Dental Plan Options

You have the option to choose the plan that's right for you between 2 plan designs. Plan 1, known as the 'Waiting Period Plan' provides 100% preventive and 80% basic coverage from day 1. Major expenses are covered after a 12 month waiting period. Plan 2 known as the 'Graded Benefit Plan' also covers preventive care at 100% from day 1, but increases the benefit levels for basic and major expenses over the first 3 years of coverage.

Choose the Plan That is Right for You.
Plan 1 - Waiting Period Plan		Plan 2 - Graded Benefit Plan
Class A - Preventive Initial & Periodic Exams (2 per year), X-rays, Cleanings (2 per year)		Class A - Preventive Initial & Periodic Exams (2 per year), X-rays, Cleanings (2 per year)
Plan Pays ⁽¹⁾	100%	Plan Pays Year One⁽¹⁾	100%
		Plan Pays Year Two⁽¹⁾	100%
		Plan Pays Year Three⁽¹⁾	100%
Deductible per Insured	None	Deductible per Insured	$50 Lifetime
Waiting Period	None	Waiting Period	None
Class B - Basic Services Fillings, Endodontics, Oral Surgery, Simple Extractions, Periodontics		Class B - Basic Services Fillings, Endodontics, Oral Surgery, Simple Extractions, Periodontics
Plan Pays⁽¹⁾	80%	Plan Pays Year One⁽¹⁾	35%
		Plan Pays Year Two⁽¹⁾	50%
		Plan Pays Year Three⁽¹⁾	65%
Deductible per Insured	$50/Year⁽²⁾	Deductible per Insured	$50/Year⁽²⁾
Waiting Period	None	Waiting Period	None
Class C - Major Services *Crowns, Bridges, Dentures*		Class C - Major Services *Crowns, Bridges, Dentures*
Plan Pays⁽¹⁾	50%	Plan Pays Year One⁽¹⁾	10%
		Plan Pays Year Two⁽¹⁾	25%
		Plan Pays Year Three⁽¹⁾	50%
Deductible per Insured	$50/Year⁽²⁾	Deductible per Insured	$50/Year⁽²⁾
Waiting Period	12 Months	Waiting Period	None
Calendar Year Maximum for Classes A, B & C Combined: $1,000 or $2,000. You must choose either the $1,000 or $2,000 Calendar Year Maximum		Calendar Year Maximum for Classes A, B & C Combined: $1,000
(1) - Plan pays percentage indicated up to the Reasonable & Customary (R&C) fees for services rendered.		(1) - Plan pays percentage indicated up to the Reasonable & Customary (R&C) fees for services rendered.
(2) - Class B & C Deductible is combined for each calendar year.		(2) - Class B & C Deductible is combined for each calendar year.

Two Ways To Enroll
Fax: For your convenience we accept enrollment by Fax. Completed enrollment forms can be faxed to: 410-997-3796	Mail: Mail completed enrollment forms to: Employee Security, Inc. 7125 Thomas Edison Drive, Suite 105 Columbia, MD 21046 Toll Free 800-638-1134

Two Ways To Enroll

Fax:

For your convenience we accept enrollment by Fax. Completed enrollment forms can be faxed to:

410-997-3796

Mail:

Mail completed enrollment forms to:

Employee Security, Inc.
7125 Thomas Edison Drive, Suite 105
Columbia, MD 21046

Toll Free 800-638-1134