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Insurance
Plan

DentaTrust-PPO Pediatric Low Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust

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ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

DentaTrust - PPO Pediatric Low Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust/DentaSpan

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

DentaTrust-PPO Pediatric Low Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

DentaTrust-PPO Pediatric Low Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust/DentaSpan

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

Dynamic Dental

Type

HMO

Coverage

SHOP (Small Group)

Insurer

DENCAP Dental Plans, Inc

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

Grand Dental

Type

HMO

Coverage

SHOP (Small Group)

Insurer

DENCAP Dental Plans, Inc

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

Grand X Dental

Type

HMO

Coverage

SHOP (Small Group)

Insurer

DENCAP Dental Plans, Inc

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

Guardian Pediatric Advantage

Type

PPO

Coverage

SHOP (Small Group)

Insurer

Guardian

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Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

Guardian Pediatric Essentials

Type

PPO

Coverage

SHOP (Small Group)

Insurer

Guardian

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

Hallmark Dental

Type

HMO

Coverage

SHOP (Small Group)

Insurer

DENCAP Dental Plans, Inc

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

Hallmark X Dental

Type

HMO

Coverage

SHOP (Small Group)

Insurer

DENCAP Dental Plans, Inc

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

Illinois DentaTrust - PPO Family Basic Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust/DentaSpan

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024