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Please give the following information for any dental insurance now in force:
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Please give the following information for any dental insurance now in force:
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Please give the following information for any dental insurance now in force:
Company Name
Benefits
Please give the following information for any dental insurance now in force:
Company Name
Benefits
*Warning: Failure to disclose existing coverage, your intentions to replace such coverage, or the existence of coverage terminated within 30 days of this application may result in the denial of a claim or the rescinding of your coverage under the policy for which you are applying.
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Program is not sold in NY, MA, WA, DE, FL, GA, KY, MT, NE.

This website provides a brief description for the insurance coverage available. The Policy contains reductions, limitations, exclusions and termination provisions. Full details of the insurance coverage are contained in the Policy. If there are any conflicts between this document and the Policy (National Guardian Life Insurance Company Policy Form Series NDIND2005), Policy shall govern. The Essential Dental Insurance program is underwritten by National Guardian Life Insurance Company with its principal place of business at Two East Gilman Street, Madison, WI 53701. It is currently authorized to transact business in 49 states and the District of Columbia. NAIC No. 66583. National Guardian Life Insurance Company is not affiliated with the Guardian Life Insurance Company of America a/k/a The Guardian or Guardian Life. Essential Dental Insurance is administered by AlwaysCare Benefits, Inc. (a Starmount Life Insurance company). In California: Essential Dental Insurance is underwritten by National Guardian Life Insurance Company and administered by AlwaysCare Benefits Insurance Administrators (a Starmount Life Insurance company).