pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	pbp_d_opt_identifier	pbp_d_opt_description	pbp_d_amt_opt_premium	pbp_d_opt_maxplan_ben_cov_yn	pbp_d_opt_maxplan_ben_cov_amt	pbp_d_opt_maxplan_per	pbp_d_opt_apply_moop_yn	pbp_d_opt_deduct_yn	pbp_d_opt_deduct_amt	pbp_d_opt_deduct_cats	pbp_d_opt_secb_cats	pbp_d_opt_other_benefits
H0028	013	0	1	01	01	H0028_013_0	6	002	MyOption Total Dental HMO	31.80	1	2000.00	3	2	2				16a;16b;
H0028	013	0	1	01	01	H0028_013_0	6	001	MyOption Enhanced Dental HMO	22.90	1	2000.00	3	2	2				16a;16b;
H0028	016	0	1	01	01	H0028_016_0	5	001	MyOption Enhanced Dental HMO	22.10	1	1000.00	3	2	2				16a;16b;
H0028	016	0	1	01	01	H0028_016_0	5	002	MyOption Total Dental HMO	31.00	1	1000.00	3	2	2				16a;16b;
H0028	017	0	1	01	01	H0028_017_0	4	002	MyOption Total Dental HMO	31.80	1	2000.00	3	2	2				16a;16b;
H0028	017	0	1	01	01	H0028_017_0	4	001	MyOption Enhanced Dental HMO	22.90	1	2000.00	3	2	2				16a;16b;
H0028	019	0	1	01	01	H0028_019_0	5	002	MyOption DEN205	83.60	1	2000.00	3	2	2				16b;
H0028	019	0	1	01	01	H0028_019_0	5	001	MyOption DEN204	58.60	1	2000.00	3	2	2				16b;
H0028	021	0	1	01	01	H0028_021_0	4	002	MyOption Total Dental HMO	42.70	1	2000.00	3	2	2				16a;16b;
H0028	021	0	1	01	01	H0028_021_0	4	001	MyOption Enhanced Dental HMO	31.50	1	2000.00	3	2	2				16a;16b;
H0028	023	0	1	01	01	H0028_023_0	4	001	MyOption Dental High PPO	25.00	1	2000.00	3	2	2			16a;16b;	
H0028	023	0	1	01	01	H0028_023_0	4	002	MyOption Vision	15.30	2			2	2				17a;17b;
H0028	023	0	1	01	01	H0028_023_0	4	003	MyOption Plus	26.10	2			2	1	50.00	16b;		17a;17b;16a;16b;
H0028	023	0	1	01	01	H0028_023_0	4	004	MyOption Platinum Dental	39.90	1	2000.00	3	2	2				16a;16b;
H0028	024	0	1	01	01	H0028_024_0	5	002	MyOption DEN205	97.20	1	2000.00	3	2	2				16b;
H0028	024	0	1	01	01	H0028_024_0	5	001	MyOption DEN204	69.30	1	2000.00	3	2	2				16b;
H0028	025	1	1	01	01	H0028_025_1	5	001	MyOption DEN204	66.80	1	2000.00	3	2	2				16b;
H0028	025	1	1	01	01	H0028_025_1	5	002	MyOption DEN205	97.00	1	2000.00	3	2	2				16b;
H0028	025	2	1	01	01	H0028_025_2	5	002	MyOption DEN205	97.00	1	2000.00	3	2	2				16b;
H0028	025	2	1	01	01	H0028_025_2	5	001	MyOption DEN204	66.80	1	2000.00	3	2	2				16b;
H0028	027	0	1	01	01	H0028_027_0	4	001	MyOption Enhanced Dental HMO	31.50	1	2000.00	3	2	2				16a;16b;
H0028	027	0	1	01	01	H0028_027_0	4	002	MyOption Total Dental HMO	42.70	1	2000.00	3	2	2				16a;16b;
H0028	028	0	1	01	01	H0028_028_0	5	001	MyOption Dental Enriched HMO	31.50	1	2000.00	3	2	2				16a;16b;
H0028	028	0	1	01	01	H0028_028_0	5	002	MyOption Total Dental HMO	42.70	1	2000.00	3	2	2				16a;16b;
H0028	041	0	1	01	01	H0028_041_0	5	001	MyOption Enhanced Dental HMO	19.00	1	1000.00	3	2	2				16a;16b;
H0028	043	2	1	01	01	H0028_043_2	4	001	MyOption Enhanced Dental HMO	19.00	1	2000.00	3	2	2				16a;16b;
H0028	048	1	1	01	01	H0028_048_1	4	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H0028	048	1	1	01	01	H0028_048_1	4	002	MyOption DEN204	76.30	1	2000.00	3	2	2				16b;
H0028	048	1	1	01	01	H0028_048_1	4	003	MyOption DEN205	105.00	1	2000.00	3	2	2				16b;
H0028	048	2	1	01	01	H0028_048_2	5	003	MyOption DEN205	105.00	1	2000.00	3	2	2				16b;
H0028	048	2	1	01	01	H0028_048_2	5	002	MyOption DEN204	76.30	1	2000.00	3	2	2				16b;
H0028	048	2	1	01	01	H0028_048_2	5	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H0028	053	1	1	01	01	H0028_053_1	6	001	MyOption Enhanced Dental HMO	23.30	1	1000.00	3	2	2				16a;16b;
H0028	053	2	1	01	01	H0028_053_2	6	001	MyOption Enhanced Dental HMO	23.30	1	1000.00	3	2	2				16a;16b;
H0028	053	3	1	01	01	H0028_053_3	6	001	MyOption Enhanced Dental HMO	26.20	1	1000.00	3	2	2				16a;16b;
H0028	053	4	1	01	01	H0028_053_4	8	001	MyOption DEN204	55.80	1	2000.00	3	2	2				16b;
H0028	053	4	1	01	01	H0028_053_4	8	002	MyOption DEN205	76.80	1	2000.00	3	2	2				16b;
H0107	003	0	1	04	01	H0107_003_0	4	001	Optional Supplemental Plus Package	35.70	1	2150.00	6	2	2			16b;17b;18a;18b;	
H0107	005	0	1	04	01	H0107_005_0	3	001	Optional Supplemental Premier Package	40.20	1	2150.00	6	2	2			16a;16b;17b;18a;18b;	
H0292	001	0	1	01	01	H0292_001_0	7	002	MyOption Total Dental HMO	33.30	1	1000.00	3	2	2				16a;16b;
H0292	001	0	1	01	01	H0292_001_0	7	001	MyOption Enhanced Dental HMO	25.20	1	1000.00	3	2	2				16a;16b;
H0292	002	0	1	01	01	H0292_002_0	5	002	MyOption Total Dental Plus HMO	44.30	1	1000.00	3	2	2				16a;16b;
H0292	002	0	1	01	01	H0292_002_0	5	001	MyOption Enhanced Dental Plus HMO	34.50	1	1000.00	3	2	2				16a;16b;
H0294	004	0	1	04	01	H0294_004_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H0294	010	0	1	04	01	H0294_010_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H0294	011	0	1	04	01	H0294_011_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H0294	012	0	1	04	01	H0294_012_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0294	023	0	1	04	01	H0294_023_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0332	002	0	1	01	01	H0332_002_0	6	001	Dental 2021	32.80	1	3000.00	3	2	1	25.00	16b;	16b;	
H0332	007	0	1	02	01	H0332_007_0	5	001	Dental 2021	32.80	1	3000.00	3	2	1	25.00	16b;	16b;	
H0332	008	0	1	02	01	H0332_008_0	6	001	Dental 2021	32.80	1	3000.00	3	2	1	25.00	16b;	16b;	
H0482	001	0	1	01	01	H0482_001_0	6	001	Centene Silver 1500 40%, Vision 200	29.00	1	1700.00	3	2	2				16a;16b;17a;17b;
H0482	003	0	1	01	01	H0482_003_0	4	001	Centene Silver 1500 40%, Vision 200	29.00	1	1700.00	3	2	2				16a;16b;17a;17b;
H0504	015	0	1	01	01	H0504_015_0	6	001	Dental HMO	12.40	2			2	2				16a;16b;
H0504	015	0	1	01	01	H0504_015_0	6	002	Dental PPO	41.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	017	0	1	01	01	H0504_017_0	6	001	Dental HMO	12.40	2			2	2				16a;16b;
H0504	017	0	1	01	01	H0504_017_0	6	002	Dental PPO	41.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	021	0	1	01	01	H0504_021_0	6	001	Dental HMO	12.40	2			2	2				16a;16b;
H0504	021	0	1	01	01	H0504_021_0	6	002	Dental PPO	41.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	026	0	1	01	01	H0504_026_0	5	001	Dental HMO	12.40	2			2	2			16a;16b;	
H0504	026	0	1	01	01	H0504_026_0	5	002	Dental PPO	41.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	028	0	1	01	01	H0504_028_0	5	001	Dental HMO	12.40	2			2	2				16a;16b;
H0504	028	0	1	01	01	H0504_028_0	5	002	Dental PPO	41.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	029	0	1	01	01	H0504_029_0	5	001	Dental HMO	12.40	2			2	2			16a;16b;	
H0504	029	0	1	01	01	H0504_029_0	5	002	Dental PPO	41.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	031	0	1	01	01	H0504_031_0	5	001	Dental HMO	12.40	2			2	2			16a;16b;	
H0504	031	0	1	01	01	H0504_031_0	5	002	Dental PPO	41.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	037	0	1	01	01	H0504_037_0	5	001	Dental HMO	12.40	2			2	2			16a;16b;	
H0504	037	0	1	01	01	H0504_037_0	5	002	Dental PPO	41.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	038	0	1	01	01	H0504_038_0	5	001	Dental HMO	12.40	2			2	2			16a;16b;	
H0504	038	0	1	01	01	H0504_038_0	5	002	Dental PPO	41.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	039	0	1	01	01	H0504_039_0	5	001	Dental PPO	41.90	1	1500.00	6	2	1	50.00	16b;	16a;16b;	
H0504	040	0	1	01	01	H0504_040_0	5	001	Dental HMO	12.40	2			2	2				16a;16b;
H0504	040	0	1	01	01	H0504_040_0	5	002	Dental PPO	41.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	041	0	1	01	01	H0504_041_0	5	001	Dental HMO	12.40	2			2	2				16a;16b;
H0504	041	0	1	01	01	H0504_041_0	5	002	Dental PPO	41.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	043	0	1	01	01	H0504_043_0	5	001	Dental HMO	12.40	2			2	2				16a;16b;
H0504	043	0	1	01	01	H0504_043_0	5	002	Dental PPO	41.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	045	0	1	01	01	H0504_045_0	5	001	Dental HMO	12.40	2			2	2				16a;16b;
H0504	045	0	1	01	01	H0504_045_0	5	002	Dental PPO	41.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	046	0	1	01	01	H0504_046_0	5	001	Dental HMO	12.40	2			2	2				16a;16b;
H0504	046	0	1	01	01	H0504_046_0	5	002	Dental PPO	41.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	047	0	1	01	01	H0504_047_0	7	001	Dental HMO	12.40	2			2	2				16a;16b;
H0504	047	0	1	01	01	H0504_047_0	7	002	Dental PPO	41.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	048	0	1	01	01	H0504_048_0	7	001	Dental HMO	12.40	2			2	2				16a;16b;
H0504	048	0	1	01	01	H0504_048_0	7	002	Dental PPO	41.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0524	002	0	2	01	01	H0524_002_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	003	0	1	01	01	H0524_003_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	008	0	1	01	01	H0524_008_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	010	0	2	01	01	H0524_010_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	013	0	1	01	01	H0524_013_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	015	0	1	01	01	H0524_015_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	031	0	1	01	01	H0524_031_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	032	0	1	01	01	H0524_032_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	033	0	1	01	01	H0524_033_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	034	0	1	01	01	H0524_034_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	035	0	1	01	01	H0524_035_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	036	0	1	01	01	H0524_036_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	037	0	1	01	01	H0524_037_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	038	0	1	01	01	H0524_038_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	039	0	1	01	01	H0524_039_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	040	0	1	01	01	H0524_040_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	041	0	1	01	01	H0524_041_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	042	0	1	01	01	H0524_042_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	043	0	1	01	01	H0524_043_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	046	0	1	01	01	H0524_046_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	051	0	1	01	01	H0524_051_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	054	0	1	01	01	H0524_054_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	059	0	1	01	01	H0524_059_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	060	0	1	01	01	H0524_060_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	061	0	1	01	01	H0524_061_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	062	0	1	01	01	H0524_062_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	063	0	1	01	01	H0524_063_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	064	0	1	01	01	H0524_064_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0524	065	0	1	01	01	H0524_065_0	10	001	Advantage Plus	16.00	2			2	2			18a;18b;	16a;16b;17b;
