about Benefits Dynamics

DATE:

TO: Benefits Dynamics, Inc.

FROM:

RE:

I am pleased to enclose the employee census form for , an organization in the industry.

Please provide a rate quotation on this group for the following coverages that are checked:

Dental DMO/PPO

Preventative/Routine-Basic/Major	Annual Maximum Benefit	Deductible
100%/100%/80%	Unlimited	$0
100%/80%/60%	$2,000	$25
100%/80%/50%	$1,500	$50
80%/80%/0%	$1,000	$75
Other	Other	$100

Dual Option Dental DMO/PPO

In-Network Preventative/Routine-Basic/Major	Out-of-Network Prevent/Routine-Basic/Major	In-Net Annual	Out-Net Maximum
100%/100%/80%	100%/80%/80%			$Unlimited
100%/80%/60%	100%/80%/50%			$2,000
100%/80%/0%	100%/80%/0%			$1,500
80%/80%/0%	80%/60%/0%			$1,000
Other	Other			Other

Deductibles: