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Insurance
Plan

Dental Plan 6 - Non-Alliance

Type

PPO

Coverage

SHOP (Small Group)

Insurer

MedMutual

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

Dental Plan 6 (Voluntary) - Alliance

Type

PPO

Coverage

SHOP (Small Group)

Insurer

MedMutual

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

Dental Plan 6 (Voluntary) - Non-Alliance

Type

PPO

Coverage

SHOP (Small Group)

Insurer

MedMutual

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

Dental Plan 6 with Ortho Rider - Alliance

Type

PPO

Coverage

SHOP (Small Group)

Insurer

MedMutual

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

Dental Plan 6 with Ortho Rider - Non-Alliance

Type

PPO

Coverage

SHOP (Small Group)

Insurer

MedMutual

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

Dental Plan 7 - Alliance

Type

PPO

Coverage

SHOP (Small Group)

Insurer

MedMutual

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

Dental Plan 7 - Non-Alliance

Type

PPO

Coverage

SHOP (Small Group)

Insurer

MedMutual

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

Dental Plan 7 (Voluntary) - Alliance

Type

PPO

Coverage

SHOP (Small Group)

Insurer

MedMutual

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

Dental Plan 7 (Voluntary) - Non-Alliance

Type

PPO

Coverage

SHOP (Small Group)

Insurer

MedMutual

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

Dental Plan 7 with Ortho Rider - Alliance

Type

PPO

Coverage

SHOP (Small Group)

Insurer

MedMutual

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

Dental Plan 7 with Ortho Rider - Non-Alliance

Type

PPO

Coverage

SHOP (Small Group)

Insurer

MedMutual

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

Dental Plan 8 - Alliance

Type

PPO

Coverage

SHOP (Small Group)

Insurer

MedMutual

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A