H0543	001	0	1	01	01	H0543_001_0	3	002	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	001	0	1	01	01	H0543_001_0	3	001	High Option Dental Rider	12.00	2			2	2				16a;16b;
H0543	013	0	1	01	01	H0543_013_0	3	002	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	013	0	1	01	01	H0543_013_0	3	001	High Option Dental Rider	12.00	2			2	2				16a;16b;
H0543	019	0	1	01	01	H0543_019_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	022	0	1	01	01	H0543_022_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H0543	028	0	1	01	01	H0543_028_0	2	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	029	0	1	01	01	H0543_029_0	2	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	032	0	1	01	01	H0543_032_0	5	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	035	0	1	01	01	H0543_035_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0543	036	0	1	01	01	H0543_036_0	2	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	060	0	1	01	01	H0543_060_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H0543	070	0	1	01	01	H0543_070_0	2	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	086	0	1	01	01	H0543_086_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	089	0	1	01	01	H0543_089_0	6	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	121	0	1	01	01	H0543_121_0	2	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	138	0	1	01	01	H0543_138_0	7	002	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	138	0	1	01	01	H0543_138_0	7	001	High Option Dental Rider	12.00	2			2	2				16a;16b;
H0543	140	0	1	01	01	H0543_140_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	144	0	1	01	01	H0543_144_0	4	002	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	144	0	1	01	01	H0543_144_0	4	001	High Option Dental Rider	12.00	2			2	2				16a;16b;
H0543	145	0	1	01	01	H0543_145_0	4	001	High Option Dental Rider	12.00	2			2	2				16a;16b;
H0543	145	0	1	01	01	H0543_145_0	4	002	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	146	0	1	01	01	H0543_146_0	4	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	147	0	1	01	01	H0543_147_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	148	0	1	01	01	H0543_148_0	4	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	151	0	1	01	01	H0543_151_0	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0543	152	0	1	01	01	H0543_152_0	4	001	High Option Dental Rider	12.00	2			2	2				16a;16b;
H0543	152	0	1	01	01	H0543_152_0	4	002	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	163	0	1	01	01	H0543_163_0	4	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	167	0	1	01	01	H0543_167_0	4	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	168	0	1	01	01	H0543_168_0	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0543	169	0	1	01	01	H0543_169_0	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0543	170	0	1	01	01	H0543_170_0	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0543	176	0	1	01	01	H0543_176_0	4	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	177	0	1	01	01	H0543_177_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	178	0	1	01	01	H0543_178_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	179	0	1	01	01	H0543_179_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	188	0	1	01	01	H0543_188_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	189	0	1	01	01	H0543_189_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	191	0	1	01	01	H0543_191_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	193	0	1	01	01	H0543_193_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	194	0	1	01	01	H0543_194_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	195	0	1	01	01	H0543_195_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	196	0	1	01	01	H0543_196_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	204	0	1	01	01	H0543_204_0	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0543	205	0	1	01	01	H0543_205_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	209	0	1	01	01	H0543_209_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	210	0	1	02	01	H0543_210_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	214	0	1	01	01	H0543_214_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H0543	215	0	1	02	01	H0543_215_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	216	0	1	02	01	H0543_216_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	217	0	1	01	01	H0543_217_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0543	218	0	1	01	01	H0543_218_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0543	219	0	1	01	01	H0543_219_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0543	220	0	1	01	01	H0543_220_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0543	221	0	1	01	01	H0543_221_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0543	222	0	1	01	01	H0543_222_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0543	223	0	1	01	01	H0543_223_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0543	224	0	1	01	01	H0543_224_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0544	002	0	1	01	01	H0544_002_0	8	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	002	0	1	01	01	H0544_002_0	8	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	002	0	1	01	01	H0544_002_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	004	0	1	01	01	H0544_004_0	9	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	004	0	1	01	01	H0544_004_0	9	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	004	0	1	01	01	H0544_004_0	9	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	005	0	1	01	01	H0544_005_0	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	005	0	1	01	01	H0544_005_0	8	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	005	0	1	01	01	H0544_005_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	007	0	1	01	01	H0544_007_0	10	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	007	0	1	01	01	H0544_007_0	10	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	007	0	1	01	01	H0544_007_0	10	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	008	0	1	01	01	H0544_008_0	8	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	008	0	1	01	01	H0544_008_0	8	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	008	0	1	01	01	H0544_008_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	010	0	1	01	01	H0544_010_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	010	0	1	01	01	H0544_010_0	8	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	010	0	1	01	01	H0544_010_0	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	013	0	1	01	01	H0544_013_0	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	013	0	1	01	01	H0544_013_0	8	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	013	0	1	01	01	H0544_013_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	014	0	1	01	01	H0544_014_0	8	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	014	0	1	01	01	H0544_014_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	014	0	1	01	01	H0544_014_0	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	015	0	1	01	01	H0544_015_0	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	015	0	1	01	01	H0544_015_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	015	0	1	01	01	H0544_015_0	8	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	019	0	1	01	01	H0544_019_0	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	019	0	1	01	01	H0544_019_0	8	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	019	0	1	01	01	H0544_019_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	020	0	1	01	01	H0544_020_0	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	020	0	1	01	01	H0544_020_0	8	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	020	0	1	01	01	H0544_020_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	027	0	1	01	01	H0544_027_0	8	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	027	0	1	01	01	H0544_027_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	027	0	1	01	01	H0544_027_0	8	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	031	0	1	01	01	H0544_031_0	8	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	031	0	1	01	01	H0544_031_0	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	031	0	1	01	01	H0544_031_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	032	0	1	01	01	H0544_032_0	7	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	032	0	1	01	01	H0544_032_0	7	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	032	0	1	01	01	H0544_032_0	7	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	036	0	1	01	01	H0544_036_0	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	036	0	1	01	01	H0544_036_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	036	0	1	01	01	H0544_036_0	8	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	038	0	1	01	01	H0544_038_0	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	038	0	1	01	01	H0544_038_0	8	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	038	0	1	01	01	H0544_038_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	050	0	1	01	01	H0544_050_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	050	0	1	01	01	H0544_050_0	8	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	050	0	1	01	01	H0544_050_0	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	056	0	1	01	01	H0544_056_0	6	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	056	0	1	01	01	H0544_056_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	056	0	1	01	01	H0544_056_0	6	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	058	0	1	01	01	H0544_058_0	6	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	058	0	1	01	01	H0544_058_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	058	0	1	01	01	H0544_058_0	6	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	061	0	1	01	01	H0544_061_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	061	0	1	01	01	H0544_061_0	6	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	061	0	1	01	01	H0544_061_0	6	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	062	0	1	01	01	H0544_062_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	062	0	1	01	01	H0544_062_0	6	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	062	0	1	01	01	H0544_062_0	6	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	063	0	1	01	01	H0544_063_0	6	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	063	0	1	01	01	H0544_063_0	6	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	063	0	1	01	01	H0544_063_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	064	0	1	01	01	H0544_064_0	6	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	