Delta Dental Small Business Solutions

Plan Features & Add-ons Added Value Traditional Plans

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Delta Dental PPO plus Premier TM

PreventivePlus Plan (5-49 enrollees) Choice Plan (5-49 enrollees) UltraSavings Plan (5-49 enrollees) Passive Plan (5-49 enrollees) Enhanced Plan (5-49 enrollees) 2-4 Plans Underwriting Guidelines - Traditional Plans Exchange-Certified Plans

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Table of Contents

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Delta Dental PPO plus Premier TM

Family Plan High Option (1-50 enrollees) Family Plan Low Option (1-50 enrollees) Family Plan High Option Orthodontics (10-50 enrollees) Underwriting Guidelines - Exchange Certified Plans Adult-Only Companion Plans

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Delta Dental PPO plus Premier TM

Adult High Plan Option (2-49 enrollees) Adult Low Plan Option (5-49 enrollees) Underwriting Guidelines - Adult-Only Plans

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