Web5. What should be included on claim forms to Delta Dental? Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. Click the > to move your selection to the box on the right side. Delta Dental FAQs About Participation with Delta Dental Patient Direct. The secure version (available only after you sign in) uses procedure costs or cost ranges as reflected in provider fee schedules and aggregated historical cost data. The name of the 2023 Humana Medicare Advantage dental network in Florida is the Florida GoldPlus Dental Network. Participating dentists agree to adhere to Delta Dental processing policies and are prohibited from billing a patient above the pre-negotiated fee, and agree to accept that fee as payment in full. Webunder copyright by the American Dental Association. Preferred WebDelta Dental Of Ohio Fee Schedule Cxeb Ksiilxm Yeah, reviewing a ebook Delta Dental Of Ohio Fee Schedule Cxeb Ksiilxm could go to your close associates listings. DENTAL DIAGNOSTIC NAI-1502064614v2 1 Introduction We are pleased to welcome you to the dental plan for BRAND NEW DAY. 0000077030 00000 n 0000000016 00000 n Use of this website in no way increases or decreases the benefits available under a dental benefit plan. , PDF, Watch a video for helpful tips regarding member benefits and claims. 3. Medical Assistance Program Dental Fee Schedule May 2, 2022. Your benefit dollar goes furthest with Delta Dental PPO dentists; they offer the greatest discounts. This website shows estimates of certain dental care costs. Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. This website is the home of Delta Dental of California; Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; Delta Dental of West Virginia, Inc. and their affiliated companies. Webdentists may bill the difference between their usual fee and Delta Dentals maximum contract allowance. 7893 0 obj <> endobj trailer <]/Prev 806005/XRefStm 2090>> startxref 0 %%EOF 5029 0 obj <>stream get the Delta Dental Of Ar Fee Schedule 2013 Pdf partner that For a complete description of the details of your coverage, please refer to your coverage documents. hwTTwz0z.0. 0000008139 00000 n endstream endobj startxref Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. hUOSWX`}'D_a^1SNp+R"`HP\(J6C[D6\j0sALw__{y H ?WT)h`E!D^d>|fm*aRO3S'_TM-,^Y3TH]9n":iofVG+Ue2Pb 99Nfb=W>N?=QG%Pex??? Click View contracted fee reports 2. Participating dentists agree to adhere to Delta Dental processing policies and are prohibited from billing a patient above the pre-negotiated fee, and agree to accept that fee as payment in full. If so, you may want to review these plan summaries. Here are some examples: My Contracted Fees 1. $l- Km<2m9M~m|_Ll03aul{- Ytg4^ydt[)>?DrP9d>g) \3+ECqDbBq"YS[07Dq{r4M^j3"( NPW* *uIAqn+1c/0PrP!Q|fCMTDY~Wb~ljw,]"W|U]w*;G:u( {^0SDU2[9OBvHg:M`'|B7UPy]UKkIQv.$SJ;EHHL'SiQLm)g)8#umFTDv|NK\=d6{eKHZ1ev,?&Fna~*+, WebDDNJINDFC14/2012 Underwritten by Delta Dental of New Jersey, Inc. 2 10DAY RIGHT TO REVIEW AND RETURN THIS POLICY Please read this Policy carefully. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. Want to know before you set foot in the dentists office? billing surprises. What if I use a clearinghouse not included in your list of accepted clearinghouses? The Humana Member Summary is a tool that displays patient-specific, clinically relevant information in a standardized format to help you identify opportunities to improve clinical outcomes and reduce medically related costs. Cost estimates for services provided by out-of-network dentists (available in the out-of-network estimator) are based upon submitted claims data for out-of-network providers. With Delta Dental as the programs administrator, these two options are known as the Delta Dental PPOTM plan and the DeltaCare USA (DHMO) plan. The Centers for Medicare & Medicaid Services mandates that all Humana-contracted entities, including those contracted with Humana subsidiaries, complete compliance requirements each year. In the event of any disagreement between this communication and the plan document, the plan document will control. Go365 is not an insurance product. Like all Dentists, PPO Dentists are allowed to charge for any applicable Co-payments, Deductibles, or non-covered services. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. 0000018554 00000 n To begin using the Dental Care Cost Estimator tool, click the Agree button below. This exclusive survey provides you with an analysis of self-reported fees by procedure from a nationwide, random sample of dentists. %PDF-1.6 % Plan ahead and stick to your budget with DeltaCare USA,anHMO-type plan. What if my dentist is in both networks? 