1. No category

Jordan School District
Voluntary Dental Premiums 2015-2016
Monthly Rates (12 Pay)
Plan
Silver Discount
Dental Select
Co-Pay Gold
Employee Only
Two Party
Family
$1.00
$3.00
$4.00
$18.92
$34.40
$53.85
Monthly Rates (12 Pay)
Plan
Employee Only
Two Party
Family
EMI Health
Premier Option 1
Premier Option 2
$26.10
$6.70
$47.60
$14.50
$98.70
$23.20
Monthly Rates (12 Pay)
Plan
Dental Eclipse
Employee Only
Two Party
Family
$1.00
$2.00
$2.00
Platinum PPO
Indemnity
$34.82
$63.43
$99.33
Total Dental Administrators (TDA)
Total Care Executive
Companion
Plus DHMO
PPO
$13.86
$38.44
$27.72
$80.80
$45.83
$117.24
Voluntary Visions Premiums 2015-2016
Monthly Rates (12 Pay)
Plan
Employee Only
Two Party
Family
10-70
$4.31
$6.73
$13.54
Opticare of Utah
10-120
$4.79
$9.27
$16.96
A summary of benefits are available in the enrollment guide. Individual company benefits and providers
are also available on the insurance department web page.