Encore Dental Plan - 1-2-3 Insurance Plan

a product of stonebridge life insurance company

SPEAK TO A DENTAL EXPERT NOW!
1-800-717-4338

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Guaranteed acceptance Family and child coverage Use your own dentist Choose one of 80,000 provider locations Covers over 300 dental procedures Up to 100% of preventive care Benefits increase over time 10% premium discount auto-payment Fixed premiums for 12 months

sample of	benefit level
covered services		Year 1	Year 2	Year 3
preventive & diagnostic • Oral Exams & Cleanings • X-Rays		100%	100%	100%
basic dental services • Fillings & Restorative Services • Anesthesis/Sedation • Root Canals & Oral Surgery • Tooth Extractions • Periodontics		20%	40%	80%
major dental services • Crowns • Fixed Bridges • Full & Partial Dentures		15%	30%	50%
annual maximum (per insured)		$500	$750	$1250
annual deductible (per insured)		$50	$50	$50
max deductible (per family)		$150	$150	$150
(Deductibles apply to basic & major services only)

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Policy/Certificate #: SLDT1000IP/SLDT1000GC/GC537/GC538.
This coverage is issued by Stonebridge Life Insurance Company, an AEGON company. Stonebridge Life Insurance Company NAIC number 65021. Not available in all states. Administrative Office: 2700 W. Plano Parkway, Plano, TX 75075-8200. Home Office: Rutland VT 05701.
© Copyright 2008, Stonebridge Life Insurance Company

quick & easy application. guaranteed acceptance. use your existing dentist. 30-day money-back trial.

sample of

benefit level

covered services

Year 1

Year 2

Year 3

preventive & diagnostic

100%

100%

100%

basic dental services

20%

40%

80%

major dental services

15%

30%

50%

annual maximum (per insured)

$500

$750

$1250

annual deductible (per insured)

$50

$50

$50

max deductible (per family)

$150

$150

$150