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The process by which an eligible person becomes a member of an insurance plan.
2024 Plan Benefits Summary 2025 Plan Year - Covered Dental ServicesUnited Concordia Dental Pays2 High Option Plan Dental Implant Services Annual Maximum (per covered person) $2,500 $2,500 Lifetime Orthodontic Maximum (per covered person) $3,000 $3,000 Dental Accident Lifetime Maximum (per covered person) $2,000 $2,00033 more rows
Enrollment forms record whether employees have enrolled in or waived group benefits. For instance, if you have more than 50 full-time employees, you will need this data to complete IRS forms 1094 and 1095, which record health care coverage.
United Concordia is the contractor for the TDP and our goal is to help members lead healthier lives with a quality dental insurance plan that is convenient and cost-effective. You can enroll anytime, as long as your sponsor has at least 12 months left on their service contract.
A Hospital Patient Registration Form is a form template designed to streamline the process of collecting patient details before their stay in the hospital.
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They ensure patients healthcare costs are covered, providing financial security. Insurance companies use these forms to verify services and process claims accurately. Healthcare providers rely on these forms to receive prompt payment for their services.
This enrollment form allows individuals to apply for group health and dental coverage. Its designed for employees to provide necessary personal information, dependent details, and coverage choices.
Blue Cross Blue Shield of Rhode Island (BCBSRI) selected United Concordia Dental to become its new dental partner starting in 2016. United Concordia is proud to administer dental benefits to BCBSRIs more than 104,000 members.

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