0000037948 00000 n Find health-related articles, product discounts and wellness benefits, Connect remotely with your patients using WebDelta Dental of Minnesota Experience the Delta Dental Difference No waiting periodsyou have full benefits the day your coverage begins. Contact your company's human resources department. Dental [r For group plans, please refer to your Benefit Plan Document (Certificate of Coverage/Insurance or Summary Plan Description/Administrative Services Only) for more information on the company providing your benefits. Webdental entitys Type 2 NPI (if different) to [email protected] Please also include the dentists name, practice name, address and license number. The plan covers a wide array of services, andpreventive care like routine cleanings and examsis coveredat little or no cost.. Please scroll down and accept to proceed. WebDelta Dental has affordable individual dental plan options available for you. Check out Virtual Consult, Check out our new DeltaVision plans The accepted fee is the amount your dentist agrees to accept from Delta Dental as full payment for your dental service. enrollees are based on fee-for-service payment mechanisms and do not include salary, capitation or bonuses. This is just one of the solutions for you to be successful. If you began treatment prior to your effective date of coverage, you or your prior carrier is responsible for any costs. 0000010024 00000 n We automatically pay the claim based on the Payment is based on the SPEEA fee schedule with Delta Dental. 0 WebClaim/Claim Form Information.the.dentist.submits.to.the.dental.plan. 0000007717 00000 n ;vDvrV#IaZ_Zg1/V># l$O%$kA~-[4GJ"9A,Qe'zaA4}iclygRny7n"`m*d@4XyDn Confidential Filed Fee Schedule for 2019 - deltadentalmn.org Here are the benefits of creating an account. delta dental plan kaiser permanente web more than 25 000 aliated dental providers in california no deductible for preventive services up to 1 000 of services per year your dental plan is underwritten by kaiser permanente insurance company Refer to your benefit plan to determine whether these requirements apply to you. The national network of Delta Dental companies protects more smiles than any other insurance company. WebMHCP Fee Schedule (MHCP Fee Schedule (dental codes begin on page 55 of the PDF) Fraud, Waste, and Abuse: Combating Medicare Parts C and D Fraud, Waste and "Iy"`v>o5@?" Lr) I8 Out-of-network dentists How much is it going to cost? Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Dental Network Names in and outside of Florida. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. This dentist provides most of your treatment and coordinates any necessary specialist referrals. hU[k0+zl. If you elect to participate in this plan, you'll have a two-tiered fee schedule: Delta Dental Premier and a slightly reduced fee schedule for Delta Dental PPO. PPO fees are posted to the National Provider File and accepted nationally by other Delta Plans. Group Dental and Vision Plans (Insurance through your employer). The plans may have different dentists. Click on the specialty link for the location you want to view. Medical Assistance Program Dental Fee Schedule: provider : 20 : 20 ; ADJUNCTIVE GENERAL SERVICES . 101 0 obj <>stream Delta Dental Fee Schedule Web800-932-0783 or write to: Delta Dental of Pennsylvania, One Delta Drive, Mechanicsburg, PA 17055. Humana Individual dental and vision plans are insured or offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., CompBenefits Insurance Company, CompBenefits Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc. or Humana Health Benefit Plan of Louisiana, Inc. Discount plans offered by HumanaDental Insurance Company or Humana Insurance Company. About; Find a Dentist; 0000040598 00000 n 0000031542 00000 n WebRecognizing the pretension ways to get this books Delta Dental Of Ar Fee Schedule 2013 Pdf is additionally useful. You'll have a list of copayments for every covered procedure so you know all your costs for preventive, basic and major services up front. Dentists WebDelta Dental of New Jersey P.O. Dental Plans Be sure to select the Delta Dental PPO Plus Premier network. hWF+HYr :1U`vh$~#_EJC $!yo70EN3"&IHC" !#_BD,'>nN"~.O_EHiL Dental Tools and Resources hSmk0+qcdz,($m9n%lGrF? Delta Dental Ohio - Fee schedule Here are some examples. