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FOR INFORMATION: Call Tamara Creggett at (925) 246-6212

PSEA is pleased to offer the Ameritas dental plan for its Retiree and Associate members.  Please take some time to review the Plan Highlights.  Also, if you wish to extend Plan coverage to your dependents, make sure that you have completed both the dependent Child Exception and the Physicians Dependent Health Statement forms as well.

Plan Highlights: click HERE for Plan Summary (PDF)

Enrollment Form: click HERE for Enrollment Form (PDF)

Physicians Statement: click HERE for Physicians Dependent Health Form (PDF)

Dependent Exceptions: click HERE for Dependent Child Exception Form (PDF)

RATES:QUARTERLY**
Member Only$114.00
Member + Spouse$218.00
Member Family$317.00

**Please note: Ameritas Dental is to be paid quarterly.  Please remit the first quarter payment, check or money order made payable to "PSEA", along with your enrollment application.  A letter of confirmation will be mailed to you.