064	0	1	01	01	H0544_064_0	6	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	064	0	1	01	01	H0544_064_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	065	0	1	01	01	H0544_065_0	6	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	065	0	1	01	01	H0544_065_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	065	0	1	01	01	H0544_065_0	6	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	066	0	1	01	01	H0544_066_0	6	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	066	0	1	01	01	H0544_066_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	066	0	1	01	01	H0544_066_0	6	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	069	0	1	01	01	H0544_069_0	6	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	069	0	1	01	01	H0544_069_0	6	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	069	0	1	01	01	H0544_069_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	093	0	1	01	01	H0544_093_0	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	093	0	1	01	01	H0544_093_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	093	0	1	01	01	H0544_093_0	8	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	094	0	1	01	01	H0544_094_0	8	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	094	0	1	01	01	H0544_094_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	094	0	1	01	01	H0544_094_0	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	095	0	1	01	01	H0544_095_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	095	0	1	01	01	H0544_095_0	6	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	095	0	1	01	01	H0544_095_0	6	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	096	0	1	01	01	H0544_096_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	096	0	1	01	01	H0544_096_0	6	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	096	0	1	01	01	H0544_096_0	6	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	097	0	1	01	01	H0544_097_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	097	0	1	01	01	H0544_097_0	6	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	097	0	1	01	01	H0544_097_0	6	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	098	0	1	01	01	H0544_098_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	098	0	1	01	01	H0544_098_0	6	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	098	0	1	01	01	H0544_098_0	6	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	101	0	1	01	01	H0544_101_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	101	0	1	01	01	H0544_101_0	8	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	101	0	1	01	01	H0544_101_0	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	102	0	1	01	01	H0544_102_0	7	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	102	0	1	01	01	H0544_102_0	7	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	102	0	1	01	01	H0544_102_0	7	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	103	0	1	01	01	H0544_103_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	103	0	1	01	01	H0544_103_0	8	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	103	0	1	01	01	H0544_103_0	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	104	0	1	01	01	H0544_104_0	7	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	104	0	1	01	01	H0544_104_0	7	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	104	0	1	01	01	H0544_104_0	7	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	105	0	1	01	01	H0544_105_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	105	0	1	01	01	H0544_105_0	8	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	105	0	1	01	01	H0544_105_0	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	106	0	1	01	01	H0544_106_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	106	0	1	01	01	H0544_106_0	8	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	106	0	1	01	01	H0544_106_0	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	107	0	1	01	01	H0544_107_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	107	0	1	01	01	H0544_107_0	8	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	107	0	1	01	01	H0544_107_0	8	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	108	0	1	01	01	H0544_108_0	6	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	108	0	1	01	01	H0544_108_0	6	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	108	0	1	01	01	H0544_108_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	117	1	1	01	01	H0544_117_1	7	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	117	1	1	01	01	H0544_117_1	7	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	117	1	1	01	01	H0544_117_1	7	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	117	2	1	01	01	H0544_117_2	7	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	117	2	1	01	01	H0544_117_2	7	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	117	2	1	01	01	H0544_117_2	7	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	118	1	1	01	01	H0544_118_1	7	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	118	1	1	01	01	H0544_118_1	7	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	118	1	1	01	01	H0544_118_1	7	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	118	2	1	01	01	H0544_118_2	7	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	118	2	1	01	01	H0544_118_2	7	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	118	2	1	01	01	H0544_118_2	7	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	119	1	1	01	01	H0544_119_1	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	119	1	1	01	01	H0544_119_1	8	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	119	1	1	01	01	H0544_119_1	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	119	2	1	01	01	H0544_119_2	8	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H0544	119	2	1	01	01	H0544_119_2	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	119	2	1	01	01	H0544_119_2	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H0544	120	1	1	01	01	H0544_120_1	8	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	120	1	1	01	01	H0544_120_1	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	120	1	1	01	01	H0544_120_1	8	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	120	2	1	01	01	H0544_120_2	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	120	2	1	01	01	H0544_120_2	8	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	120	2	1	01	01	H0544_120_2	8	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	121	1	1	01	01	H0544_121_1	10	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	121	1	1	01	01	H0544_121_1	10	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	121	1	1	01	01	H0544_121_1	10	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	121	2	1	01	01	H0544_121_2	8	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	121	2	1	01	01	H0544_121_2	8	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	121	2	1	01	01	H0544_121_2	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	127	0	1	01	01	H0544_127_0	6	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H0544	127	0	1	01	01	H0544_127_0	6	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H0544	127	0	1	01	01	H0544_127_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H0545	001	0	1	01	01	H0545_001_0	5	001	Enhanced Dental	14.80	2			2	2				16a;16b;
H0545	012	0	1	01	01	H0545_012_0	5	001	Enhanced Dental	14.80	2			2	2				16a;16b;
H0545	015	0	1	01	01	H0545_015_0	4	001	Enhanced Dental	14.80	2			2	2				16a;16b;
H0562	009	0	1	01	01	H0562_009_0	4	001	Centene Enhanced Dental & Fit Plus	25.00	1	250.00	3	2	2				7b;13a;16a;16b;17a;17b;
H0562	012	0	1	01	01	H0562_012_0	4	001	Centene Enhanced Dental	10.00	2			2	2				16a;16b;
H0562	039	0	1	01	01	H0562_039_0	4	001	Vision 300, 36 CAM Visits	12.00	1	300.00	3	2	2				7b;13a;14c;17a;17b;
H0562	044	0	1	01	01	H0562_044_0	4	001	Centene Enhanced Dental	10.00	2			2	2				16a;16b;
H0562	084	0	1	01	01	H0562_084_0	4	001	Vision 300, 36 CAM Visits	12.00	1	300.00	3	2	2				7b;13a;14c;17a;17b;
H0562	090	0	1	01	01	H0562_090_0	4	001	Centene Enhanced Dental	10.00	2			2	2				16a;16b;
H0562	103	0	1	01	01	H0562_103_0	4	001	Centene Enhanced Dental	10.00	2			2	2				16a;16b;
H0562	114	0	1	01	01	H0562_114_0	5	001	Centene Enhanced Dental	10.00	2			2	2				16a;16b;
H0562	123	0	1	01	01	H0562_123_0	4	001	Centene Enhanced Dental	10.00	2			2	2				16a;16b;
H0562	124	0	1	01	01	H0562_124_0	4	001	Centene Enhanced Dental	10.00	2			2	2				16a;16b;
H0571	001	0	1	01	01	H0571_001_0	8	001	Dental Plan	10.00	2			2	2			16b;	
H0571	007	0	1	01	01	H0571_007_0	9	001	Dental Plan	18.00	2			2	2			16a;16b;	
H0609	012	0	1	01	01	H0609_012_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0609	025	0	1	01	01	H0609_025_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0609	026	0	1	01	01	H0609_026_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H0609	028	0	1	01	01	H0609_028_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0609	032	0	1	01	01	H0609_032_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0609	034	1	1	01	01	H0609_034_1	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0609	036	1	1	01	01	H0609_036_1	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H0609	036	2	1	01	01	H0609_036_2	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0630	013	0	1	01	01	H0630_013_0	8	001	Advantage Plus - Option 1	39.00	2			2	2			14c;	16b;17b;18b;
H0630	013	0	1	01	01	H0630_013_0	8	002	Advantage Plus - Option 2	14.00	2			2	2			13a;14c;	10b;18b;
H0630	015	0	1	01	01	H0630_015_0	9	001	Advantage Plus - Option 1	39.00	2			2	2			;	14c;16b;17b;18b;
H0630	015	0	1	01	01	H0630_015_0	9	002	Advantage Plus - Option 2	14.00	2			2	2			13a;	10b;14c;18b;
H0630	016	0	1	01	01	H0630_016_0	9	001	Advantage Plus - Option 1	39.00	2			2	2			;	14c;16b;17b;18b;
H0630	016	0	1	01	01	H0630_016_0	9	002	Advantage Plus - Option 2	14.00	2			2	2			13a;	10b;14c;18b;
H0630	017	0	1	01	01	H0630_017_0	8	001	Advantage Plus - Option 1	39.00	2			2	2			14c;	16b;17b;18b;
H0630	017	0	1	01	01	H0630_017_0	8	002	Advantage Plus - Option 2	14.00	2			2	2			13a;14c;	10b;18b;
H0630	020	0	1	01	01	H0630_020_0	8	001	Advantage Plus - Option 1	39.00	2			2	2			14c;	16b;17b;18b;
H0630	020	0	1	01	01	H0630_020_0	8	002	Advantage Plus - Option 2	14.00	2			2	2			13a;14c;	10b;18b;
H0630	021	0	1	01	01	H0630_021_0	9	002	Advantage Plus - Option 2	14.00	2			2	2			13a;	10b;14c;18b;
H0630	021	0	1	01	01	H0630_021_0	9	001	Advantage Plus - Option 1	39.00	2			2	2			;	14c;16b;17b;18b;
H0630	023	0	1	01	01	H0630_023_0	9	001	Advantage Plus - Option 1	39.00	2			2	2			;	14c;16b;17b;18b;
H0630	023	0	1	01	01	H0630_023_0	9	002	Advantage Plus - Option 2	14.00	2			2	2			13a;	10b;14c;18b;