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. Delta Dental has the largest network of dentists nationwide. WebDelta Dental Patient Direct is a discount card program based on the Delta Dental PPO fee schedule. Have a question about coverage or looking for dental insurance? With your DeltaCare USA plan, when you visit a network dentist, you'll: Save on out-of-pocket costs. I receive dental insurance through my employer. Out of pocket payment when you visit the dentist. WebIf you see a provider that is not in the Delta Dental Premier or Delta Dental PPO networks, you will be responsible for all charges incurred. 155 0 obj <>/Filter/FlateDecode/ID[<11D0ED0D772846A5BDACC2E76C6D3585>]/Index[148 13]/Info 147 0 R/Length 54/Prev 390647/Root 149 0 R/Size 161/Type/XRef/W[1 2 1]>>stream Our coverage makes it easy and affordable to protect your smile, Follow snack and alcoholic drinks with water to keep your smile healthy on game day. endstream endobj startxref !~V;]lf({n1pED^ q Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. endstream endobj 86 0 obj <>stream %PDF-1.7 % delta dental plan kaiser permanente web more than 25 000 aliated dental providers in california no deductible for preventive services up to 1 000 of services per year your dental plan is underwritten by kaiser permanente insurance company %PDF-1.5 % How do I submit claims to Delta Dental? Humana group medical plans are offered by Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc. License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc., or insured by Humana Health Insurance Company of Florida, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Insurance Company, Humana Insurance Company of Kentucky, Humana Insurance of Puerto Rico, Inc. License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc. For Arizona residents, plans are offered by Humana Health Plan, Inc. or insured by Humana Insurance Company. The version of the Cost Estimator that is available publicly (does not require sign-in credentials) uses aggregated historical cost data for the procedure in question. Submit a list of fees to be filed with Delta Dental of HumanaDental digital member ID cards FAQs, PDF. PPO dentists offer the greatest discount off their fees, so youll pay less than with a Premier dentist. Box 9304 . Webdentists billed charge and the Delta Dental negotiated fee). A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. WebDelta Dental Premier is one of our five contracted national network-based programs. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. Yes. Delta Dental How can I find a participating dentist? hbbd``b`$B@D; H0 | A$Dg` 4 Applies only to procedures covered under your plan. Download Supporting Materials (Free for ADA members) 2022 Survey of Dental Fees. How do I make sure I use a PPO dentist? Delta Dental Of Ar Fee Schedule 2013 Pdf , (2023) This network supports the SimpleChoice plan. This preferred provider organization (PPO) plan is designed in response to employers' requests for an economical product for their employees. SimpleChoice offers the unmatched level of service member dentists enjoy from Delta Dental and is designed to be easy for dental offices to administer. Youll save the most when you see PPO dentists. Delta Dental Premier Plan . 0000006341 00000 n For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. Do not avoid getting dental care based on the cost information provided on this website. 380 0 obj <>stream 0 WebIf you need to share the delta dental fee schedule 2022 pdf with other people, it is possible to send the file by e-mail. Get started here. ,B_tx,?_BU-AdM#B?Y|k:7faNH >dW gj Dental 3. hbbd``b`$WXWk.`l "3A\~n:${. Delta Dental 0 Zq The provider agreement that dental providers enter into with Humana allows Humana to provide such third parties with access to Humanas contracted provider network and in turn Humanas contracted dental providers services. iApwTu}hoh? 0 368 0 obj <>/Filter/FlateDecode/ID[<9CBCF151ED38014EB2A0AB26D20255F5>]/Index[348 33]/Info 347 0 R/Length 96/Prev 546855/Root 349 0 R/Size 381/Type/XRef/W[1 2 1]>>stream By clicking, you agree that you have read the informationbelow,are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and will not use the information in this tool for a commercial or anti-competitive purpose. 0000011417 00000 n J kujbplc#vv9~KNpxDKXnNd !KdHM2^)}zo"ktD;Y5s6tVH't_h4k,Y@'F6'+t+U;W*D2VFut8E=s!