Aetna Dental Rates

Complete the following information to generate rate sheets.

 

Employer Zip Code:
Employer Effective / Renewal Date:	09/01/2024 08/01/2024 07/01/2024 06/01/2024 05/01/2024 04/01/2024 03/01/2024 02/01/2024 01/01/2024 12/01/2023 11/01/2023 10/01/2023 09/01/2023 08/01/2023 07/01/2023 06/01/2023 05/01/2023 04/01/2023
Prior Dental Coverage:	Yes No
Dental Eligibles: (Total full-time employees working 30+ hours, eligible for dental coverage)
Dental Enrollees:

Include Ortho:	Yes No