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Search below for the plan name 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_Is Waive Deductible Rider Included

Traditional_100/80/50_50_1000_No, PDF

Traditional_ 85/85/50_50_3000_Yes, PDF

Need help?

If you would prefer a paper version of your Summary of Dental Benefits and Coverage (SDBC) document, call us at 800-232-2006 (TTY: 711). We are available Monday – Friday, 7 a.m. – 7 p.m., Eastern time