_$bPqvi,f?7HWJ6[QmlgOuAa4j="*-uQqj0mw$)yIZzT]Y$x=zUJJ'zS/DfKN1AWiY~`$sNl]M,t2;zZ4ju ~\)1/\+ER;s? Maximum Allowable Charge (MAC) - Delta Dental co hTP=O0+@PuCH--Ol~z%A7FY/l.8:Cu%IsC]snN|chL}n ' You have remained in right site to start getting this info. 0000025861 00000 n 0000008456 00000 n It is a nationwide network for MA members who bought their plan in Florida. |w&Vk2JIUQ kpbU}$qYs#]NflzSC%M_y WIm{SGn>95xfi'c]r_5\}GW:muM'|KC#{oG$tnRw[GU@u/l7{8;}cEl>c7% GsF To promote oral health to the greatest number of people by providing accessible dental benefit programs of the highest quality, service, and value. endstream endobj startxref Minneapolis, MN 55440-9304 . Preventive services are included in this tool. Under a dental discount plan, you pay the dentist directly at the time of service on a pre-negotiated rate. Humana group dental plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., Humana Medical Plan of Utah, Humana Health Benefit Plan of Louisiana, Inc., CompBenefits Company, CompBenefits Insurance Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc., or DentiCare, Inc. (DBA CompBenefits). Mail it to Delta Dental at the address shown below.. Any Subscription Charges Dental-Related Services Program Billing Guide These plans make it easy to receive Delta Dental coverage and protect your health. Rates are subject to periodic change without prior notification. In Maryland, Delta Dental PPO. Delta Dental of New Jersey is a part of Delta Dental Plans Association. Estimates may vary depending on your benefit plan and the state you live in. You will then see Remittance Inquiry (Humana) under Additional Remittance Tools. Find a dentist near you. Delta Dental 0000008254 00000 n For Arizona residents: Insured by Humana Insurance Company. Delta Dental Schedule of Benefits - Department of Budget Northeast General Dentistry Fee Schedule You can also access this information on the Availity portal. WebDELTA DENTAL PATIENT DIRECT MEMBER FEE SCHEDULE MEMBER PAYS DENTAL SERVICE (Maximum Charge) Delta Dental of Illinois DDIL.PD.FS.0802 hb```b``se`e` @16L@P iS;~1fm,Jxo0~e d {@ O ka$31b0;p7AyFCt+?:ro@MoCOW{\\uKs[Y. Web2019 ADA Dental Claim Form Click Here . Delta Dental Dentist FAQ The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. How to access and interpret information provided on remittances get the Delta Dental Of Ar Fee Schedule 2013 Pdf partner that Dental Fee Schedule The Centers for Medicare & Medicaid Services mandates that all Humana-contracted entities, including those contracted with Humana subsidiaries, complete compliance requirements each year. Webto your copayment schedule for a complete list of covered services): X-rays Mexico, Inc.; NY Delta Dental of New York, Inc.; PA Delta Dental of Pennsylvania. DeltaCare USA plans are underwritten in these states by these entities: CA Delta Dental of California; DC(Policy I-P-DC-dc-20) and FL Delta Dental Insurance Company; MD and TX Alpha Dental Programs, Inc.; UT Alpha Dental of Utah, Inc.; NY Delta Dental of New York, Inc.; NV Alpha Dental of Nevada, Inc.; PA Delta Dental of Pennsylvania. HumanaDental ID: 73288 ,9g4crDe`py:0ocnjvl)tDh}.~K m=_ Virtual Consult )L^6 g,qm"[Z[Z~Q7%" 4. 0000008809 00000 n Webfull dental arch - mandible .. $110.00 D0366 Cone beam CT capture and interpretation with field of view of one full dental arch - maxilla, with or without cranium .. $110.00 D0367 Cone beam CT capture and interpretation with field of view of both 81 0 obj <> endobj Delta Dental Premier Plan . As understood, achievement does not suggest that you have fabulous points. Dental WebDelta Dental of Minnesota 1 -877 631 8954 . Confidential Filed Fee Schedule Webdental entitys Type 2 NPI (if different) to [email protected] Please also include the dentists name, practice name, address and license number. Survey of Dental Fees The Delta Dental PPO fee schedules are reviewed annually and updated accordingly. Dental Coverage and Plans - Utah Department of Health Medicaid Interested in learning more about our plans? 0000002090 00000 n Member perks for your smile and beyond WebSurvey of Dental Fees. lowest cost network in which your dentist For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. 0000009311 00000 n %PDF-1.6 % 0000077071 00000 n Dental providers - Regence Find the one that's right for you. WebKY Medicaid Dental Fee Schedule 2022 Revised 3/17/2022 Proc Code Procedure Description UNDER AGE 21 Rate 21 and OVER Rate Notes D0145 ORAL EVALUATION FOR A PATIENT UNDER THREE (3) YEARS OF AGE AND COUNSELING WITH THE PRIMARY CAREGIVER. 0000001055 00000 n How often is the Delta Dental PPO fee schedule reviewed and updated? Lexington, KY 40512-4283, Electronic payer IDs O5g8f Dq0tt0Ht D50A8D[=X@M?CooSutoEdx /f f`rg0 yTU Benefits described in this comparison are guaranteed only when you select a participating dentist from Deltas networks. Can you give me a comparison of my costs in network vs. out of network. WebKpic Delta Dental Fee Schedule 2014 below. Submitting claims - All claims must be 0000006889 00000 n Delta Dental HumanaDental claims office DeltaCare USA Plan | Delta Dental They can use Humana tools to print a paper version of their card or email or fax a copy to your office. The Humana Dental Medicare network provides benefits to Humana members enrolled in Medicare Advantage and prescription drug plan programs. 