| 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 |
| 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) |
| American General Life Ins. Co. | Group Dental PPO Plan | G-DEN-42000 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 Dental Preferred | DDP-PPA1 |
| 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 Company2 | 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 100 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 [DenteMax Network] | GC-A-1 et al. |
| Sun Life Assurance Company of Canada | Dental PPO [United Concordia 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 09 MA |
2 The 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)."