DENTAL
Insured Preferred Provider Plans
Product NameForm Number
Aetna Life Insurance CompanyDental PPOMA-Dental PPO
Aetna Life Insurance CompanyAdvantage PlusMA-DMO Copay Plans
American General Life Ins. Co.  1Group Dental PPO PlanG-DEN-42000 MA
Altus Dental Insurance Company, Inc.Altus Dental PreferredAD 1 v.4
Altus Dental Insurance Company, Inc.Altus Dental Preferred - AAA MembersAD 3C
Altus Dental Insurance Company, Inc.Altus Dental Value Option Plan 1AD 5
 
Altus Dental Insurance Company, IncAltus Dental For 1AD100-IND (MA)
Altus Dental Insurance Company, IncAltus Dental IndividualAD200-INDX (MA)
Altus Dental Insurance Company, IncAltus Dental For Small Group BusinessAD200-GPRX (MA)
Ameritas Life Insurance Corp.Certificate Group Dental [and Eye Care] Insurance9021 MA Rev. 04-13
Blue Cross and Blue Shield of Massachusetts, Inc.Dental Blue PPO Program 1DENT PPO1
Blue Cross and Blue Shield of Massachusetts, Inc.Dental Blue PPO Program 2DENT PPO2
Dental Service of Massachusetts, Inc.Delta Dental PreferredDDP-PPA1
Dental Service of Massachusetts, Inc.Delta CareDDP-PPA2
Dental Service of Massachusetts, Inc.Delta Dental PreferredDDP-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 CompanyDentegra Group PPOG-SLE-E-MA-09
Dentegra Insurance CompanyDelta Dental PPOSM for Ind. & FamiliesI-SLE-C-MA-09
Dentegra Insurance CompanyDentegra Group PPO PlanG-PPO-E-MA-09
Dentegra Insurance Company of NE
 
AARP Dental Insurance Plan
 
CC-DNNE-MA(DELTAUSA1-2005)D
 
DSM Massachusetts Insurance Company, Inc.DeltaCareDSM.MA.DeltaCare.Ind.Sub.Cert.01.15 & Grp.Sub
DSM Massachusetts Insurance Company, Inc.Delta Dental Individual and Family EPODDEPO.SubcInd. 06-14
DSM Massachusetts Insurance Company, Inc.Delta Dental EPO Small GroupDDEPO.SubcGrp. 06-14
DSM Massachusetts Insurance Company, Inc.Delta Dental EPO Group MA - Off ExchangeDDEPO.Non-ACA.SubcGrp.09-14-14 & MA.EPO.BPR.09.2014
First Health Life and Health Insurance CompanyDental PPO with DentalGuard NetworkMHBP01C-MA 0911
(The) Guardian Life Insurance Company of AmericaDentalGuard PreferredCGP-3-DNTL-90-1 et al.
(The) Guardian Life Insurance Company of AmericaIndividual Dental Policy - DentalGuard PreferredIP-DEN-12-MA
Humana Insurance Company
 
Dental Plan Certificate of Insurance
 
MA-70146-HD 1/09 et al.
 
The Lincoln National Life Insurance Company
 
Group Dental Insurance
 
GL11/GS12 Series
 
Metropolitan Life Insurance CompanyIndividual Dental PolicyIND-DENTAL-2015 & FSD (retiree option)
Metropolitan Life Insurance CompanyMetLife Preferred Dentist Program - ClassicG.23000-13E-MA1
Metropolitan Life Insurance CompanyMetLife Preferred Dentist Program - ClassicGCERT2000 den/classic
Metropolitan Life Insurance CompanyMetLife Preferred Dentist Program - ValueG.23000-13E-MA2
Metropolitan Life Insurance CompanyMetLife Preferred Dentist Program - ValueGCERT2000 den/value
Metropolitan Life Insurance CompanyPDP Copay PlanG.23000-13EMA3
Metropolitan Life Insurance CompanyPDP Copay PlanGCERT2000 den/copayrc
MONY Life Insurance Company of AmericaGroup Dental InsuranceMOEBC15
Principal Life Insurance CompanyGroup Voluntary Dental Expense PPO PlanGC 7000 A (DPPO) et al.
Principal Life Insurance CompanyGroup Dental Expense Ins. Ind/PPOGC 7100
Principal Life Insurance CompanyGroup Dental ExpenseGC 7200
Reliance Standard Life Insurance CompanyCertificate Group Dental [and Eye Care] Insurance9021 MA Rev. 04-13
Renaissance Life and Health Ins. Co. of AmericaRenaissance Non-EHB Individual Dental PolicyINVD-100A-2016-MA
 
Renaissance Life and Health Ins. Co. of AmericaDental PPO Plan w/ Delta Dental NetworkINVD-100A-Delta
 
Renaissance Life and Health Ins. Co. of AmericaRenaissance Massachusetts Group Dental CertificateD-2102A-2014-MA, D-202A & D-201A-2014-MA
Security Life Insurance Company of AmericaComplete [$1,000 & $2,000]IP1000-MA & IPS1000-C-PPO-MA
Security Life Insurance Company of AmericaAdvantage Plus [$1,000 & $2,000]IP1000-MA & IPS1000-AP-PPO-MA
Standard Insurance CompanyCertificate Group Dental [and Eye Care] Insurance9021 MA Rev. 04-13
Sun Life Assurance Company of CanadaDental PPO [United Concordia Network]GC-A-1 et al.
Trustmark Insurance Company
 
Group Dental
 
VD0106T/C
 
UniCARE Life and Health Insurance CompanyWellpoint Dental PPOGCR 130, 3119-31127
Union Security Insurance CompanyDental Group CertificateGC-90 et al
United Concordia Insurance CompanyConcordia Preferred9804-B (02/13), MA 9808 0316 & MA 9806 0316
United HealthCare Insurance CompanyDental Certificate of CoverageDCOC.CER.06 AZ [Rev. 1/06]
United of Omaha Life Insurance CompanyGroup Dental
 
12345GCB-DEN-EZ 13 MA
 
1 Effective December 31, 2012, American General Life Insurance Company of Delaware merged into American General Life Insurance Company.
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.

*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)."