Now you can download and print SmileSaver Plan Summaries, Contracts and Applications online.

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:

Member Forms:

Forms	Description
SM400 and SM600 Comparison	Individual Plan Comparisons
SM400 and SM600 Area 1 Disclosure	Disclosure of Benfits for Individual Plans SM400 and SM600 Area 1 (Southern CA)
SM400 and SM600 Area 2 Disclosure	Disclosure of Benfits for Individual Plans SM400 and SM600 Area 1 (Northern/Central CA)
SM400 and SM600 Enrollment Form	Enrollment Form for Individual Plans SM400 and SM600
Cancellation Letter	Cancellation Letter
Individal Dental Plan SM400 EOC	Explanation of Coverage for Individual Dental Plan SM400
Individal Dental Plan SM600 EOC	Explanation of Coverage for Individual Dental Plan SM600