GOVERNOR
DEPARTMENT OF CIVIL SERVICE
ALBANY, NEW YORK 12239
www.cs.ny.gov
COMMISSIONER
DANIEL E. WALL
EXECUTIVE
DEPUTY COMISSIONER
PE97-33
TO: Participating Employers in the New York State Dental Insurance Program
FROM: Employee Benefits Division
SUBJECT: 1998 Dental Rates
DATE: December 16, 1997
Effective January 1, 1998, the monthly premium rates for the New York State Employees Dental Insurance Program will change for all groups.
The 1998 New York State Dental Leave Without Pay and COBRA premium rate schedule is on the reverse side.
Enclosed is a supply of the New York State Dental Insurance Program's 1998 Monthly Coverage report PS - 802. Please destroy any remaining inventory of outdated PS - 802 forms.
If you need information or assistance with this rate change, please telephone the Dental Accounting Unit at (518) 457-5767.
STATE OF NEW YORK
EMPLOYEE DENTAL INSURANCE PROGRAM
PARTICIPATING EMPLOYERS
MONTHLY RATE SCHEDULE
JANUARY 1, 1998
| DENTAL PLAN | COBRA ENROLLEE* | LWOP ENROLLEE** | EMPLOYER*** |
|---|---|---|---|
| REGULAR GROUP - INDIVIDUAL | $3.80 | $3.73 | |
| REGULAR GROUP - FAMILY | $9.28 | $9.10 | |
| REGULAR GROUP - COMPOSITE | | | $7.48 |
| MANAGEMENT/CONFIDENTIAL PREFERRED - INDIVIDUAL | $17.56 | $17.22 | |
| MANAGEMENT/CONFIDENTIAL PREFERRED - FAMILY | $61.46 | $60.25 | |
| MANAGEMENT/CONFIDENTIAL PREFERRED - COMPOSITE | | | $48.73 |
| SPECTRUM PLUS - INDIVIDUAL | $8.70 | $8.53 | |
| SPECTRUM PLUS - FAMILY | $30.46 | $29.86 | |
| SPECTRUM PLUS - COMPOSITE | | | $21.77 |
* For Participating Employer COBRA Enrollees only (includes 2 percent administrative fee to be retained by agencies)
** For LWOP Remittance Only
*** For Employer Agency Use Only