Group Dental Insurance

Group Dental Insurance is one of the benefits most requested by employees. Many employers provide dental insurance for their employees, but a growing number of employers are offering this as a voluntary benefit that is paid 100% by the employee through payroll deductions. Most dental plans provide full coverage with a 100% benefit for preventive exams & cleanings, an 80% benefit for basic services such as fillings and root canals, and 50% benefit for major services and prosthodontics such as dentures, crowns, etc.

Some dental insurance companies provide a dental buy-up plan which allows the employer to purchase a base plan, while employees purchase additional benefits as needed. Another newer option for dental insurance is a dual option plan that allows each employee to choose a basic plan or a more comprehensive plan based on his needs. This is a voluntary benefit, which means that each employee gets the coverage he needs for himself and his family.

Group Dental Insurance Quote Request

Please take a moment to fill out the form below and one of our local insurance agents will contact you with a free, no-obligation quote. This information will be kept confidential and will be used for quote purposes only.

* Required fields.

General Information
Name: *
Company:
Address:
City:
State:	Zip:
Phone: *
Best Time To Call:	AM PM
E-mail Address: *

Current Group Dental Insurance Information
Carrier / Company Name: (not agency)
Policy Expiration Date:	Premium Amt: $
Years Insured:
Please give a brief description of your current health plan, if applicable:

Employee Information
Please list all participating employees you wish to cover:
Name	Date of Birth	Sex
		Male Female
		Male Female
		Male Female
		Male Female
		Male Female
		Male Female
		Male Female
		Male Female
		Male Female
		Male Female
		Male Female
		Male Female
		Male Female
		Male Female
If you were not able to list all participating employees you wish to cover in the spaces above, please use the Additional Comments section below or indicate that you will fax or e-mail an additional listing.
Any special coverages needed? (Othodontist Coverage, etc.)

Additional Comments or Questions

Enter Security Code:

Please click the "Submit Quote Request" button to send your quote request. No coverage is in effect until bound by an insurance carrier. This is a request for quotation only.

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