Resources
This in-network plan provides a higher level of coverage for preventive care and minor restorative procedures, and core coverage for major restorative procedures with the highest per-person payout at effective monthly premiums. Monthly premiums can be found in the Benefits Guide (PDF).
- Summary of Benefits (PDF)
- Outline of Benefits (PDF)
- Summary Plan Description (PDF)
- WRAP Summary Plan Description (PDF)
It is important to note that services are based on a rolling 12-month period, not a calendar year period. For example, diagnostic/preventive evaluations are covered twice in a rolling 12-month period.