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Group Employee Enrollment

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Administrative Forms
 
Group Administrative Agreement
Employer Groups can use this form to enroll in one of our dental plans.
 
New Business Checklist
Checklist used by new employer groups to ensure all required documents are included.
 
First Month Fee Calculation Sheet
Worksheet that can be used by employer groups to calculate the total program fee due for the selected plan.
 

Chiropractic Discount Program
 
Chriopractic Discount Program

 

Dental Care Advantage
 
Dental Cost Savings Examples

 

Enrollment Forms
 
Group Employee Enrollment Form
Employer groups can use this form to sign up their employees for any of our dental plans
 

Fee Schedules and Exclusions & Limitations
 
General Guidelines

 

Hearing Care Program
 
Hearing Care Program

 

National Dental Networks
 
National Discount Dental Network Overview & Map

 
National PPO Dental Network Overview & Map

 

Prescription Drug Discount Program
 
Prescription Drug Discount Program
The National Prescription Drug Discount Card Program is currently available in 50 states with 55,000 participating pharmacies. This program offers an average of 20% off or prescription drugs and up to 55% off on generic drugs when utilizing a participating pharmacy.
 

Vision Care Program
 
Vision Care Program