H0755	030	0	1	01	01	H0755_030_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H0755	031	0	1	01	01	H0755_031_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H0755	032	0	1	01	01	H0755_032_0	2	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H0755	033	0	1	01	01	H0755_033_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H0755	038	0	1	01	01	H0755_038_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H0755	043	0	1	01	01	H0755_043_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H0755	044	0	1	01	01	H0755_044_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0755	045	0	1	01	01	H0755_045_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1035	002	0	1	02	01	H1035_002_0	6	001	Optional Point of Service Benefit	70.00	2			2	2			POS;	
H1036	137	0	1	01	01	H1036_137_0	5	001	MyOption DEN204	61.40	1	2000.00	3	2	2				16b;
H1036	137	0	1	01	01	H1036_137_0	5	002	MyOption DEN205	88.20	1	2000.00	3	2	2				16b;
H1036	151	0	1	01	01	H1036_151_0	5	001	MyOption DEN204	40.30	1	2000.00	3	2	2				16b;
H1036	151	0	1	01	01	H1036_151_0	5	002	MyOption DEN205	58.90	1	2000.00	3	2	2				16b;
H1036	171	0	1	01	01	H1036_171_0	5	001	MyOption DEN204	40.30	1	2000.00	3	2	2				16b;
H1036	171	0	1	01	01	H1036_171_0	5	002	MyOption DEN205	58.90	1	2000.00	3	2	2				16b;
H1036	223	0	1	01	01	H1036_223_0	5	001	MyOption DEN204	40.30	1	2000.00	3	2	2				16b;
H1036	223	0	1	01	01	H1036_223_0	5	002	MyOption DEN205	58.90	1	2000.00	3	2	2				16b;
H1036	233	0	1	01	01	H1036_233_0	5	003	MyOption Total Dental HMO	37.00	1	1000.00	3	2	2				16a;16b;
H1036	233	0	1	01	01	H1036_233_0	5	002	MyOption Dental Enriched HMO	25.40	1	1000.00	3	2	2				16a;16b;
H1036	233	0	1	01	01	H1036_233_0	5	001	MyOption Enhanced Dental HMO	25.40	1	1000.00	3	2	2				16a;16b;
H1036	234	0	1	01	01	H1036_234_0	7	001	MyOption Enhanced Dental Plus HMO	34.50	1	1000.00	3	2	2				16a;16b;
H1036	234	0	1	01	01	H1036_234_0	7	002	MyOption Total Dental Plus HMO	44.30	1	1000.00	3	2	2				16a;16b;
H1036	291	0	1	01	01	H1036_291_0	5	002	MyOption DEN205	88.20	1	2000.00	3	2	2				16b;
H1036	291	0	1	01	01	H1036_291_0	5	001	MyOption DEN204	61.40	1	2000.00	3	2	2				16b;
H1111	011	0	1	01	01	H1111_011_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H1170	002	0	1	01	01	H1170_002_0	7	001	Advantage Plus	9.00	2			2	2			18a;18b;	16b;
H1170	008	0	1	01	01	H1170_008_0	9	001	Advantage Plus	9.00	2			2	2			18a;18b;	16b;
H1170	009	0	1	01	01	H1170_009_0	7	001	Advantage Plus	9.00	2			2	2			18a;18b;	16b;
H1170	010	0	1	01	01	H1170_010_0	7	001	Advantage Plus	9.00	2			2	2			18a;18b;	16b;
H1170	011	0	1	01	01	H1170_011_0	9	001	Advantage Plus	9.00	2			2	2			18a;18b;	16b;
H1170	012	0	1	01	01	H1170_012_0	7	001	Advantage Plus	9.00	2			2	2			18a;18b;	16b;
H1181	001	0		07	02	H1181_001_0	3	001	Dental	39.00	1	1000.00	3		1	100.00	16b;		16a;16b;
H1225	001	0	1	01	01	H1225_001_0	5	001	Comprehensive Dental	25.00	1	1000.00	3	2	2				16b;
H1230	001	0	1	01	01	H1230_001_0	14	001	Advantage Plus	44.00	2			2	2			17b;18a;18b;	16b;
H1230	003	0	1	01	01	H1230_003_0	11	001	Advantage Plus	44.00	2			2	2			17b;18a;18b;	16b;
H1230	013	0	1	01	01	H1230_013_0	11	001	Advantage Plus	44.00	2			2	2			17b;18a;18b;	16b;
H1230	014	0	1	01	01	H1230_014_0	11	001	Advantage Plus	44.00	2			2	2			17b;18a;18b;	16b;
H1278	003	0	1	04	01	H1278_003_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1278	004	0	1	04	01	H1278_004_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1278	005	0	1	04	01	H1278_005_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1278	009	0	1	04	01	H1278_009_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1278	010	0	1	04	01	H1278_010_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1278	013	0	1	04	01	H1278_013_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1278	014	0	1	04	01	H1278_014_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1278	015	0	1	04	01	H1278_015_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1278	016	0	1	04	01	H1278_016_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1304	011	1	1	04	01	H1304_011_1	8	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H1304	011	2	1	04	01	H1304_011_2	8	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H1304	012	1	1	04	01	H1304_012_1	7	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H1304	012	2	1	04	01	H1304_012_2	7	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H1350	015	1	1	01	01	H1350_015_1	3	001	True Dental	23.70	1	1000.00	3	2	2				16a;16b;
H1350	015	2	1	01	01	H1350_015_2	3	001	True Dental	23.70	1	1000.00	3	2	2				16a;16b;
H1350	016	1	1	01	01	H1350_016_1	3	001	True Dental	23.70	1	1000.00	3	2	2				16a;16b;
H1350	016	2	1	01	01	H1350_016_2	3	001	True Dental	23.70	1	1000.00	3	2	2				16a;16b;
H1350	019	1	1	01	01	H1350_019_1	3	001	True Dental Enhanced	27.60	1	1000.00	3	2	1	50.00	16b;		16b;
H1350	019	2	1	01	01	H1350_019_2	3	001	True Dental Enhanced	27.60	1	1000.00	3	2	1	50.00	16b;		16b;
H1350	026	0	1	01	01	H1350_026_0	4	001	Dental, Vision, Hearing Buy Up	30.90	2			2	2			16b;17a;17b;18a;18b;	
H1423	001	0	1	01	01	H1423_001_0	7	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H1423	001	0	1	01	01	H1423_001_0	7	001	Preventive Dental Package	12.00	2			2	2				16a;
H1423	001	0	1	01	01	H1423_001_0	7	003	Enhanced Dental and Vision Package	47.00	2			2	2				16a;16b;17b;
H1423	002	0	1	01	01	H1423_002_0	6	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H1423	002	0	1	01	01	H1423_002_0	6	003	Enhanced Dental and Vision Package	47.00	2			2	2				16a;16b;17b;
H1423	002	0	1	01	01	H1423_002_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H1423	003	0	1	01	01	H1423_003_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H1423	003	0	1	01	01	H1423_003_0	6	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H1423	003	0	1	01	01	H1423_003_0	6	003	Enhanced Dental and Vision Package	47.00	2			2	2				16a;16b;17b;
H1423	004	0	1	01	01	H1423_004_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H1423	004	0	1	01	01	H1423_004_0	6	002	Dental and Vision Package	24.00	2			2	2				16a;16b;17b;
H1423	004	0	1	01	01	H1423_004_0	6	003	Enhanced Dental and Vision Package	46.00	2			2	2				16a;16b;17b;
H1423	005	0	1	01	01	H1423_005_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H1423	005	0	1	01	01	H1423_005_0	6	002	Dental and Vision Package	24.00	2			2	2				16a;16b;17b;
H1423	005	0	1	01	01	H1423_005_0	6	003	Enhanced Dental and Vision Package	46.00	2			2	2				16a;16b;17b;
H1423	007	0	1	01	01	H1423_007_0	7	001	Preventive Dental Package	12.00	2			2	2				16a;
H1423	007	0	1	01	01	H1423_007_0	7	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H1423	007	0	1	01	01	H1423_007_0	7	003	Enhanced Dental and Vision Package	47.00	2			2	2				16a;16b;17b;
H1423	008	0	1	01	01	H1423_008_0	7	001	Preventive Dental Package	12.00	2			2	2				16a;
H1423	008	0	1	01	01	H1423_008_0	7	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H1423	008	0	1	01	01	H1423_008_0	7	003	Enhanced Dental and Vision Package	47.00	2			2	2				16a;16b;17b;
H1423	009	0	1	01	01	H1423_009_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H1423	009	0	1	01	01	H1423_009_0	8	002	Dental and Vision Package	24.00	2			2	2				16a;16b;17b;
H1423	009	0	1	01	01	H1423_009_0	8	003	Enhanced Dental and Vision Package	46.00	2			2	2				16a;16b;17b;
H1468	014	0	1	01	01	H1468_014_0	5	001	MyOption DEN204	53.90	1	2000.00	3	2	2				16b;
H1607	012	0	1	04	01	H1607_012_0	7	001	Preventive Dental Package	28.00	2			2	2				16a;
H1607	012	0	1	04	01	H1607_012_0	7	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H1607	012	0	1	04	01	H1607_012_0	7	003	Enhanced Dental and Vision Package	63.00	2			2	2				16a;16b;17b;
H1607	015	0	1	04	01	H1607_015_0	8	001	Preventive Dental Package	28.00	2			2	2				16a;
H1607	015	0	1	04	01	H1607_015_0	8	003	Enhanced Dental and Vision Package	63.00	2			2	2				16a;16b;17b;
H1607	015	0	1	04	01	H1607_015_0	8	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H1651	008	0	1	18	06	H1651_008_0	1	001	Out of Network Benefits	36.00	2			2	2				13d;
H1651	009	0	1	18	06	H1651_009_0	1	001	Out of Network Benefits	36.00	2			2	2				13d;
H1821	001	0	1	04	01	H1821_001_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H1821	002	0	1	04	01	H1821_002_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1821	003	0	1	04	01	H1821_003_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1846	004	0	1	04	01	H1846_004_0	5	001	Dental Silver	22.00	1	0.00	3	2	2				16b;
H1846	004	0	1	04	01	H1846_004_0	5	002	Dental Gold	41.00	1	500.00	3	2	2				16b;
H1846	005	0	1	04	01	H1846_005_0	5	001	Dental Silver	22.00	1	0.00	3	2	2				16b;
H1846	005	0	1	04	01	H1846_005_0	5	002	Dental Gold	41.00	1	500.00	3	2	2				16b;
H1846	006	0	1	04	01	H1846_006_0	5	001	Dental Silver	22.00	1	0.00	3	2	2				16b;
H1846	006	0	1	04	01	H1846_006_0	5	002	Dental Gold	41.00	1	500.00	3	2	2				16b;
H1846	007	0	1	04	01	H1846_007_0	5	002	Dental Gold	36.00	1	500.00	3	2	2				16b;
H1846	007	0	1	04	01	H1846_007_0	5	001	Dental Silver	20.00	1	0.00	3	2	2				16b;
H1894	001	0	1	01	01	H1894_001_0	9	002	Dental and Vision Package	30.00	2			2	2				16a;16b;17b;
H1894	001	0	1	01	01	H1894_001_0	9	003	Enhanced Dental and Vision Package	55.00	2			2	2				16a;16b;17b;
H1894	001	0	1	01	01	H1894_001_0	9	001	Preventive Dental Package	8.00	2			2	2				16a;
H1894	008	0	1	01	01	H1894_008_0	9	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H1894	008	0	1	01	01	H1894_008_0	9	001	Preventive Dental Package	7.00	2			2	2				16a;
H1894	008	0	1	01	01	H1894_008_0	9	003	Enhanced Dental and Vision Package	53.00	2			2	2				16a;16b;17b;
H1944	001	0	1	01	01	H1944_001_0	2	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H1944	004	0	1	01	01	H1944_004_0	2	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H1944	005	0	1	01	01	H1944_005_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H1944	006	0	1	01	01	H1944_006_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H1944	010	0	1	01	01	H1944_010_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1944	017	0	1	01	01	H1944_017_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H1944	018	0	1	01	01	H1944_018_0	2	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H1944	028	0	1	01	01	H1944_028_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H1951	013	0	1	01	01	H1951_013_0	5	002	MyOption DEN205	96.00	1	2000.00	3	2	2				16b;
H1951	013	0	1	01	01	H1951_013_0	5	001	MyOption DEN204	60.30	1	2000.00	3	2	2				16b;
H1951	024	0	1	01	01	H1951_024_0	5	002	MyOption DEN205	96.00	1	2000.00	3	2	2				16b;
H1951	024	0	1	01	01	H1951_024_0	5	001	MyOption DEN204	60.30	1	2000.00	3	2	2				16b;
