LIBERTY plans

Search below for the plan name and out-of-network reimbursement type (INFS or U&C) listed on your quote. The name of each document corresponds to the display of the product on your quote.

Dental Plan Name_Coins % (in)_Coins % (out)_ Deductible Single_Annual Maximum

Summary of Dental Benefits

SDBC (Humana LS100) Small/Large Group, PDF

SDBC (Humana LS200) Small/Large Group, PDF

SDBC (Humana LS300) Small/Large Group, PDF

Benefit Schedule

LS100 Humana Benefit Schedule CDT24 , PDF

LS200 Humana Benefit Schedule CDT24 , PDF

LS300 Humana Benefit Schedule CDT24 , PDF