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A STOCK COMPANY LINCOLN, NEBRASKACERTIFICATE GROUP DENTAL INSURANCE The PolicyholderCBIA SERVICE CORPORATIONPolicy Number10351020Plan Effective Date April 1, 2021Insured Person PAT Q. SPECIMEN Certificate
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How to fill out voluntary dental home

01
Gather all necessary information such as personal details, employment information, and dental insurance information.
02
Contact a dental provider that accepts voluntary dental home applications.
03
Complete the application form provided by the dental provider, ensuring all information is accurate and up to date.
04
Submit the completed application form along with any required documentation to the dental provider.
05
Wait for confirmation from the dental provider regarding the status of the voluntary dental home application.

Who needs voluntary dental home?

01
Individuals who do not have access to employer-sponsored dental insurance.
02
People who are self-employed and do not have access to group dental plans.
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Those who prefer to have more control over their dental health care choices.

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