H1951	028	0	1	01	01	H1951_028_0	5	001	MyOption DEN204	60.30	1	2000.00	3	2	2				16b;
H1951	028	0	1	01	01	H1951_028_0	5	002	MyOption DEN205	96.00	1	2000.00	3	2	2				16b;
H1951	047	1	1	01	01	H1951_047_1	5	002	MyOption DEN205	96.00	1	2000.00	3	2	2				16b;
H1951	047	1	1	01	01	H1951_047_1	5	001	MyOption DEN204	60.30	1	2000.00	3	2	2				16b;
H1951	047	2	1	01	01	H1951_047_2	5	001	MyOption DEN204	60.30	1	2000.00	3	2	2				16b;
H1951	047	2	1	01	01	H1951_047_2	5	002	MyOption DEN205	96.00	1	2000.00	3	2	2				16b;
H1951	048	1	1	01	01	H1951_048_1	5	002	MyOption DEN205	96.00	1	2000.00	3	2	2				16b;
H1951	048	1	1	01	01	H1951_048_1	5	001	MyOption DEN204	60.30	1	2000.00	3	2	2				16b;
H1951	048	2	1	01	01	H1951_048_2	5	002	MyOption DEN205	96.00	1	2000.00	3	2	2				16b;
H1951	048	2	1	01	01	H1951_048_2	5	001	MyOption DEN204	60.30	1	2000.00	3	2	2				16b;
H1951	049	1	1	01	01	H1951_049_1	5	001	MyOption DEN204	60.30	1	2000.00	3	2	2				16b;
H1951	049	1	1	01	01	H1951_049_1	5	002	MyOption DEN205	96.00	1	2000.00	3	2	2				16b;
H1951	049	2	1	01	01	H1951_049_2	5	002	MyOption DEN205	96.00	1	2000.00	3	2	2				16b;
H1951	049	2	1	01	01	H1951_049_2	5	001	MyOption DEN204	60.30	1	2000.00	3	2	2				16b;
H1951	049	3	1	01	01	H1951_049_3	5	001	MyOption DEN204	60.30	1	2000.00	3	2	2				16b;
H1951	049	3	1	01	01	H1951_049_3	5	002	MyOption DEN205	96.00	1	2000.00	3	2	2				16b;
H1951	052	0	1	01	01	H1951_052_0	5	001	MyOption DEN204	60.30	1	2000.00	3	2	2				16b;
H1951	052	0	1	01	01	H1951_052_0	5	002	MyOption DEN205	96.00	1	2000.00	3	2	2				16b;
H1969	002	0	1	01	01	H1969_002_0	7	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H1969	004	0	1	01	01	H1969_004_0	7	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H1969	006	0	1	01	01	H1969_006_0	4	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H1969	007	3	1	01	01	H1969_007_3	8	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H1969	007	4	1	01	01	H1969_007_4	8	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H1969	008	1	1	01	01	H1969_008_1	8	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H1969	008	2	1	01	01	H1969_008_2	8	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H1994	001	0	1	01	01	H1994_001_0	10	001	SelectHealth Dental Comprehensive Benefit	30.00	1	1500.00	3	2	2			16b;	
H1994	002	0	1	01	01	H1994_002_0	9	001	SelectHealth Dental Comprehensive Benefit	30.00	1	1500.00	3	2	2			16b;	
H1994	004	0	1	01	01	H1994_004_0	9	002	Idaho Delta Dental Advantage Plus Eyewear	43.00	1	1200.00	3	2	1	50.00	16b;	16a;16b;17b;	
H1994	004	0	1	01	01	H1994_004_0	9	001	Idaho Delta Dental Advantage	38.00	1	1000.00	3	2	1	50.00	16b;	16a;16b;	
H1994	013	0	1	01	01	H1994_013_0	9	001	Idaho Delta Dental Advantage	38.00	1	1000.00	3	2	1	50.00	16b;	16a;16b;	
H1994	013	0	1	01	01	H1994_013_0	9	002	Idaho Delta Dental Advantage Plus Eyewear	43.00	1	1200.00	3	2	1	50.00	16b;	16a;16b;17b;	
H1994	014	0	1	01	01	H1994_014_0	9	001	Idaho Delta Dental Advantage	38.00	1	1000.00	3	2	1	50.00	16b;	16a;16b;	
H1994	014	0	1	01	01	H1994_014_0	9	002	Idaho Delta Dental Advantage Plus Eyewear	43.00	1	1200.00	3	2	1	50.00	16b;	16a;16b;17b;	
H1997	002	0	1	01	01	H1997_002_0	7	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H1997	008	0	1	01	01	H1997_008_0	4	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H1997	009	0	1	01	01	H1997_009_0	7	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H1997	010	0	1	01	01	H1997_010_0	8	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H1997	011	0	1	01	01	H1997_011_0	8	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H2001	001	0	1	04	01	H2001_001_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H2001	010	0	1	04	01	H2001_010_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H2001	018	0	1	04	01	H2001_018_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H2032	001	0	1	04	01	H2032_001_0	4	001	Dental Services	20.00	1	2000.00	3	2	2				16a;16b;
H2032	002	0	1	04	01	H2032_002_0	4	001	Dental Services	20.00	1	2000.00	3	2	2				16a;16b;
H2134	002	0	1	01	01	H2134_002_0	4	001	Centene Silver 1500 20%, Vision 200	28.00	1	1700.00	3	2	2				16a;16b;17a;17b;
H2161	002	0	1	02	01	H2161_002_0	5	001	Dental Premium Plan	20.00	1	2500.00	3	2	2				16b;
H2161	003	0	1	01	01	H2161_003_0	5	001	Dental Premium Plan	20.00	1	2500.00	3	2	2				16b;
H2171	001	0	1	01	01	H2171_001_0	8	001	Dental Rider	25.00	1	7500.00	3	2	2			16b;	
H2171	003	0	1	01	01	H2171_003_0	6	001	Dental Rider	25.00	1	7500.00	3	2	2			16b;	
H2172	001	0	1	01	01	H2172_001_0	7	001	Advantage Plus	25.00	2			2	2			;	16a;16b;17b;18b;
H2172	002	0	1	01	01	H2172_002_0	7	001	Advantage Plus	25.00	2			2	2			;	16a;16b;17b;18b;
H2172	003	0	1	01	01	H2172_003_0	7	001	Advantage Plus	25.00	2			2	2			;	16a;16b;17b;18b;
H2172	004	0	1	01	01	H2172_004_0	8	001	Advantage Plus	25.00	2			2	2			;	16a;16b;17b;18b;
H2172	005	0	1	01	01	H2172_005_0	6	001	Advantage Plus	25.00	2			2	2			;	16a;16b;17b;18b;
H2172	006	0	1	01	01	H2172_006_0	8	001	Advantage Plus	25.00	2			2	2			;	16a;16b;17b;18b;
H2172	008	0	1	01	01	H2172_008_0	8	001	Advantage Plus	25.00	2			2	2			;	16a;16b;17b;18b;
H2172	009	0	1	01	01	H2172_009_0	7	001	Advantage Plus	25.00	2			2	2			;	16a;16b;17b;18b;
H2172	010	0	1	01	01	H2172_010_0	7	001	Advantage Plus	25.00	2			2	2			;	16a;16b;17b;18b;
H2172	011	0	1	01	01	H2172_011_0	7	001	Advantage Plus	25.00	2			2	2			;	16a;16b;17b;18b;
H2172	012	0	1	01	01	H2172_012_0	7	001	Advantage Plus	25.00	2			2	2			;	16a;16b;17b;18b;
H2196	002	0	1	01	01	H2196_002_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H2228	023	0	1	04	01	H2228_023_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2228	024	0	1	04	01	H2228_024_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H2228	025	0	1	04	01	H2228_025_0	2	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H2228	029	0	1	04	01	H2228_029_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H2228	064	0	1	04	01	H2228_064_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2228	066	0	1	04	01	H2228_066_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2228	067	0	1	04	01	H2228_067_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2228	068	0	1	04	01	H2228_068_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2228	074	0	1	04	01	H2228_074_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2228	076	0	1	04	01	H2228_076_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2228	077	0	1	04	01	H2228_077_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H2228	081	0	1	04	01	H2228_081_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2228	084	0	1	04	01	H2228_084_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H2228	094	0	1	04	01	H2228_094_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2228	110	0	1	04	01	H2228_110_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2228	111	0	1	04	01	H2228_111_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2228	116	0	1	04	01	H2228_116_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2228	117	0	1	04	01	H2228_117_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2228	118	0	1	04	01	H2228_118_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2235	001	0	1	01	01	H2235_001_0	10	001	Comp. Dental	25.00	2			2	2			16b;	
H2235	002	0	1	01	01	H2235_002_0	9	001	Comp. Dental	25.00	2			2	2			16b;	
H2235	003	0	1	01	01	H2235_003_0	10	001	Comp. Dental	25.00	2			2	2			16b;	
H2256	001	1	1	01	01	H2256_001_1	6	001	Tufts Health Plan Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	001	2	1	01	01	H2256_001_2	6	001	Tufts Health Plan Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	001	6	1	01	01	H2256_001_6	6	001	Tufts Health Plan Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	015	1	1	01	01	H2256_015_1	7	001	Tufts Health Plan Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	015	2	1	01	01	H2256_015_2	7	001	Tufts Health Plan Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	015	6	1	01	01	H2256_015_6	7	001	Tufts Health Plan Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	016	1	1	01	01	H2256_016_1	7	001	Tufts Health Plan Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	016	2	1	01	01	H2256_016_2	6	001	Tufts Health Plan Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	018	1	1	01	01	H2256_018_1	6	001	Tufts Health Plan Medicare Preferred Dental Option	18.50	1	1000.00	3	2	2				16b;
H2256	018	7	1	01	01	H2256_018_7	6	001	Tufts Health Plan Medicare Preferred Dental Option	18.50	1	1000.00	3	2	2				16b;
H2256	018	8	1	01	01	H2256_018_8	6	001	Tufts Health Plan Medicare Preferred Dental Option	18.50	1	1000.00	3	2	2				16b;
H2256	019	1	1	01	01	H2256_019_1	5	001	Tufts Health Plan Medicare Preferred Dental Option	18.50	1	1000.00	3	2	2				16b;
H2256	019	7	1	01	01	H2256_019_7	5	001	Tufts Health Plan Medicare Preferred Dental Option	18.50	1	1000.00	3	2	2				16b;
H2256	026	1	1	01	01	H2256_026_1	6	001	Tufts Health Plan Medicare Preferred Dental Option	18.50	1	1000.00	3	2	2				16b;
H2256	026	2	1	01	01	H2256_026_2	6	001	Tufts Health Plan Medicare Preferred Dental Option	18.50	1	1000.00	3	2	2				16b;
H2256	026	3	1	01	01	H2256_026_3	6	001	Tufts Health Plan Medicare Preferred Dental Option	18.50	1	1000.00	3	2	2				16b;
H2256	028	0	1	01	01	H2256_028_0	6	001	Tufts Health Plan Medicare Preferred Dental Option	18.50	1	1000.00	3	2	2				16b;
H2256	033	0	1	01	01	H2256_033_0	8	001	Tufts Health Plan Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	034	0	1	01	01	H2256_034_0	6	001	Tufts Health Plan Medicare Preferred Dental Option	18.50	1	1000.00	3	2	2				16b;
H2256	036	0	1	01	01	H2256_036_0	6	001	Tufts Health Plan Medicare Preferred Dental Option	18.50	1	1000.00	3	2	2				16b;
H2256	039	0	1	01	01	H2256_039_0	6	001	Tufts Health Plan Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	040	0	1	01	01	H2256_040_0	5	001	Tufts Health Plan Medicare Preferred Dental Option	18.50	1	1000.00	3	2	2				16b;
H2256	041	0	1	01	01	H2256_041_0	5	001	Tufts Health Plan Medicare Preferred Dental Option	18.50	1	1000.00	3	2	2				16b;
H2256	042	0	1	01	01	H2256_042_0	5	001	Tufts Health Plan Medicare Preferred Dental Option	18.50	1	1000.00	3	2	2				16b;
H2320	022	1	1	02	01	H2320_022_1	9	001	Enhanced Vision and Dental	23.00	1	2650.00	3	2	2			16a;16b;	17b;
H2320	022	2	1	02	01	H2320_022_2	9	001	Enhanced Vision and Dental	23.00	1	2650.00	3	2	2			16a;16b;	17b;
H2320	022	3	1	02	01	H2320_022_3	9	001	Enhanced Vision and Dental	23.00	1	2650.00	3	2	2			16a;16b;	17b;
H2320	022	4	1	02	01	H2320_022_4	9	001	Enhanced Vision and Dental	23.00	1	2650.00	3	2	2			16a;16b;	17b;
H2320	022	5	1	02	01	H2320_022_5	9	001	Enhanced Vision and Dental	23.00	1	2650.00	3	2	2			16a;16b;	17b;
