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Individual Dental Rates
You may enroll for Dental Only Coverage or Dental with Vision Coverage. All members must be enrolled for the same coverage and premium payment schedule. These rates are effective through December 31, 2011.
Regence Individual Incentive 10 Dental Plan
Monthly Premium Per Member
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| Age Range | Dental Only | Dental & Vision |
| Under 18 |
$ 34.56 |
$ 37.44 |
| 18-64 |
$ 53.96 |
$ 59.21 |
| 65+ |
$ 58.10 |
$ 65.10 |
Quarterly Premium Per Member
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| Age Range | Dental Only | Dental & Vision |
| Under 18 |
$103.68 |
$112.32 |
| 18-64 |
$161.88 |
$177.63 |
| 65+ |
$174.30 |
$195.30 |

Regence Individual Dollar-Based Dental Plan
Monthly Premium Per Member
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| Age Range | Dental Only | Dental & Vision |
| Under 18 |
$ 46.44 |
$ 49.32 |
| 18-64 |
$ 57.99 |
$ 63.24 |
| 65+ |
$ 69.18 |
$ 76.18 |
Quarterly Premium Per Member
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| Age Range | Dental Only | Dental & Vision |
| Under 18 |
$139.32 |
$147.96 |
| 18-64 |
$173.97 |
$189.72 |
| 65+ |
$207.54 |
$228.54 |

Regence Individual Managed Care Dental Plan
Monthly Premium Per Member
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| Age Range | Dental Only | Dental & Vision |
| Individual |
$ 30.30 |
$ 35.80 |
| Ind. & 1 Dependent |
$ 60.60 |
$ 71.60 |
| Family |
$ 90.90 |
$108.90 |
Quarterly Premium Per Member
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| Family Status | Dental Only | Dental & Vision |
| Individual |
$ 90.90 |
$107.40 |
| Ind. & 1 Dependent |
$181.80 |
$214.80 |
| Family |
$272.70 |
$326.70 |

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E-mail us for more information and a free quote or CALL TOLL FREE 1-800-875-4490 (in the U.S.)
or 1-253-854-0199 (outside the U.S.) Fax: 1-253-896-9411
Mailing address: Maddock & Associates, 1407 Willow Road E, Suite C, Tacoma, WA 98424
Serving all of Washington at 800-875-4490, Seattle at 206-682-1628, Bellevue at 425-454-6834, Kent at 253-854-0199 and Tacoma at 253-572-3291.
Copyright© 1998-2011, Maddock & Associates | Privacy Statement
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