Certificate of Coverage & State Specific Notices

The Certificate of Coverage fully explains the benefits, limitations, and important provisions of your dental plan. To print your Certificate of Coverage and other important state notices, please select the State where you reside:

Alabama Certificate of Coverage
Privacy Notice
Endorsement
Alaska Certificate of Coverage
Privacy Notice
Guaranty Association Notice
Arizona Certificate of Coverage
Privacy Notice
Endorsement
Arkansas Certificate of Coverage
Privacy Notice
Endorsement
Guaranty Association Notice
Additional Forms
California Certificate of Coverage
Privacy Notice
Guaranty Association Notice
Colorado Certificate of Coverage
Privacy Notice
Guaranty Association Notice
Connecticut Certificate of Coverage
Privacy Notice
Delaware Certificate of Coverage
Endorsement
District of Columbia Certificate of Coverage
Privacy Notice
Guaranty Association Notice
Florida Certificate of Coverage
Privacy Notice
Georgia Certificate of Coverage
Privacy Notice
Hawaii Certificate of Coverage
Privacy Notice
Guaranty Association Notice
Idaho Certificate of Coverage
Endorsement
Illinois Certificate of Coverage
Privacy Notice
Guaranty Association Notice
Indiana Certificate of Coverage
Privacy Notice
Guaranty Association Notice
Iowa Certificate of Coverage
Privacy Notice
Kansas Certificate of Coverage
Privacy Notice
Endorsement
Guaranty Association Notice
Kentucky Certificate of Coverage
Privacy Notice
Endorsement
Louisiana Not Available at the present time.
Maine Not Available at the present time.
Maryland Certificate of Coverage
Privacy Notice
Massachusetts Not Available at the present time.
Michigan Certificate of Coverage
Privacy Notice
Endorsement
Minnesota Certificate of Coverage
Privacy Notice
Endorsement
Guaranty Association Notice
Mississippi Certificate of Coverage
Privacy Notice
Endorsement
Guaranty Association Notice
Missouri Certificate of Coverage
Endorsement
Guaranty Association Notice
Montana Not Available at the present time.
Nebraska Certificate of Coverage
Privacy Notice
Nevada Certificate of Coverage
Privacy Notice
Endorsement
Guaranty Association Notice
New Hampshire Certificate of Coverage
Additional Forms
New Jersey Certificate of Coverage
Privacy Notice
New Mexico Certificate of Coverage
Privacy Notice
Endorsement
New York Not Available at the present time.
North Carolina Not Available at the present time.
North Dakota Certificate of Coverage
Privacy Notice
Endorsement
Guaranty Association Notice
Ohio Certificate of Coverage
Privacy Notice
Endorsement
Guaranty Association Notice
Oklahoma Certificate of Coverage
Privacy Notice
Oregon Not Available at the present time.
Pennsylvania Certificate of Coverage
Privacy Notice
Endorsement
Rhode Island Certificate of Coverage
Privacy Notice
Guaranty Association Notice
South Carolina Certificate of Coverage
Privacy Notice
South Dakota Certificate of Coverage
Endorsement
Guaranty Association Notice
Tennessee Certificate of Coverage
Privacy Notice
Endorsement
Guaranty Association Notice
Texas Certificate of Coverage
Privacy Notice
Guaranty Association Notice
Additional Forms
Utah Not Available at the present time.
Vermont Certificate of Coverage
Privacy Notice
Endorsement
Virginia Certificate of Coverage
Privacy Notice
Washington Not Available at the present time.
West Virginia Certificate of Coverage
Privacy Notice
Guaranty Association Notice
Wisconsin Certificate of Coverage
Privacy Notice
Endorsement
Wyoming Certificate of Coverage
Privacy Notice
Guaranty Association Notice
HIPAA Notice