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City of Stirmy Islets Beach <br />Employee Benefits Renewal Analysis <br />Renewal Date: 3/1/2026 <br />Dental <br />of Benefits <br />Routine Exams <br />CURRENT I RENEWAL <br />61 <br />United Healthcare <br />Employee <br />5, <br />DHMO DI 083 -: S100B SHP <br />PPO, CS285 <br />Benefits <br />Bitewing <br />' , inti rel ;;r09 <br />Maximum Plan Pays Per Enrolled <br />Full Mouth <br />Lifetime Orthodontic Maximum <br />Sealants <br />Coinsurance <br />_ � � ':M�}W <br />Fillingss°ti <br />Preventive <br />5 >� F " r <br />, y , f b " . <br />s4>4rrI .s��"s <br />Basic <br />MajorgF, <br />Orthodontia <br />Benefits Based on <br />a }>,",..v:MFee 5 113 sa MINIMUM <br />_. lP WS <br />Balance Billingzy;i <br />Calendar Year Deductibles' <br />Deductible Waived for Preventive Services <br />Igrix <br />Orthodontia Eligibility <br />SAdt�1t_&�s3jfylArtn F';.: <br />MOR -11 <br />of Benefits <br />Routine Exams <br />"a " <br />61 <br />Cleaning <br />Employee <br />5, <br />X -Rays <br />r�sr' <br />Employee +Spouse; <br />Bitewing <br />' , inti rel ;;r09 <br />s NA!" <br />Full Mouth <br />:Jim 241.0r <br />Sealants <br />• Pl,�kY�-. _,E�'.-=+iziCO T� Y r}iA$t�5!�'1�`.�iftti?. <br />_ � � ':M�}W <br />Fillingss°ti <br />r <br />,:g1tY7”«` a <br />Amalgam�a <br />$26,063 <br />$134,616 <br />$169,668 <br />Composite Resin <br />Oral Surgery <br />Root Canal' <br />Periodontal Maintenance* <br />Igrix <br />Periodontal Surgery' <br />" <br />m <br />Endosteal Implants_ <br />i i ` _ <br />iial 9-'i <br />Crowns/Bridges/Dentures <br />a«a FLSchei! I��-aggrAgnts,R` <br />Orthodontia <br />-,4 Sued _.�@,. r _ i' <br />_ S1. 'A, D11�9s <br />"Coinsurance based on complexity of procedure <br />Cost Comparison <br />Month) Premiumz <br />y� <br />"a " <br />61 <br />5 I e,. <br />7 nL. <br />Employee <br />5, <br />F <br />r�sr' <br />Employee +Spouse; <br />.`MI5„s3 ,.� f;,kr`. <br />a <br />Employee + Child ren <br />:Jim 241.0r <br />Employee + Family <br />Enrollment Totals <br />,:g1tY7”«` a <br />Annual Premium <br />Total Annual Premium <br />$26,063 <br />$134,616 <br />$169,668 <br />Brown & Brown Insurance, Inc. <br />365 <br />