Delta Dental Ppo Application Form Instructions Page 4

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Michael Grodsky
323-293-6800 phone
888-241-2127 fax
CA insurance license 0F43491
HealthInsuranceForArtists
.com
DELTA DENTAL PPO - RATES
Rates are guaranteed until November 31, 2011
Enrollees
Delta Dental PPO
Individual enrollee
$49.00
+ Spouse
$87.02
+ Children
$99.95
+ Family
$141.23
• All individuals and groups welcome
• No waiting period for services
• Access to full Delta Dental PPO network
Find a Delta Dental dentist at
1. Look at lower right corner where it says "Find a Dentist."
2. Select a plan network (Delta Dental PPO)
3. Click on "Search"
4. Choose your state, California, and click "submit."
5. Search by location or by the dentist's name.

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