Bristol County Preferred Provider Plan Dental Service

DENTAL Insured Preferred Provider Plans	Product Name	Form Number
Aetna Life Insurance Company	Advantage Plus	MA-DMO
Aetna Life Insurance Company	Dental PPO	MA-Dental PPO
Aetna Life Insurance Company	Advantage Plus	MA-DMO Copay Plans
American General Life Ins. Co.	Group Dental PPO Plan	G-DEN-42000 MA
Altus Dental Insurance Company, Inc.	Altus Dental Preferred	AD 1 v.4
Altus Dental Insurance Company, Inc.	Altus Dental Preferred - AAA Members	AD 3C
Altus Dental Insurance Company, Inc.	Altus Dental Value Option Plan 1	AD 5
Altus Dental Insurance Company, Inc.	Altus Dental For 1	AD100-IND (MA)
Ameritas Life Insurance Corp.	Certificate Group Dental [and Eye Care] Insurance	9021 MA Rev. 09-09
Blue Cross and Blue Shield of Massachusetts, Inc.	Dental Blue PPO1	DENT PPO1
Blue Cross and Blue Shield of Massachusetts, Inc.	Dental Blue PPO2	DENT PPO2
CIGNA Health and Life Insurance Company	CIGNA Dental PPO	HP-POL63 et. Al
Connecticut General Life Insurance Company	CIGNA Dental PPO	GM6000 C2 (Dental)
Dental Service of Massachusetts, Inc.	Delta Care	DDP-PPA2
Dental Service of Massachusetts, Inc.	Delta Dental Preferred	DDP-PPA4
Dental Service of Massachusetts, Inc.	Delta Dental Premier (National)	DDP-PPA5
Dental Service of Massachusetts, Inc.	Delta Dental Premier (Local)	DDP-PPA5
Dental Service of Massachusetts, Inc.	Delta Dental Premier (PPO National)	DDP-PPA6
Dental Service of Massachusetts, Inc.	Delta Dental Premier (PPO Value)	DDP-PPA6
Dentegra Insurance Company	Dentegra Group PPO	G-SLE-E-MA-09
Dentegra Insurance Company	Delta Dental PPOSM for Ind. & Families	I-SLE-C-MA-09
Dentegra Insurance Company	Dentegra Individual PPO Plan	I-PPO-C-MA-12
Dentegra Insurance Company	Dentegra Group PPO Plan	G-PPO-E-MA-09
Dentegra Insurance Company of NE	AARP Dental Insurance Plan	CC-DNNE-MA(DELTAUSA1-2005)D
First Health Life and Health Insurance Company	Dental PPO with DentalGuard Network	MHBP01C-MA 0911
Fort Dearborn Life Insurance Company	Group Dental Insurance	7P-100-1004
(The) Guardian Life Insurance Company of America	DentalGuard Preferred	CGP-3-DNTL-90-1 et al.
(The) Guardian Life Insurance Company of America	Individual Dental Policy - DentalGuard Preferred	IP-DEN-12-MA
Humana Dental Insurance Company	Dental Plan Certificate of Insurance	MA-70146-HD 1/09 et al.
The Lincoln National Life Insurance Company 2	Group Dental w/ Dental Benefit Provider	GL11 Series
The Lincoln National Life Insurance Company	Group Dental w/ DenteMax Dental	GL11 Series
Metropolitan Life Insurance Company	MetLife Preferred Dentist Program - Classic	G.23000-13E-MA1
Metropolitan Life Insurance Company	MetLife Preferred Dentist Program - Classic	GCERT2000 den/classic
Metropolitan Life Insurance Company	MetLife Preferred Dentist Program - Value	G.23000-13E-MA2
Metropolitan Life Insurance Company	MetLife Preferred Dentist Program - Value	GCERT2000 den/value
Metropolitan Life Insurance Company	PDP Copay Plan	G.23000-13EMA3
Metropolitan Life Insurance Company	PDP Copay Plan	GCERT2000 den/copayrc
Principal Life Insurance Company	Group Voluntary Dental Expense PPO Plan	GC 7000 A (DPPO) et al.
(The) Prudential Insurance Company of America	Prudential Dental	83500 COV 5048, et al
Reliance Standard Life Insurance Company	Certificate Group Dental [and Eye Care] Insurance	REL9021 ed. 01-05
Renaissance Life and Health Ins. Co. of America	Dental PPO Plan w/ DenteMax Network	INVD-100A
Renaissance Life and Health Ins. Co. of America	Dental PPO Plan w/ Delta Dental Network	INVD-100A-Delta
Standard Insurance Company	Certificate Group Dental [and Eye Care] Insurance	9021 ed. 01-05
Sun Life Assurance Company of Canada	Dental PPO [w Aetna Dental Access®]	GC-A-1 et al.
Sun Life Assurance Company of Canada	Dental PPO [United Concordia Network]	GC-A-1 et al.
Sun Life Assurance Company of Canada	Dental PPO [DenteMax Network]	GC-A-1 et al.
Sun Life and Health Insurance Company 3	Dental PPO [DenteMax Network]	GC-A-1 et al.
Trustmark Insurance Company	Group Dental	VD0106T/C
UniCARE Life and Health Insurance Company	Wellpoint Dental PPO	GCR 130, 3119-31127
Union Security Insurance Company 4	Dental Group Certificate	GC-90 et al.
United Concordia Insurance Company	Concordia Preferred	9804-B (7/02) & 9804-C (7/02) Preferred
United Concordia Insurance Company	Individual Dental Insurance Policy	MAIN01-0312UCIC
United HealthCare Insurance Company	Dental Certificate of Coverage	DCOC.CER.06 AZ [Rev. 1/06]
United of Omaha Life Insurance Company	Group Dental	12345GCB-DEN-EZ 13 MA

¹ Effective December 8, 2009, AIG Life Insurance Company changed its name to American General Life Insurance Company of Delaware.
 ²The Lincoln National Life Insurance Company notified the Division on July 7, 2011 that effective October 1, 2011 the originally approved dental network [Connection Dental Network] will be replaced by the Dental Benefit Provider Network.
³Effective December 1, 2007, Genworth Life and Health Insurance Company changed its name to Sun Life and Health Insurance Company.
⁴Effective September 6, 2005, Fortis Benefits Insurance Company changed its name to Union Security Insurance Company.
^*Please note that the following companies or product(s) do not appear above due to their decision to discontinue the offer of the plan(s) in Massachusetts - (The) Principal Life Insurance Company "Dental PPO - Classic & Premier Design (Form# GH 100A (DPPO)" and "Group Voluntary Dental Expense PPO Plan (Form# GC 2000)."