The "BLUE" Dental and Vision Plan

A Traditional Insurance Plan

The QCD "BLUE" Program features:

Condition Minimum
Enrolled Employees 5
Contribution None
Participation 5

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* Reasonable and customary fees are charges that do not exceed the general level of charges being made by other providers of dental services in the geographic area where the charge is incurred.

** Orthodontia coverage offered at an additional cost.

This provides a very brief description of some important features of the QCD "BLUE" Dental Insurance Plan. The QCD "BLUE" Dental Insurance Plan is provided by Madison National Life Insurance Company, Home Office: Madison, WI. Administrative services are provided by Group Link, Inc.: Home Office Indianapolis, IN. The above description is a brief overview of your Dental plan. It does not list all benefits, nor does it list all exclusions and limitations. For more complete information, please refer to your Certificate, or the employer's Master Policy, which will be issued when coverage becomes effective.