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Dental

Filing requirements

  1. NAIC Transmittal Form, instructions, and Product Code matrices for completing transmittal forms
  2. Instructions for the Filing Description on the Transmittal (cover letter)
  3. Certificate of Compliance: Word | PDF
  4. Product standards: Word | PDF
  5. Readability Certification

  6. If filing Individual include:
  7. Appendix A with Actuarial Memorandum: Word | PDF

Submission requirements on this page are specifically for non-exchange certified dental filings. Requirements for exchange certified plans can be found under dental-pediatric.

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