SAFEGUARD
California Residents Only
Summary of Benefits
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Provider Panels. Click here.
Rates! Per pay period. Listed
separately by state and by type of membership. Includes discounted rates for
selecting both a dental and vision plan. The vision plan is provided by Vision
Service Plan .
|
NX 225 |
Dental + Vision |
Dental Only |
||
Union Member |
Associate Member |
Union Member |
Associate Member |
|
Employee |
$15.04 |
$22.04 |
$8.15 |
$15.15 |
Employee + 1 |
$21.18 |
$28.18 |
$12.09 |
$19.09 |
Employee + Fam |
$29.89 |
$36.89 |
$17.02 |
$24.02 |
|
NX 115 |
Dental + Vision |
Dental Only |
||
Union Member |
Associate Member |
Union Member |
Associate Member |
|
Employee |
$17.92 |
$24.92 |
$11.03 |
$18.03 |
Employee + 1 |
$26.37 |
$33.37 |
$17.28 |
$24.28 |
Employee + Fam |
$34.90 |
$44.95 |
$25.08 |
$32.08 |
Forms to Print! Click on the desired
form to enlarge the view and select print from you web browser. If you do not have
access to a printer see our contact information below. Please mail us your
enrollment form and turn your direct deposit form in to your payroll office.
 |
 |
 |
| DentiCare's enrolment form |
Postal Worker direct deposit form |
Associate Member direct deposit form |