The TripleChoicePlan POS•PPO•EPO Plan Guidelines

Please Click on the Provider Networks Name to access their web site.

Dental Plans by Carriers:

 

Carriers

ngl

National Guardian Life

unum_logo

UNUM

americannatl

American National

Provider Networks

First Dental Health Network

Dentemax Network

Connection Dental Network

United Concordia’s Alliance Network

First Dental Health Network

Dentemax Network

Plan Options

POS/PPO/EPO

PPO

PPO/EPO

Annual Maximum

Up to $2,500

Up to $2,500

Up to $2,500

Orthodontia

Up to $2,500

Up to $2,500

Up to $2,500

Participation Requirement

Voluntary – 10 EE’s

ER Paid – 10 EE’s

Voluntary – 10 EE’s

ER Paid – 10 EE’s

Voluntary – 10 EE’s

ER Paid – 10 EE’s

Dual Choice-Group Size Requirement

15 Eligible Employees

15 Eligible Employees

15 Eligible Employees

Rate Guarantee

1 or 2 Year

1 or 2 Year

1 or 2 Year