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Employers Dental Trust
Employers Dental New York
Employers Group Benefits Trust
Employers Group Trust
Employers Vision Trust
American United Life
General Agency Portfolio
Medical Portfolio
Individual Dental Program

Plans may not be available in certain States. Please contact the Managing Agency Group for details.

Employers Dental Trust

- Stand alone dental 2+ lives
- Orthodontia available at 5 lives
- Ameritas national PPO dental carrier
- Outstanding Billing, Claims and Administration
- Dental Provider Lookup (Select PPO as your network)

Sales Kit
- About Employers Dental Trust
- About Ameritas
- Dental Plans
- 2 Star Summary
- 3 Star Summary
- Takeover Information
- Plan Highlights
- Covered Expenses and Exclusions
- Dental Rewards
- Dental Terminology
- Eligibility and Participation
- Late Entrant and Voluntary Rules
- EDT Sales Guide
- Authorization to Release Information - Claims
- Privacy Notice

Rating Package (1-1-2015 thru 12-1-2015 New Business)

- Plan Rates for CT & NH
- Plan Adjustment Factors

  All other states please email your RFP and census to:

Application Package
- Application and Participation Request
- Commission Agreement
- Enrollment/Change/Waiver Form
- Census Form
- New Business Checklist
- Dental Claim Form

Current Policyholders:
Enrollment/Change Form Submission
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