H2320	028	1	1	02	01	H2320_028_1	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H2320	028	2	1	02	01	H2320_028_2	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H2320	028	3	1	02	01	H2320_028_3	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H2320	028	4	1	02	01	H2320_028_4	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H2320	028	5	1	02	01	H2320_028_5	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H2320	029	1	1	02	01	H2320_029_1	11	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H2320	029	2	1	02	01	H2320_029_2	11	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H2320	029	3	1	02	01	H2320_029_3	11	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H2320	029	4	1	02	01	H2320_029_4	11	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H2320	029	5	1	02	01	H2320_029_5	11	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H2322	004	0	1	04	01	H2322_004_0	7	002	Delta Dental Plan 50	18.00	1	1000.00	3	2	2				16b;
H2322	004	0	1	04	01	H2322_004_0	7	001	Delta Dental Plan 100	47.30	1	2500.00	3	2	2				16b;
H2322	004	0	1	04	01	H2322_004_0	7	003	Delta Dental Plan 70	35.60	1	1500.00	3	2	2				16b;
H2322	008	0	1	04	01	H2322_008_0	7	003	Delta Dental Plan 70	35.60	1	1500.00	3	2	2				16b;
H2322	008	0	1	04	01	H2322_008_0	7	002	Delta Dental Plan 50	18.00	1	1000.00	3	2	2				16b;
H2322	008	0	1	04	01	H2322_008_0	7	001	Delta Dental Plan 100	47.30	1	2500.00	3	2	2				16b;
H2322	011	0	1	04	01	H2322_011_0	7	003	Delta Dental Plan 70	35.60	1	1500.00	3	2	2				16b;
H2322	011	0	1	04	01	H2322_011_0	7	002	Delta Dental Plan 50	18.00	1	1000.00	3	2	2				16b;
H2322	011	0	1	04	01	H2322_011_0	7	001	Delta Dental Plan 100	47.30	1	2500.00	3	2	2				16b;
H2322	012	0	1	04	01	H2322_012_0	7	003	Delta Dental Plan 70	35.60	1	1500.00	3	2	2				16b;
H2322	012	0	1	04	01	H2322_012_0	7	002	Delta Dental Plan 50	18.00	1	1000.00	3	2	2				16b;
H2322	012	0	1	04	01	H2322_012_0	7	001	Delta Dental Plan 100	47.30	1	2500.00	3	2	2				16b;
H2354	015	0	1	01	01	H2354_015_0	7	002	Delta Dental Plan 50	18.00	1	1000.00	3	2	2				16b;
H2354	015	0	1	01	01	H2354_015_0	7	003	Delta Dental Plan 70	35.60	1	1500.00	3	2	2				16b;
H2354	015	0	1	01	01	H2354_015_0	7	001	Delta Dental Plan 100	47.30	1	2500.00	3	2	2				16b;
H2354	018	0	1	01	01	H2354_018_0	7	003	Delta Dental Plan 70	35.60	1	1500.00	3	2	2				16b;
H2354	018	0	1	01	01	H2354_018_0	7	002	Delta Dental Plan 50	18.00	1	1000.00	3	2	2				16b;
H2354	018	0	1	01	01	H2354_018_0	7	001	Delta Dental Plan 100	47.30	1	2500.00	3	2	2				16b;
H2354	019	0	1	01	01	H2354_019_0	6	001	Delta Dental Plan 100	47.30	1	2500.00	3	2	2				16b;
H2354	019	0	1	01	01	H2354_019_0	6	002	Delta Dental Plan 50	18.00	1	1000.00	3	2	2				16b;
H2354	019	0	1	01	01	H2354_019_0	6	003	Delta Dental Plan 70	35.60	1	1500.00	3	2	2				16b;
H2354	021	0	1	02	01	H2354_021_0	7	003	Delta Dental Plan 70	35.60	1	1500.00	3	2	2				16b;
H2354	021	0	1	02	01	H2354_021_0	7	001	Delta Dental Plan 100	47.30	1	2500.00	3	2	2				16b;
H2354	021	0	1	02	01	H2354_021_0	7	002	Delta Dental Plan 50	18.00	1	1000.00	3	2	2				16b;
H2354	022	0	1	02	01	H2354_022_0	7	001	Delta Dental Plan 100	47.30	1	2500.00	3	2	2				16b;
H2354	022	0	1	02	01	H2354_022_0	7	002	Delta Dental Plan 50	18.00	1	1000.00	3	2	2				16b;
H2354	022	0	1	02	01	H2354_022_0	7	003	Delta Dental Plan 70	35.60	1	1500.00	3	2	2				16b;
H2354	024	0	1	01	01	H2354_024_0	7	003	Delta Dental Plan 70	35.60	1	1500.00	3	2	2				16b;
H2354	024	0	1	01	01	H2354_024_0	7	001	Delta Dental Plan 100	47.30	1	2500.00	3	2	2				16b;
H2354	024	0	1	01	01	H2354_024_0	7	002	Delta Dental Plan 50	18.00	1	1000.00	3	2	2				16b;
H2354	026	0	1	01	01	H2354_026_0	7	003	Delta Dental Plan 70	35.60	1	1500.00	3	2	2				16b;
H2354	026	0	1	01	01	H2354_026_0	7	001	Delta Dental Plan 100	47.30	1	2500.00	3	2	2				16b;
H2354	026	0	1	01	01	H2354_026_0	7	002	Delta Dental Plan 50	18.00	1	1000.00	3	2	2				16b;
H2354	027	0	1	01	01	H2354_027_0	7	001	Delta Dental Plan 100	47.30	1	2500.00	3	2	2				16b;
H2354	027	0	1	01	01	H2354_027_0	7	002	Delta Dental Plan 50	18.00	1	1000.00	3	2	2				16b;
H2354	027	0	1	01	01	H2354_027_0	7	003	Delta Dental Plan 70	35.60	1	1500.00	3	2	2				16b;
H2450	040	0	1	18	06	H2450_040_0	2	002	Wisconsin Rider	34.00	2			2	2				2;6;
H2450	041	0	1	18	06	H2450_041_0	4	002	Wisconsin Rider	34.00	2			2	2				2;6;
H2459	001	0	1	02	01	H2459_001_0	4	001	Choice Dental	25.00	1	2000.00	3	2	1	75.00	16b;		16a;16b;
H2459	021	1	1	02	01	H2459_021_1	5	001	Classic Choice Dental	25.00	1	2500.00	3	2	1	50.00	16b;		16b;
H2459	021	2	1	02	01	H2459_021_2	5	001	Classic Choice Dental	25.00	1	2500.00	3	2	1	50.00	16b;		16b;
H2459	021	3	1	02	01	H2459_021_3	5	001	Classic Choice Dental	25.00	1	2500.00	3	2	1	50.00	16b;		16b;
H2459	023	1	1	02	01	H2459_023_1	7	001	Choice Dental	25.00	1	2000.00	3	2	1	75.00	16b;		16a;16b;
H2459	023	2	1	02	01	H2459_023_2	5	001	Choice Dental	25.00	1	2000.00	3	2	1	75.00	16b;		16a;16b;
H2459	024	0	1	02	01	H2459_024_0	5	001	Choice Dental	25.00	1	2000.00	3	2	1	75.00	16b;		16a;16b;
H2459	030	0	1	02	01	H2459_030_0	4	001	Choice Dental	25.00	1	2000.00	3	2	1	75.00	16b;		16a;16b;
H2462	010	0	1	18	06	H2462_010_0	1	001	Freedom Comprehensive Dental Benefit	41.50	1	1100.00	3	2	1	50.00	16b;		16a;16b;
H2462	018	0	1	18	06	H2462_018_0	1	001	Freedom Comprehensive Dental Benefit	43.10	1	1100.00	3	2	1	50.00	16b;		16a;16b;
H2462	027	0	1	18	06	H2462_027_0	1	001	Freedom Comprehensive Dental Benefit	43.10	1	1100.00	3	2	1	50.00	16b;		16a;16b;
H2462	028	0	1	18	06	H2462_028_0	1	002	Freedom Comprehensive Dental Benefit	43.10	1	1100.00	3	2	1	50.00	16b;		16a;16b;
H2462	028	0	1	18	06	H2462_028_0	1	001	Wisconsin Rider	42.00	2			2	2			2;	6;7b;
H2463	001	0	1	01	01	H2463_001_0	4	002	MyOption Total Dental HMO	42.70	1	2000.00	3	2	2				16a;16b;
H2463	001	0	1	01	01	H2463_001_0	4	001	MyOption Enhanced Dental HMO	31.50	1	2000.00	3	2	2				16a;16b;
H2486	006	0	1	01	01	H2486_006_0	7	001	MyOption DEN204	104.80	1	2000.00	3	2	2				16b;
H2486	007	0	1	01	01	H2486_007_0	8	001	MyOption DEN204	104.80	1	2000.00	3	2	2				16b;
H2486	008	0	1	01	01	H2486_008_0	7	002	MyOption DEN205	106.50	1	2000.00	3	2	2				16b;
H2486	008	0	1	01	01	H2486_008_0	7	001	MyOption DEN204	76.60	1	2000.00	3	2	2				16b;
H2577	001	1	1	04	01	H2577_001_1	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H2577	001	2	1	04	01	H2577_001_2	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H2577	002	0	1	04	01	H2577_002_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2577	003	1	1	04	01	H2577_003_1	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H2577	003	2	1	04	01	H2577_003_2	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H2577	004	0	1	04	01	H2577_004_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H2577	014	0	1	04	01	H2577_014_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H2577	015	0	1	04	01	H2577_015_0	2	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H2577	016	0	1	04	01	H2577_016_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H2577	017	0	1	04	01	H2577_017_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H2577	018	0	1	04	01	H2577_018_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2577	027	0	1	04	01	H2577_027_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H2577	029	0	1	04	01	H2577_029_0	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2582	004	0	1	01	01	H2582_004_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2593	001	0	1	01	01	H2593_001_0	7	001	Preventive Dental Package	12.00	2			2	2				16a;
H2593	001	0	1	01	01	H2593_001_0	7	002	Dental and Vision Package	24.00	2			2	2				16a;16b;17b;
H2593	001	0	1	01	01	H2593_001_0	7	003	Enhanced Dental and Vision Package	46.00	2			2	2				16a;16b;17b;
H2593	003	0	1	01	01	H2593_003_0	6	003	Enhanced Dental and Vision Package	47.00	2			2	2				16a;16b;17b;
H2593	003	0	1	01	01	H2593_003_0	6	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H2593	003	0	1	01	01	H2593_003_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H2593	005	0	1	01	01	H2593_005_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H2593	005	0	1	01	01	H2593_005_0	6	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H2593	005	0	1	01	01	H2593_005_0	6	003	Enhanced Dental and Vision Package	47.00	2			2	2				16a;16b;17b;
H2593	006	0	1	01	01	H2593_006_0	6	003	Enhanced Dental and Vision Package	47.00	2			2	2				16a;16b;17b;
H2593	006	0	1	01	01	H2593_006_0	6	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H2593	006	0	1	01	01	H2593_006_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H2593	013	0	1	01	01	H2593_013_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H2593	013	0	1	01	01	H2593_013_0	6	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H2593	013	0	1	01	01	H2593_013_0	6	003	Enhanced Dental and Vision Package	47.00	2			2	2				16a;16b;17b;
H2593	018	0	1	01	01	H2593_018_0	6	002	Dental and Vision Package	24.00	2			2	2				16a;16b;17b;
H2593	018	0	1	01	01	H2593_018_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H2593	018	0	1	01	01	H2593_018_0	6	003	Enhanced Dental and Vision Package	46.00	2			2	2				16a;16b;17b;
H2593	019	0	1	01	01	H2593_019_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H2593	019	0	1	01	01	H2593_019_0	6	003	Enhanced Dental and Vision Package	47.00	2			2	2				16a;16b;17b;
H2593	019	0	1	01	01	H2593_019_0	6	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H2593	022	0	1	01	01	H2593_022_0	7	001	Preventive Dental Package	7.00	2			2	2				16a;
H2593	022	0	1	01	01	H2593_022_0	7	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H2593	022	0	1	01	01	H2593_022_0	7	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H2593	023	0	1	01	01	H2593_023_0	9	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H2593	023	0	1	01	01	H2593_023_0	9	001	Preventive Dental Package	7.00	2			2	2				16a;
H2593	023	0	1	01	01	H2593_023_0	9	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H2593	025	0	1	01	01	H2593_025_0	9	001	Preventive Dental Package	7.00	2			2	2				16a;
H2593	025	0	1	01	01	H2593_025_0	9	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H2593	025	0	1	01	01	H2593_025_0	9	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H2593	029	0	1	01	01	H2593_029_0	8	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H2593	029	0	1	01	01	H2593_029_0	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H2593	029	0	1	01	01	H2593_029_0	8	001	Preventive Dental Package	14.00	2			2	2				16a;
H2593	037	0	1	01	01	H2593_037_0	8	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H2593	037	0	1	01	01	H2593_037_0	8	003	Enhanced Dental and Vision Package	52.00	2			2	2				16a;16b;17b;
