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Now you can download and print many of our plan summaries, contracts and applications on your own computer!
Please note:
Most of the files in the following sections are stored
in Adobe Acrobat Format (pdf). You must have Adobe Acrobat
installed on your computer to download and print the
forms. If you don't already have this program installed
on your computer, please click here:
Group Administrator Forms:
File |
Description |
SmileSaver Group Plan Comparison |
Comparison of Plan 1000/1000S, 2000/2000S, 3000/3000S, SM600 North & South |
SmileSaver Group Master Application |
Enrollment form for new groups |
SmileSaver Group Member Enrollment Form |
Enrollment form for group members |
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SmileSaver Benefit Change Form |
To change enrollment or dependent information |
Plan FAQs:
Contracts & Coverage:
Forms |
Description |
Sample Group Administrator Contract |
Sample Group Administrator Contract |
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Group Dental Plan EOC |
Explanation of Coverage for all SmileSaver Group Dental Plans |
Individual Dental Plan SM400 EOC |
Explanation of Coverage for Individual Dental Plan SM400 |
Individual Dental Plan SM600 EOC |
Explanation of Coverage for Individual Dental Plan SM600 |
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