DENTAL
Insured Preferred Provider Plans
Product NameForm Number
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, Inc.Altus Dental For 1AD100-IND (MA)
Altus Dental Insurance Company, Inc.Altus Dental IndividualAD200-INDX (MA)
Altus Dental Insurance Company, Inc.Altus Dental For Small Group BusinessAD200-GPRX (MA)
American General Life Ins. Co.1Group Dental PPO PlanG-DEN-42000 MA
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 CareDDP-PPA2
Dental Service of Massachusetts, IncDelta Dental PPOOptions- SP001; SP030; SP032; SP034; SP035; SP036
Dental Service of Massachusetts, IncDelta Dental PPO Individual NationalDDP-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 Individual PPO PlanI-PPO-C-MA-12
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
DSM Massachusetts Insurance Company, Inc.Delta Dental EPO Group MA - Off ExchangeDDEPO.Non-ACA.SubcGrp.09-14-14 & MA.EPO.BPR.09.2014
DSM Massachusetts Insurance Company, Inc.Total Choice PPODD.TCPPO.GRP.LOCAL.012017
First Health Life and Health Insurance CompanyDental PPO with DentalGuard NetworkMHBP01C-MA 0911
Fort Dearborn Life Insurance CompanyGroup Dental Insurance7P-100-1004
(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
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
 
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
 
United Concordia Insurance CompanyConcordia Preferred w Advantage Plus 2.0MA9804-B (06/17); 9808 0316/9806 0316
United HealthCare Insurance CompanyDental Certificate of CoverageDCOC.CER.06 AZ [Rev. 1/06]
1Effective 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.
3Effective September 6, 2005, Fortis Benefits Insurance Company changed its name to Union Security Insurance Company.
4 Effective December 31, 2016, Security Life Insurance Company of America (“Security Life”) merged into Ameritas Life Insurance Corp (“Ameritas”). Effective January 1, 2017, the Security Life Complete and Advantage Plus plans were no longer marketed in Massachusetts.
* 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 - American General Life Insurance Company (Form#G-DEN-42002-MA), (The) Principal Life Insurance Company - Dental PPO - Classic & Premier Design (Form# GH 100A (DPPO), Group Voluntary Dental Expense PPO Plan (Form# GC 2000), Insurance PPO Plan (Form# GC 7000) , Group Dental Expense (Form# GC 7200) and United Concordia Insurance Company - Individual Dental Plans (Form#'s MAIN01-0312UCIC & MAIN01-0310UCIC).