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UPMC Dental

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Underwriting Guidelines | Enrollment Forms | Plan Grids | Marketing Materials


Overview

Introduced to the marketplace in 2010, this UPMC-branded dental product provides current and prospective members with streamlined customer service on their medical and dental benefits in addition to increased savings on their dental premium.


Underwriting Guidelines

Underwriting Guidelines
02/03/12

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Enrollment Forms

Employer Application
01/23/11
Employee Application
02/03/12

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Plan Grids

Basic 1a
02/03/12
Basic 1b
02/03/12
Basic 1c
02/03/12
Standard 2a - $0 ded - $1500 max - no ortho
02/03/12
Standard 2b - $50 ded - $1500 max - $1500 ortho
02/03/12
Standard 2c - $75 ded - $2000 max - no ortho
02/03/12
Standard 2d - $75 ded - $2000 max - $1500 ortho
02/03/12
Standard 2e - $50 ded - $2000 max - $2000 max
02/03/12
Premium 3a - $0 - $1500 max - no ortho
02/03/12
Premium 3b - $75 - $2000 max - no ortho
02/03/12
Premium 3c - $75 - $2000 max - $2000 ortho
02/03/12
Premium 3d - $50 - $2000 max - $1500 ortho
02/03/12

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Marketing Materials

UPMC Dental Overview Brochure
01/23/11

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