H2593	037	0	1	01	01	H2593_037_0	8	001	Preventive Dental Package	14.00	2			2	2				16a;
H2593	038	0	1	01	01	H2593_038_0	8	003	Enhanced Dental and Vision Package	52.00	2			2	2				16a;16b;17b;
H2593	038	0	1	01	01	H2593_038_0	8	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H2593	038	0	1	01	01	H2593_038_0	8	001	Preventive Dental Package	14.00	2			2	2				16a;
H2593	039	0	1	01	01	H2593_039_0	8	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H2593	039	0	1	01	01	H2593_039_0	8	003	Enhanced Dental and Vision Package	52.00	2			2	2				16a;16b;17b;
H2593	039	0	1	01	01	H2593_039_0	8	001	Preventive Dental Package	14.00	2			2	2				16a;
H2593	040	0	1	01	01	H2593_040_0	6	003	Enhanced Dental and Vision Package	47.00	2			2	2				16a;16b;17b;
H2593	040	0	1	01	01	H2593_040_0	6	001	Preventive Dental Package	12.00	2			2	2				16a;
H2593	040	0	1	01	01	H2593_040_0	6	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H2593	041	0	1	01	01	H2593_041_0	8	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H2593	041	0	1	01	01	H2593_041_0	8	001	Preventive Dental Package	14.00	2			2	2				16a;
H2593	041	0	1	01	01	H2593_041_0	8	003	Enhanced Dental and Vision Package	52.00	2			2	2				16a;16b;17b;
H2593	043	0	1	01	01	H2593_043_0	10	003	Enhanced Dental and Vision Package	52.00	2			2	2				16a;16b;17b;
H2593	043	0	1	01	01	H2593_043_0	10	001	Preventive Dental Package	14.00	2			2	2				16a;
H2593	043	0	1	01	01	H2593_043_0	10	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H2624	001	0	1	01	01	H2624_001_0	15	001	Dental Rider	25.00	2			2	2			16b;	
H2765	001	0	1	02	01	H2765_001_0	6	001	Summit Health Extra Care	5.00	1	500.00	3	2	2			7b;13a;14c;	
H2765	002	0	1	01	01	H2765_002_0	7	001	Summit Health Extra Care	5.00	1	500.00	3	2	2			7b;13a;14c;	
H2765	003	0	1	02	01	H2765_003_0	7	001	Summit Health Extra Care	5.00	1	500.00	3	2	2			7b;13a;14c;	
H2765	004	0	1	02	01	H2765_004_0	7	001	Summit Health Extra Care	5.00	1	500.00	3	2	2			7b;13a;14c;	
H2802	008	0	1	02	01	H2802_008_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2802	010	0	1	02	01	H2802_010_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2802	012	0	1	02	01	H2802_012_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2802	016	0	1	02	01	H2802_016_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2802	020	0	1	02	01	H2802_020_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H2802	029	0	1	02	01	H2802_029_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H2802	032	0	1	02	01	H2802_032_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H2802	033	0	1	02	01	H2802_033_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2802	048	0	1	01	01	H2802_048_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H2825	001	0	1	01	01	H2825_001_0	8	001	Comp. Dental	27.00	1	1250.00	3	2	2			16b;	
H2825	002	0	1	01	01	H2825_002_0	7	001	Comp. Dental	27.00	1	1250.00	3	2	2			16b;	
H2825	003	0	1	01	01	H2825_003_0	9	001	Comp. Dental	27.00	1	1250.00	3	2	2			16b;	
H2836	005	0	1	04	01	H2836_005_0	6	002	Dental and Vision Package	34.00	2			2	2				16a;16b;17b;
H2836	005	0	1	04	01	H2836_005_0	6	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H2836	005	0	1	04	01	H2836_005_0	6	001	Preventive Dental Package	20.00	2			2	2				16a;
H2853	001	0	1	01	01	H2853_001_0	4	001	Centene Silver 1500 40%, Vision 200	24.00	1	1700.00	3	2	2				16a;16b;17a;17b;
H2944	013	0	1	09	04	H2944_013_0	3	004	MyOption Fitness	15.00	2			2	2			14c;	
H2944	013	0	1	09	04	H2944_013_0	3	003	MyOption Plus	22.20	2			2	1	50.00	16b;		17a;17b;16a;16b;
H2944	013	0	1	09	04	H2944_013_0	3	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H2944	013	0	1	09	04	H2944_013_0	3	001	MyOption Dental High PPO	20.00	1	2000.00	3	2	2			16a;16b;	
H2944	114	0	1	09	04	H2944_114_0	4	001	MyOption Dental High PPO	18.30	1	2000.00	3	2	2			16a;16b;	
H2944	114	0	1	09	04	H2944_114_0	4	003	MyOption Plus	20.30	2			2	1	50.00	16b;		17a;17b;16a;16b;
H2944	114	0	1	09	04	H2944_114_0	4	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H2944	197	0	1	09	04	H2944_197_0	2	002	MyOption Fitness	15.00	2			2	2			14c;	
H2944	197	0	1	09	04	H2944_197_0	2	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H2986	001	0	1	01	01	H2986_001_0	13	002	Dental (PPO) and Vision Option 2	38.00	2			2	2				16a;16b;17a;17b;
H2986	001	0	1	01	01	H2986_001_0	13	001	Dental (DMO) and Vision Option 1	20.00	2			2	2			16a;16b;17a;17b;	
H2986	002	0	1	01	01	H2986_002_0	12	001	Dental (DMO) and Vision Option 1	20.00	2			2	2			16a;16b;17a;17b;	
H2986	002	0	1	01	01	H2986_002_0	12	002	Dental (PPO) and Vision Option 2	38.00	2			2	2				16a;16b;17a;17b;
H2986	004	0	1	01	01	H2986_004_0	12	002	Dental (PPO) and Vision Option 2	38.00	2			2	2				16a;16b;17a;17b;
H2986	004	0	1	01	01	H2986_004_0	12	001	Dental (DMO) and Vision Option 1	20.00	2			2	2			16a;16b;17a;17b;	
H2986	007	0	1	01	01	H2986_007_0	13	001	Dental (DMO) and Vision Option 1	20.00	2			2	2			16a;16b;17a;17b;	
H2986	007	0	1	01	01	H2986_007_0	13	002	Dental (PPO) and Vision Option 2	38.00	2			2	2				16a;16b;17a;17b;
H3152	082	0	1	01	01	H3152_082_0	2	001	Deluxe Dental Package	15.00	1	2000.00	3	2	1	50.00	16b;	16a;16b;	
H3152	082	0	1	01	01	H3152_082_0	2	002	Deluxe Dental and Vision Package	20.90	1	2200.00	3	2	1	50.00	16b;	16a;16b;17b;	
H3152	084	0	1	01	01	H3152_084_0	2	001	Deluxe Comprehensive Dental Package	6.00	1	2000.00	3	2	1	50.00	16b;	16b;	
H3152	088	0	1	01	01	H3152_088_0	2	001	Deluxe Dental Package	15.00	1	2000.00	3	2	1	50.00	16b;	16a;16b;	
H3152	088	0	1	01	01	H3152_088_0	2	002	Deluxe Dental and Vision Package	20.90	1	2200.00	3	2	1	50.00	16b;	16a;16b;17b;	
H3152	092	0	1	01	01	H3152_092_0	3	001	Deluxe Comprehensive Dental Package	7.00	1	2000.00	3	2	1	50.00	16b;	16b;	
H3204	001	0	1	01	01	H3204_001_0	8	001	Optional Supplemental Dental	9.00	1	4000.00	3	2	2				16b;
H3204	007	0	1	01	01	H3204_007_0	8	001	Optional Supplemental Dental	9.00	1	4000.00	3	2	2				16b;
H3204	008	0	1	01	01	H3204_008_0	4	001	Optional Supplemental Dental	9.00	1	4000.00	3	2	2				16b;
H3206	001	0	1	04	01	H3206_001_0	3	001	Optional Supplemental Dental	19.00	1	4000.00	3	2	2				16b;
H3206	003	0	1	04	01	H3206_003_0	2	001	Optional Supplemental Dental	19.00	1	4000.00	3	2	2				16b;
H3251	002	0	1	01	01	H3251_002_0	3	001	Optional Supplemental Plus Package	29.40	1	2150.00	6	2	2			16b;17b;18a;18b;	
H3291	001	0	1	01	01	H3291_001_0	9	001	Optional Rider 1	100.00	2			2	2			16a;16b;	10b;13b;18b;
H3305	015	0	1	02	01	H3305_015_0	8	001	Comprehensive Dental	25.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3305	020	0	1	02	01	H3305_020_0	5	001	Comprehensive Dental	25.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3305	021	0	1	02	01	H3305_021_0	7	001	Comprehensive Dental	25.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3305	022	0	1	02	01	H3305_022_0	6	001	Comprehensive Dental	25.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3305	030	0	1	02	01	H3305_030_0	7	001	Comprehensive Dental	25.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3305	032	0	1	02	01	H3305_032_0	6	001	Comprehensive Dental	25.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3307	002	0	1	01	01	H3307_002_0	4	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H3307	012	0	1	01	01	H3307_012_0	2	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H3307	015	0	1	01	01	H3307_015_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H3307	018	0	1	01	01	H3307_018_0	2	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H3307	023	0	1	01	01	H3307_023_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H3307	025	0	1	01	01	H3307_025_0	2	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H3312	002	0	1	01	01	H3312_002_0	3	001	Deluxe Dental Package	10.00	1	1000.00	3	2	1	50.00	16b;	16a;16b;	
H3312	064	0	1	01	01	H3312_064_0	3	001	Deluxe Comprehensive Dental Package	8.00	1	2000.00	3	2	1	50.00	16b;	16b;	
H3312	068	0	1	01	01	H3312_068_0	3	001	Deluxe Comprehensive Dental Package	7.00	1	2000.00	3	2	1	50.00	16b;	16b;	
H3330	036	0	1	01	01	H3330_036_0	5	001	Dental	12.50	2			2	2			16b;	
H3330	036	0	1	01	01	H3330_036_0	5	002	Fitness	15.00	2			2	2			14c;	
H3335	014	0	1	04	01	H3335_014_0	7	001	Complementary Dental (Class 2 & 3)	29.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3335	015	0	1	04	01	H3335_015_0	7	001	Complementary Dental (Class 2 & 3)	29.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3335	018	0	1	04	01	H3335_018_0	6	001	Full Comprehensive Dental (Class 1 - 3)	39.00	1	1000.00	3	2	1	100.00	16b;	16a;16b;	
H3335	038	0	1	04	01	H3335_038_0	7	001	Complementary Dental (Class 2 & 3)	29.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3335	043	0	1	04	01	H3335_043_0	6	001	Full Comprehensive Dental (Class 1 - 3)	39.00	1	1000.00	3	2	1	100.00	16b;	16a;16b;	
H3335	044	0	1	04	01	H3335_044_0	6	001	Full Comprehensive Dental (Class 1 - 3)	39.00	1	1000.00	3	2	1	100.00	16b;	16a;16b;	
H3335	053	0	1	04	01	H3335_053_0	6	001	Complementary Dental (Class 2 & 3)	29.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3335	055	0	1	04	01	H3335_055_0	6	001	Complementary Dental (Class 2 & 3)	29.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3342	023	1	1	04	01	H3342_023_1	6	001	Preventive Dental Package	18.00	2			2	2				16a;
H3342	023	1	1	04	01	H3342_023_1	6	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H3342	023	1	1	04	01	H3342_023_1	6	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H3342	023	2	1	04	01	H3342_023_2	6	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H3342	023	2	1	04	01	H3342_023_2	6	001	Preventive Dental Package	18.00	2			2	2				16a;
H3342	023	2	1	04	01	H3342_023_2	6	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H3344	005	0	1	04	01	H3344_005_0	8	001	Comprehensive Dental 3,000 maximum limit	25.00	1	3000.00	3	2	2			16b;	
H3351	001	0	1	02	01	H3351_001_0	6	001	Complementary Dental (Class 2 & 3)	29.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3351	002	0	1	02	01	H3351_002_0	7	001	Complementary Dental (Class 2 & 3)	29.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3351	006	0	1	02	01	H3351_006_0	7	001	Complementary Dental (Class 2 & 3)	29.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3351	007	0	1	02	01	H3351_007_0	6	001	Full Comprehensive Dental (Class 1 - 3)	39.00	1	1000.00	3	2	1	100.00	16b;	16a;16b;	
