| Plan |
Summary of Benefits and Coverage (SBC) |
Summary of Benefits (SOB) |
Subscriber Certificate |
| Dental Blue Freedom Program 2 100/80/50/50 (High) |
— |
LINK |
LINK |
| Dental Blue Freedom Program 2 100/70/50/50 (Medium) |
— |
LINK |
LINK |
| Dental Blue Freedom Program 2 100/70/50 (Low) |
— |
LINK |
LINK |