Dental Plan Summaries

Companies with 2 to 9 eligible employees

• Dental Plan Flyer (2 to 9 employees)
• All Individual Plan Summaries
• PPO Max 100%/80%/50%-$1,250
• Passive PPO 100%/80%/50%-$1,000
• Passive PPO 100/80%/50%-$2,000

 

Companies with 10 or more eligible employees (WITH orthodontia coverage)

• Dental Plan Flyer (10+ employees with ortho)
• All Individual Plan Summaries
• DMO 100%/100%/60%
• PPO Max 100%/80%/50%-$1,250
• Passive PPO 100%/80%/50%-$1,000
• Passive PPO 100%/80%/50%-$1,500
• Passive PPO 100/80%/50%-$2,000

 

Companies with 10 or more eligible employees (WITHOUT orthodontia coverage)

• Dental Plan Flyer (10+ employees without ortho)
• All Individual Plan Summaries
• DMO 100%/100%/60%
• PPO Max 100%/80%/50%-$1,250
• Passive PPO 100%/80%/50%-$1,000
• Passive PPO 100%/80%/50%-$1,500
• Passive PPO 100/80%/50%-$2,000

 

Group dental plans are available to residents of Connecticut, Massachusetts, and New York.
Note: The PPO Max option is not available to Massachusetts residents. The DMO is not available in all Massachusetts zip codes. Please consult this zip code list before enrolling members.