PO Box 125 Harrisburg PA 17108-0125 PSERS Health Options ...
Harrisburg PA 17108-0125 Web Address: www.psers.state.pa.us Premium Assistance is not payable for separate dental, vision, or prescription drug plans. Out-of-pocket premium expense for basic health insurance coverage from one of the following: ... Return Document
REQUIRED OUTLINE OF COVERAGE FOR BLUEEXTRA INDIVIDUAL ...
INDIVIDUAL SUPPLEMENTAL INSURANCE COVERAGE DENTAL, VISION AND HEARING AID BENEFITS PLUS POLICY Issued by Pa. 19103 NOTICE OF RIGHT TO EXAMINE POLICY: Full mouth debridement to enable comprehensive evaluation and diagnosis ... Get Document
Underwriting Guidelines - Tower Financial Planning New Jersey
14.02.930.1-PA D (12/07) Option Sales ■ All Dental plans must be offered on a full-replacement basis. (EOI) 1) Life insurance coverage amounts requested are above the Guaranteed Standard Issue Limit. 2) ... Get Document
2012 A Nationwide Dental PPO Plan
To review full details about our privacy practices, our legal duties, *Position must be in a Federal agency that provides dental and/or vision coverage with 50 for enrollment because of the loss of dental or vision insurance. You must make the ... Retrieve Content
Pennsylvania Employer Application - Aetna
Dental Coverage Selection (Not available to groups of one) how many full-time and part-time employees (including any seasonal employees, Indicate below if you elect to extend this group health insurance coverage to eligible dependent children up to age 30. ... View Full Source
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