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)
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 PPO1DENT PPO1
Blue Cross and Blue Shield of Massachusetts, Inc.Dental Blue PPO2DENT 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.Delta Dental Individual and Family EPODDEPO.SubcInd. 06-14
DSM Massachusetts Insurance Company, Inc.Delta Dental EPO Small GroupDDEPO.SubcGrp. 06-14
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 Dental 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 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
Principal Life Insurance CompanyGroup Voluntary Dental Expense PPO PlanGC 7000 A (DPPO) et al.
(The) Prudential Insurance Company of AmericaPrudential Dental
 
83500 COV 5048, et al
 
Reliance Standard Life Insurance CompanyCertificate Group Dental [and Eye Care] Insurance9021 MA Rev. 04-13
Renaissance Life and Health Ins. Co. of AmericaDental PPO Plan w/ DenteMax NetworkINVD-100A
 
Renaissance Life and Health Ins. Co. of AmericaDental PPO Plan w/ Delta Dental NetworkINVD-100A-Delta
 
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 Canada
 
Dental PPO [DenteMax Network]
 
GC-A-1 et al.
 
Sun Life Assurance Company of CanadaDental PPO [United Concordia Network]GC-A-1 et al.
Sun Life and Health Insurance Company
 
Dental PPO [DenteMax 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 (7/02) & 9804-C (7/02) Preferred
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 8, 2009, AIG Life Insurance Company changed its name to American General Life Insurance Company of Delaware.
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.
3
Effective 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)."