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Insurance
Plan

Delta Dental Individual and Family Enhanced

Type

Indemnity

Coverage

Individual

Insurer

Delta Dental of South Dakota

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2023 : To Dec 31 2023
Insurance
Plan

Delta Dental Individual and Family Low Plan

Type

Indemnity

Coverage

Individual

Insurer

Delta Dental of Wyoming

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2023 : To Dec 31 2023
Insurance
Plan

Delta Dental Individual & Family High Plan

Type

Indemnity

Coverage

Individual

Insurer

Delta Dental of Wyoming

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2023 : To Dec 31 2023
Insurance
Plan

Delta Dental Individual & Family Standard Plan

Type

Indemnity

Coverage

Individual

Insurer

Delta Dental of South Dakota

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2023 : To Dec 31 2023
Insurance
Plan

Delta Dental Premier, +1000, 100*/80/50, 50, PF

Type

Indemnity

Coverage

SHOP (Small Group)

Insurer

Delta Dental of Alaska

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2023 : To Dec 31 2023
Insurance
Plan

Delta Dental Premier, +1500, 100*/80/50, 50, PF

Type

Indemnity

Coverage

SHOP (Small Group)

Insurer

Delta Dental of Alaska

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2023 : To Dec 31 2023
Insurance
Plan

Delta Dental Small Group Enhanced

Type

Indemnity

Coverage

SHOP (Small Group)

Insurer

Delta Dental of South Dakota

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2023 : To Dec 31 2023
Insurance
Plan

Delta Dental Small Group High Plan

Type

Indemnity

Coverage

SHOP (Small Group)

Insurer

Delta Dental of Wyoming

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2023 : To Dec 31 2023
Insurance
Plan

Delta Dental Small Group Low Plan

Type

Indemnity

Coverage

SHOP (Small Group)

Insurer

Delta Dental of Wyoming

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2023 : To Dec 31 2023
Insurance
Plan

Delta Dental Small Group Standard

Type

Indemnity

Coverage

SHOP (Small Group)

Insurer

Delta Dental of South Dakota

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2023 : To Dec 31 2023
Insurance
Plan

Dentegra Dental PPO Family Basic Plan

Type

PPO

Coverage

Individual

Insurer

Dentegra PPO

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2023 : To Dec 31 2023
Insurance
Plan

Dentegra Dental PPO Family Preferred Plan

Type

PPO

Coverage

Individual

Insurer

Dentegra PPO

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2023 : To Dec 31 2023
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