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A STOCK COMPANY
LINCOLN, NEBRASKACERTIFICATE
GROUP DENTAL Insurance PolicyholderCABARRUS COUNTY Governmentality Number1025998Insured Personal Effective Date July 1, 2002Certificate Effective Date
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How to fill out uniform dental benefits certificate
How to fill out uniform dental benefits certificate
01
Obtain the uniform dental benefits certificate form from your dental insurance provider.
02
Fill out your personal information, including your name, address, and policy number.
03
Provide details about the dental procedures you are seeking coverage for.
04
Make sure to sign and date the form before submitting it to your insurance provider.
Who needs uniform dental benefits certificate?
01
Anyone who has dental insurance and is seeking coverage for dental procedures may need a uniform dental benefits certificate.
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