Plan information

This information is for dental policyholders and residents in California.

The Summary of Dental Benefits and Coverage Disclosure Matrix (SDBC) is provided to help you review proposed policy benefits and provide examples of what you may pay for covered services. The summary is for illustrative purposes only and does not include premium costs. The summary is not intended to be a complete description of the insurance coverage.

For complete details on the covered benefits and limitations, please refer to the policy.

To determine which plan you have, please refer to the bottom left corner of your policy document.