| To display a document in the listing below, simply click on
the PDF icon next to it's name. If you do not have
Adobe PDF Reader, click here to download and
install the free viewer. |
|
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. |
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Chiropractic Discount Program |
| Chriopractic Discount Program |  |
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Dental Care Advantage |
| Dental Cost Savings Examples |  |
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Enrollment Forms |
| Group Employee Enrollment Form |  |
Employer groups can use this form to sign up their employees for any of our dental plans |
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Fee Schedules and Exclusions & Limitations |
| General Guidelines |  |
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Hearing Care Program |
| Hearing Care Program |  |
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National Dental Networks |
| National Discount Dental Network Overview & Map |  |
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| National PPO Dental Network Overview & Map |  |
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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.
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Vision Care Program |
| Vision Care Program |  |
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