- Individual Dental Plans
- Explore Group Plans
- Members
- All Members
- Individual Plan Members
- Group Plan Members
Please note: The state field refers to the location where your employer is headquartered.
| Title | Download | State |
|---|---|---|
| Agent Standard Commission Schedule - AK |
 Download Form (224.5 KB) |
AK |
| Agent Standard Commission Schedule - CA |
Download Form (230.62 KB) |
CA |
| Agent Standard Commission Schedule - MT, WY |
Download Form (206.81 KB) |
MT, WY |
| Agent Standard Commission Schedule - OR, ID, UT |
Download Form (213.82 KB) |
ID, OR, UT |
| Agent Standard Commission Schedule - WA |
Download Form (221.35 KB) |
WA |
| Find a Dentist |
Download Form (82.62 KB) |
AK, CA, ID, MT, OR, UT, WA, WY |
| Individual Critical Illness and Emergency Treatment Benefit Claim Form |
Download Form (877.17 KB) |
AK, CA, ID, MT, OR, UT, WA, WY |
| Individual Dental Enrollment Packet - ID |
Download Form (914.11 KB) |
ID |
| Individual Dental Enrollment Packet - OR |
Download Form (1.13 MB) |
OR |
| Individual Dental Enrollment Packet - UT |
Download Form (921.42 KB) |
UT |
| Individual Dental Enrollment Packet - WA |
Download Form (1.22 MB) |
WA |
| Individual Dental Member Brochure - ID |
Download Form (193.48 KB) |
ID |
| Individual Dental Member Brochure - OR |
Download Form (2.2 MB) |
OR |
| Individual Dental Member Brochure - UT |
Download Form (193.42 KB) |
UT |
| Individual Dental Member Brochure - WA |
Download Form (2.2 MB) |
WA |
| Individual Dental Rates 01/01/2023 to 03/31/2023 - ID |
Download Form (605.99 KB) |
ID |
| Individual Dental Rates 01/01/2023 to 03/31/2023 - OR |
Download Form (612.42 KB) |
OR |
| Individual Dental Rates 01/01/2023 to 03/31/2023 - UT |
Download Form (606 KB) |
UT |
| Individual Dental Rates 01/01/2023 to 03/31/2023 - WA |
Download Form (609.07 KB) |
WA |
| Individual Dental Rates 10/01/2022 to 12/31/2022 - ID |
Download Form (605.89 KB) |
ID |
| Individual Dental Rates 10/01/2022 to 12/31/2022 - OR |
Download Form (612.35 KB) |
OR |
| Individual Dental Rates 10/01/2022 to 12/31/2022 - UT |
Download Form (605.87 KB) |
UT |
| Individual Dental Rates 10/01/2022 to 12/31/2022 - WA |
Download Form (608.91 KB) |
WA |
| Individual Short Term Medical Pharmacy Reimbursement Form |
Download Form (32.81 KB) |
ID, OR, UT, WA |
| Individual Vision Rider Reimbursement Form |
Download Form (171.27 KB) |
ID, OR, UT |
| LifeMap Advantages Member Flyer |
Download Form (885.84 KB) |
AK, CA, ID, MT, OR, UT, WA, WY |
| STM Authorization For Use and Disclosure of Protected Health Information |
Download Form (129.8 KB) |
ID, OR, UT, WA |