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  • 2019 Information
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2019 Dental Benefit Summaries
  • Voluntary FlexChoice Plans
  • FlexChoice - Not Certified Plans
  • FlexChoice - Certified Plans
  • Essential Plans
  • QDP Plans

FlexChoice Voluntary Option 1 - With Preventive Incentive

FlexChoice Voluntary Option 2 - With Preventive Incentive

AMR = Annual Maximum Rollover Benefit

PI = Preventive Incentive Benefit

208N AMR 210N PI
308N PI 310N AMR
312N PI 314N PI
401N PI 441N PI
803N PI 804N PI
806N AMR 843N PI
847N PI 849N PI
880N PI 881N PI
883N AMR 884N PI
885N PI 887N PI
889N PI 901N PI

 

AMR = Annual Maximum Rollover Benefit

PI = Preventive Incentive Benefit

201C PI 203C PI
301C PI 302C PI
303C PI 304C PI
440C PI 870C PI
871C PI 872C PI
873C PI 874C PI
875C PI 876C PI
877C PI 900C PI
202C PI  

 

Small Group Essential

Small Group Essential Prime

Small Group Basic

Small Group Standard

Small Group Plus

Small Group Elite


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