BNY Mellon Benefits Guide
2019 Dental Premiums
The rates shown in the table below are 2019 semi-monthly dental plan premium amounts. This is the amount that will be withheld from each paycheck per pay period for eligible full-time and part-time employees.
2019 SEMI-MONTHLY EMPLOYEE PREMIUMS
(THE AMOUNT BELOW WILL BE WITHHELD FROM EACH PAYCHECK)
 
MetLife PDP Option 1
MetLife PDP Option 2
Aetna DMO
Employee
$9.00
$16.59
$4.17
Employee + Child(ren)
$20.24
$37.34
$9.37
Employee +
Spouse/Qualified Domestic Partner
$17.73
$32.71
$8.21
Employee + Family
$32.50
$59.95
$15.04
About ID Cards
Neither the MetLife options nor the Aetna DMO issues ID cards. For the MetLife options, just give your MetLife dentist your employee ID number, and he or she will submit your claim. Your group number is 116273. For the Aetna DMO, tell your dentist your name, date of birth and member ID number (available on the secure member website).