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Forms and Literature

For your convenience, Securian Dental provides web site access to forms needed by brokers below. Check back in the future as we add additional forms, brochures, applications and more.

The following documents can only be viewed by using Acrobat® Reader® software, which can be downloaded free of charge from www.adobe.com.

Company Information

Broker Appointment 

Product Brochures 

Quoting Tools

• Sep 2007-Feb 2008 Maine Voluntary and Contributory (First Choice and Access) Rates
  
  

• Sep 2007-Feb 2008 New Hampshire Voluntary and Contributory (Access) Rates
  
  

• Jan 2007-Feb 2008 Vermont Voluntary and Contributory (Access) Rates 

Web Access

Group Application and Billing

Member Enrollment and Maintenance

Snapshots of Coverage to assist in enrollment (not applicable to VT, ME, NH) 

• Voluntary Indemnity Plans

• Employer-Paid Indemnity Plans (5-249 employees.  Groups of 2-4 may call 1-866-827-3318 for a summary.)

• Voluntary PPO Plans

• Employer-Paid PPO Plans (5-249 employees.  Groups of 2-4 may call 1-866-827-3318 for a summary.)

To view the Forms and Literature on this page, simply click on the articles.

To download an article straight to your computer, right-click and select "Save Target As."

Mac users: Option-click and select "Save Target As" to download the article to your computer.