Individual Dental Expense Insurance Policies That Meet The Requirements Of Massachusetts' Regulation 211 CMR 42.00

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Altus Dental Insurance Company, Inc.
10 Charles Street
Providence, RI 02904-2208
(877) 223-0588
Policy #: Approval Date:
AD100-IND (MA)dental insurance policy12/02/11
American Family Life Assurance Company of Columbus
1932 Wynnton Road
Columbus, GA 31999-0001
(800) 992-3522
Policy #: Approval Date:
A-81100-MA
A-81200-MA
A-81300-MA
A-81400-MA
A82100RMA
A82200RMA
A82300RMA
A82400RMA
dental insurance policy
dental insurance policy
dental insurance policy
dental insurance policy
dental insurance policy
dental insurance policy
dental insurance policy
dental insurance policy
08/20/04
08/20/04
08/20/04
08/20/04
04/05/12
04/05/12
04/05/12
04/05/12
American Progressive Life & Health Company Of New York 1
P. O. Box 13547
Pensacola, FL 32591-3547
(800) 645-4116
Policy #: Approval Date:
PRDEN 03 MAdental insurance policy04/08/05
Blue Cross and Blue Shield of Massachusetts, Inc. 2
401 Park Drive, Landmark Center
Boston, MA 02215
(800) 422-3545
Policy #: Approval Date:
DENT SR (1-1-2012)dental insurance policy09/02/11
Dental Service of Massachusetts, Inc.
(d/b/a Delta Dental of Massachusetts)
465 Medford Street
Boston, MA 02129-1454
800-872-0500
 
Policy #: Approval Date:
DDP-PPA5dental insurance policy11/07/07
Dentegra Insurance Company
100 First Street
San Francisco, CA 94105
(800) 521-2651
 
Policy #: Approval Date:
I-SLE-C-MA-09dental insurance policy03/22/12
I PPO-C-MA-12dental insurance policy07/24/12
(The) Guardian Life Insurance Company of America
7 Hanover Square
New York, New York  10004
(888) 600-1600
 
Policy #: Approval Date:
IP-DEN-12-MAdental insurance policy11/02/12
Renaissance Life and Health Insurance Company of America
P.O. Box 738
Greenwood, IN 46142
(888) 791-5995
 
Policy #: Approval Date:
INVD-100A
Indemnity (INVD-101A/AA)
PPO (INVD-101/PPO)
Table of Allowance
(INVD-101A/TOA)

 
dental insurance policy
dental insurance policy
dental insurance policy
10/02/08
10/02/08
10/02/08

Time Insurance Company
501 East Michigan Avenue
Milwaukee, WI 53201-0624
(800) 800-1212
 

Policy #: Approval Date:
8079.POL.MAdental insurance policy11/30/10

United Concordia Insurance Company 
Northwoods Crossing Office Park
4401 Deer Path Road
Harrisburg, PA 17110
(866) 568-6099
 

Policy #: Approval Date:
MAIN01-0312UCIC
 
dental insurance policy12/28/10


1 Plan enrollment limited to individuals age 65 or older.
2 Plan enrollment limited to individuals age 65 or older.