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  Downloadable Forms & Literature  
 
 

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

SmileSaver
Benefit Change Form

To change enrollment or dependent information

Plan FAQs:

Contracts & Coverage:

Forms

Description

Sample Group Administrator Contract

Sample Group Administrator Contract

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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