Plan Summaries (for plans available beginning Oct. 1, 2007)

DMO

DMO with Orthodontia

Standard PPO

Standard PPO with Orthodontia

Enhanced PPO

Enhanced PPO with Orthodontia

Plan Summaries (for plans available prior to Oct. 1, 2007)

Passive Basic PPO; 100/80/0; No Orthodontia; $1,000 max.

Passive PPO; 100/80/50; No Orthodontia; $1,000 max.

Passive PPO; 100/80/50; No Orthodontia; $1,500 max.

Passive PPO; 100/80/50; With Orthodontia; $1,000 max.

Passive PPO; 100/80/50; With Orthodontia; $1,500 max.

Dental DMO