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EMPLOYERS DENTAL TRUST

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
- Plan Highlights
- Covered Expenses and Exclusions
- Dental Rewards
- Dental Terminology
- Eligibility and Participation
- Late Entrant and Voluntary Rules
- Complete kit
- Authorization to Release Information - Claims
 		Rating Package (2-1-10 thru 7-1-10 New Business)
- Area 1:   AL, AR, DE, IN, OH, KY, MS, RI, TN, WV, PA (All ZIPS except 189xx - 194xx)
- Area 2:   MI, MT, NC, ND, PA (ZIPS 189xx - 194xx), SC
 - Area 3:   AZ, CO, DC, FL, GA, IA, ID, IL, KS, MA, MD, ME, MN, MO, NE, NM, TX, UT,
                    VA, VT, WI, WY
 - Area 4:  CT, NH, NJ
- Area 5:  AK, CA, NV

- Plan Adjustment Factors

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