0000016709 00000 n 0000020376 00000 n Are you part of the dental health maintenance organization (DHMO) or Advantage network? The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. tqX)I)B>== 9. Box 14283 N{:F&:.&U6hnp8.TFWs.Q@}&{x'cc|cVFNA 4j,2VES/fF,W5|qb41/W#lM!0l;h/s1+0 sNsPT*WeH#=P)?`?qz0v4^]=L,(*,t0gt3nl9]s 8zHd/e,\-&yV NG,/WPE8bMOXfB;L!Me_;lMz:dwM^3& ]<6tG^4oZXwc7wA)kE|CZos{,Lgw? 348 0 obj <> endobj Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. WebThe Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out 0000081041 00000 n Can't find your city? %PDF-1.6 % Delta Dental PPO Plus Premier Frequently Asked Questions. Individual applications are subject to eligibility requirements. endstream endobj 85 0 obj <>stream 0000005788 00000 n Plan participants may not always inform a dental office of their participation in the MetLife PDP program. $E}kyhyRm333: }=#ve $32.50 n/c D0150 COMPREHENSIVE ORAL EVALUATION Previous Next. WebSCHEDULE A Description of Benefits and Copayments The benefits shown below are performed as deemed appropriate by the attending Contract Dentist subject to the Our Premier network gives a smaller discount but gives you access to four out of five dentists nationwide. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. (those who choose not to participate in PPO or Premier) dont offer negotiated discounts. 2023 FEE SCHEDULE - Coast Dental Dental The description of different treatment categories, and the inclusion of particular services in a treatmentcategory,is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. Know your costs for covered procedures up front. Accept Delta Dental of Oregon benefit payments for services provided. 0000010743 00000 n Network Overview Take a tour of the Connection 0000002346 00000 n If so, please visit Humana Medicare Advantage Supplemental Dental Benefits Information to find the most recent dental office handbook, Humana Medicare Advantage dental benefit descriptions and member-specific dental plans. %%EOF 0000014888 00000 n For more information, refer to these frequently asked questions and answers. Mandatory Medicare compliance requirements, PDF. Estimates should not be construed as financial or medical advice. Some plans may also charge a one-time, non-refundable enrollment fee. Can I go to any dentist I want with this plan? Administered by Humana Insurance Company. ^o /B As understood, achievement does not suggest that you have fabulous points. @C{+$aF^ADjCq)C-{ =Q[m9@q P{( (U"N Y y Oh5; d % )SPp/F w`` >E;!3J B H2H" TN+!u`),aKU@!Ds&'L@6$H d8H i#RMIvJ+rTe+E7,n)9"Aw H)4__DZW3tma,($TirN'}QZEaP_D 5@8 = t` 2. ]xl8/K"Xg%`tp2e JjkK/?0vH>^GHc`Y6{E9cioJX8 qZiu_'-z``MYG%=$Te+X^pGZbu6I Dental Delta Dental endstream endobj 153 0 obj <>stream WebProtect your smile and wallet with a DeltaCare USA plan from Delta Dental. Delta Dental Participating Provider, explain Benefits, check the status of a claim, and assist you in Confidential Filed Fee Schedule (Updated to include CDT 2019 code terminology) My Contracted Fees 1. Mn confidential schedule printable: Fill out & sign online | DocHub If you are eligible to use our online application, please review this important information. The information and content (collectively, "Content") on this website is for your general educational information only. Humana group vision plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Health Benefit Plan of Louisiana, Humana Insurance Company of Kentucky, Humana Insurance Company of New York, CompBenefits Insurance Company, CompBenefits Company, or The Dental Concern, Inc. New Mexico: Humana group dental and vision plans are insured by Humana Insurance Company. Click View If you live outside the U.S., you may see information on this cost estimator about products or services that are not available or authorized in your country. Schedule To start or update ERA and EFT, please sign in to the Availity.com portal. Suppose you want to go for your regular preventive and diagnostic dental appointment. Group- and state-specific exceptions may apply. Important forms for Dentists 90 0 obj <>/Filter/FlateDecode/ID[<0EF7D80C2DB26D3E1A81A2055E849515>]/Index[81 21]/Info 80 0 R/Length 61/Prev 49932/Root 82 0 R/Size 102/Type/XRef/W[1 2 1]>>stream participates. In states, and for products where applicable, the premium may include a $1 administrative fee. endstream endobj startxref

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