2019 through September 30, 2019.
LifeMap Individual Incentive 10 Dental Plan
| Monthly Premium Per Member |
|
| Age Range |
Dental Only |
| Under 18 |
$ 36.98 |
| 18-64 |
$ 57.89 |
| 65+ |
$ 62.33 |
| Quarterly Premium Per Member |
|
| Age Range |
Dental Only |
| Under 18 |
$110.94 |
| 18-64 |
$173.67 |
| 65+ |
$186.99 |
Apply Now
LifeMap Individual Dollar-Based Dental Plan
| Monthly Premium Per Member |
|
| Age Range |
Dental Only |
| Under 18 |
$49.83 |
| 18-64 |
$62.22 |
| 65+ |
$69.18 |
| Quarterly Premium Per Member |
|
| Age Range |
Dental Only |
| Under 18 |
$149.49 |
| 18-64 |
$186.66 |
| 65+ |
$207.54 |
Apply Now
LifeMap Individual Exclusive Provider Organization 16
| Monthly Premium Per Member |
|
| Family Status |
Dental Only |
| Individual |
$57.67 |
| Ind. & 1 Dependent |
$115.34 |
| Family |
$173.00 |
| Quarterly Premium Per Member |
|
| Family Status |
Dental Only |
| Individual |
$173.01 |
| Ind. & 1 Dependent |
$346.02 |
| Family |
$519.00 |
Apply Now
