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Dental Insurance Quotes

Employer Enrollment Form

Employer Enrollment Form

Plan Coverage(Options PPO 20)

Plan Coverage(Options PPO 20)

Basic Life Benefit Summary

Basic Life Benefit Summary

Employee Enrollment Form

Employee Enrollment Form

Plan Coverage(Voluntary Options PPO 20)

Plan Coverage(Voluntary Options PPO 20)

Vision Benefit Summary

Vision Benefit Summary

Check List

Check List

Member Guide

Member Guide

OBM - Elite vs Voluntary

Participation requirements

Elite Plan: Groups enrolling in Contributory plans must have at least 75% of the active eligible employees enrolled, excluding those waived with spousal coverage (not to fall below 50% of all eligible employees).

Voluntary Plan: Groups enrolling in Voluntary plans must have at least 2 people enrolling to be eligible for coverage.

*For orthodontia, an employer group must have a minimum of 10 enrolling employees. Orthodontia benefits are for dependent children only up to the age of 18.

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