Resources
This in-network plan offers core coverage on preventative and minor/major restorative care for the lowest monthly premiums. Monthly premiums can be found in the Benefits Guide (PDF).
- Summary of Benefits (PDF)
 - Summary Plan Description (PDF)
 - Outline of Basic Coverage (PDF)
 - WRAP Summary Plan Description (PDF)
 
It is important to note that services are based on a rolling 12-month period, not a calendar year period. For example, diagnostic/preventive evaluations are covered twice in a rolling 12-month period.