H3351	010	0	1	01	01	H3351_010_0	7	001	Complementary Dental (Class 2 & 3)	29.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3351	011	0	1	01	01	H3351_011_0	7	001	Complementary Dental (Class 2 & 3)	29.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3351	012	0	1	02	01	H3351_012_0	7	001	Complementary Dental (Class 2 & 3)	29.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3351	013	0	1	02	01	H3351_013_0	7	001	Complementary Dental (Class 2 & 3)	29.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3351	015	0	1	02	01	H3351_015_0	6	001	Full Comprehensive Dental (Class 1 - 3)	39.00	1	1000.00	3	2	1	100.00	16b;	16a;16b;	
H3351	016	0	1	01	01	H3351_016_0	6	001	Complementary Dental (Class 2 & 3)	29.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3351	017	0	1	01	01	H3351_017_0	6	001	Complementary Dental (Class 2 & 3)	29.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3351	018	0	1	02	01	H3351_018_0	7	001	Complementary Dental (Class 2 & 3)	29.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3351	019	0	1	02	01	H3351_019_0	7	001	Complementary Dental (Class 2 & 3)	29.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3351	020	0	1	01	01	H3351_020_0	6	001	Complementary Dental (Class 2 & 3)	29.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H3362	017	0	1	01	01	H3362_017_0	8	001	Comprehensive Dental 3,000 Maximum limit	25.00	1	3000.00	3	2	2			16b;	
H3362	033	0	1	01	01	H3362_033_0	10	001	Comprehensive Dental 3,000 maximum limit	25.00	1	3000.00	3	2	2			16b;	
H3362	038	0	1	01	01	H3362_038_0	11	001	Comprehensive Dental 3,000 maximum limit	25.00	1	3000.00	3	2	2			16b;	
H3362	039	0	1	01	01	H3362_039_0	12	001	Comprehensive Dental 3,000 maximum limit	25.00	1	3000.00	3	2	2			16b;	
H3362	040	0	1	01	01	H3362_040_0	9	001	Comprehensive Dental 3,000 maximum limit	25.00	1	3000.00	3	2	2			16b;	
H3379	001	0	1	01	01	H3379_001_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H3379	039	0	1	01	01	H3379_039_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H3379	040	0	1	01	01	H3379_040_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H3379	041	0	1	01	01	H3379_041_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H3384	013	0	1	01	01	H3384_013_0	7	001	Optional Supplemental Dental Basic	13.00	1	500.00	3	2	2				16b;
H3384	013	0	1	01	01	H3384_013_0	7	002	Optional Supplemental Dental Enhanced	24.00	1	1000.00	3	2	2				16b;
H3384	019	0	1	01	01	H3384_019_0	6	001	Optional Supplemental Dental Basic	12.00	1	500.00	3	2	2				16b;
H3384	019	0	1	01	01	H3384_019_0	6	002	Optional Supplemental Dental Enhanced	25.00	1	1000.00	3	2	2				16b;
H3384	022	0	1	01	01	H3384_022_0	5	001	Optional Supplemental Dental Basic	12.00	1	500.00	3	2	2				16b;
H3384	022	0	1	01	01	H3384_022_0	5	002	Optional Supplemental Dental Enhanced	25.00	1	1000.00	3	2	2				16b;
H3384	058	0	1	01	01	H3384_058_0	6	002	Optional Supplemental Dental Enhanced	25.00	1	1000.00	3	2	2				16b;
H3384	058	0	1	01	01	H3384_058_0	6	001	Optional Supplemental Dental Basic	12.00	1	500.00	3	2	2				16b;
H3384	059	0	1	01	01	H3384_059_0	6	001	Optional Supplemental Dental Basic	13.00	1	500.00	3	2	2				16b;
H3384	059	0	1	01	01	H3384_059_0	6	002	Optional Supplemental Dental Enhanced	24.00	1	1000.00	3	2	2				16b;
H3384	062	0	1	01	01	H3384_062_0	6	001	Optional Supplemental Dental Basic	12.00	1	500.00	3	2	2				16b;
H3384	062	0	1	01	01	H3384_062_0	6	002	Optional Supplemental Dental Enhanced	25.00	1	1000.00	3	2	2				16b;
H3384	063	0	1	01	01	H3384_063_0	6	001	Optional Supplemental Dental Basic	13.00	1	500.00	3	2	2				16b;
H3384	063	0	1	01	01	H3384_063_0	6	002	Optional Supplemental Dental Enhanced	24.00	1	1000.00	3	2	2				16b;
H3384	066	0	1	01	01	H3384_066_0	5	001	Optional Supplemental Dental Basic	13.00	1	500.00	3	2	2				16b;
H3384	066	0	1	01	01	H3384_066_0	5	002	Optional Supplemental Dental Enhanced	24.00	1	1000.00	3	2	2				16b;
H3384	067	0	1	01	01	H3384_067_0	6	001	Optional Supplemental Dental Basic	12.00	1	500.00	3	2	2				16a;16b;
H3384	067	0	1	01	01	H3384_067_0	6	002	Optional Supplemental Dental Enhanced	25.00	1	1000.00	3	2	2				16a;16b;
H3418	001	0	1	04	01	H3418_001_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H3418	002	0	1	04	01	H3418_002_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H3443	001	0	1	01	01	H3443_001_0	6	001	DENTAL ALLOWANCE	24.00	1	2000.00	3	2	2				16b;
H3443	002	0	1	01	01	H3443_002_0	6	001	DENTAL ALLOWANCE	24.00	1	2000.00	3	2	2			;	16b;
H3443	003	0	1	01	01	H3443_003_0	6	001	DENTAL ALLOWANCE	24.00	1	2000.00	3	2	2				16b;
H3447	001	0	1	01	01	H3447_001_0	6	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H3447	001	0	1	01	01	H3447_001_0	6	002	Dental and Vision Package	30.00	2			2	2				16a;16b;17b;
H3447	001	0	1	01	01	H3447_001_0	6	001	Preventive Dental Package	20.00	2			2	2				16a;
H3447	003	0	1	01	01	H3447_003_0	6	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H3447	003	0	1	01	01	H3447_003_0	6	001	Preventive Dental Package	20.00	2			2	2				16a;
H3447	003	0	1	01	01	H3447_003_0	6	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H3447	004	0	1	01	01	H3447_004_0	6	001	Preventive Dental Package	20.00	2			2	2				16a;
H3447	004	0	1	01	01	H3447_004_0	6	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H3447	004	0	1	01	01	H3447_004_0	6	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H3447	005	0	1	01	01	H3447_005_0	6	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H3447	005	0	1	01	01	H3447_005_0	6	002	Dental and Vision Package	30.00	2			2	2				16a;16b;17b;
H3447	005	0	1	01	01	H3447_005_0	6	001	Preventive Dental Package	20.00	2			2	2				16a;
H3447	010	0	1	01	01	H3447_010_0	6	001	Preventive Dental Package	20.00	2			2	2				16a;
H3447	010	0	1	01	01	H3447_010_0	6	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H3447	010	0	1	01	01	H3447_010_0	6	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H3447	013	0	1	01	01	H3447_013_0	7	002	Dental and Vision Package	30.00	2			2	2				16a;16b;17b;
H3447	013	0	1	01	01	H3447_013_0	7	001	Preventive Dental Package	20.00	2			2	2				16a;
H3447	013	0	1	01	01	H3447_013_0	7	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H3447	014	0	1	01	01	H3447_014_0	6	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H3447	014	0	1	01	01	H3447_014_0	6	001	Preventive Dental Package	20.00	2			2	2				16a;
H3447	014	0	1	01	01	H3447_014_0	6	002	Dental and Vision Package	30.00	2			2	2				16a;16b;17b;
H3447	022	0	1	01	01	H3447_022_0	7	003	Enhanced Dental and Vision Package	64.00	2			2	2				16a;16b;17b;
H3447	022	0	1	01	01	H3447_022_0	7	001	Preventive Dental Package	22.00	2			2	2				16a;
H3447	022	0	1	01	01	H3447_022_0	7	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H3447	024	0	1	01	01	H3447_024_0	7	003	Enhanced Dental and Vision Package	64.00	2			2	2				16a;16b;17b;
H3447	024	0	1	01	01	H3447_024_0	7	001	Preventive Dental Package	22.00	2			2	2				16a;
H3447	024	0	1	01	01	H3447_024_0	7	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H3447	025	0	1	01	01	H3447_025_0	7	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H3447	025	0	1	01	01	H3447_025_0	7	002	Dental and Vision Package	30.00	2			2	2				16a;16b;17b;
H3447	025	0	1	01	01	H3447_025_0	7	001	Preventive Dental Package	20.00	2			2	2				16a;
H3447	033	0	1	01	01	H3447_033_0	11	001	Preventive Dental Package	20.00	2			2	2				16a;
H3447	033	0	1	01	01	H3447_033_0	11	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H3447	033	0	1	01	01	H3447_033_0	11	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H3447	035	1	1	01	01	H3447_035_1	7	003	Enhanced Dental and Vision Package	64.00	2			2	2				16a;16b;17b;
H3447	035	1	1	01	01	H3447_035_1	7	001	Preventive Dental Package	22.00	2			2	2				16a;
H3447	035	1	1	01	01	H3447_035_1	7	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H3447	035	2	1	01	01	H3447_035_2	7	003	Enhanced Dental and Vision Package	64.00	2			2	2				16a;16b;17b;
H3447	035	2	1	01	01	H3447_035_2	7	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H3447	035	2	1	01	01	H3447_035_2	7	001	Preventive Dental Package	22.00	2			2	2				16a;
H3447	036	1	1	01	01	H3447_036_1	7	003	Enhanced Dental and Vision Package	64.00	2			2	2				16a;16b;17b;
H3447	036	1	1	01	01	H3447_036_1	7	001	Preventive Dental Package	22.00	2			2	2				16a;
H3447	036	1	1	01	01	H3447_036_1	7	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H3447	036	2	1	01	01	H3447_036_2	7	001	Preventive Dental Package	22.00	2			2	2				16a;
H3447	036	2	1	01	01	H3447_036_2	7	003	Enhanced Dental and Vision Package	64.00	2			2	2				16a;16b;17b;
H3447	036	2	1	01	01	H3447_036_2	7	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H3447	037	0	1	01	01	H3447_037_0	6	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H3447	037	0	1	01	01	H3447_037_0	6	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H3447	037	0	1	01	01	H3447_037_0	6	001	Preventive Dental Package	20.00	2			2	2				16a;
H3447	038	1	1	01	01	H3447_038_1	7	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H3447	038	1	1	01	01	H3447_038_1	7	003	Enhanced Dental and Vision Package	53.00	2			2	2				16a;16b;17b;
H3447	038	1	1	01	01	H3447_038_1	7	001	Preventive Dental Package	16.00	2			2	2				16a;
H3447	038	2	1	01	01	H3447_038_2	7	003	Enhanced Dental and Vision Package	53.00	2			2	2				16a;16b;17b;
H3447	038	2	1	01	01	H3447_038_2	7	001	Preventive Dental Package	16.00	2			2	2				16a;
H3447	038	2	1	01	01	H3447_038_2	7	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H3447	039	0	1	01	01	H3447_039_0	7	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H3447	039	0	1	01	01	H3447_039_0	7	002	Dental and Vision Package	30.00	2			2	2				16a;16b;17b;
H3447	039	0	1	01	01	H3447_039_0	7	001	Preventive Dental Package	20.00	2			2	2				16a;
H3528	003	0	1	01	01	H3528_003_0	3	001	Dental	29.00	1	2000.00	3	2	1	100.00	16b;	16b;	
H3528	003	0	1	01	01	H3528_003_0	3	002	Dental	39.00	1	3000.00	3	2	1	100.00	16b;	16b;	
H3528	003	0	1	01	01	H3528_003_0	3	003	Dental	39.00	1	3500.00	3	2	2				16a;16b;
H3528	006	0	1	02	01	H3528_006_0	4	003	Dental	39.00	1	3500.00	3	2	2				16a;16b;
H3528	006	0	1	02	01	H3528_006_0	4	002	Dental	49.00	1	3000.00	3	2	1	100.00	16b;	16a;16b;	
H3528	006	0	1	02	01	H3528_006_0	4	001	Dental	39.00	1	2000.00	3	2	1	100.00	16b;	16a;16b;	
H3528	010	0	1	01	01	H3528_010_0	3	003	Dental	39.00	1	3500.00	3	2	2				16a;16b;
H3528	010	0	1	01	01	H3528_010_0	3	002	Dental	49.00	1	3000.00	3	2	1	100.00	16b;	16a;16b;	
H3528	010	0	1	01	01	H3528_010_0	3	001	Dental	39.00	1	2000.00	3	2	1	100.00	16b;	16a;16b;	
H3528	011	1	1	02	01	H3528_011_1	3	002	Dental	39.00	1	3000.00	3	2	1	100.00	16b;	16b;	
H3528	011	1	1	02	01	H3528_011_1	3	003	Dental	39.00	1	3500.00	3	2	2				16a;16b;
H3528	011	1	1	02	01	H3528_011_1	3	001	Dental	29.00	1	2000.00	3	2	1	100.00	16b;	16b;	
H3528	011	2	1	02	01	H3528_011_2	3	003	Dental	39.00	1	3500.00	3	2	2				16a;16b;
H3528	011	2	1	02	01	H3528_011_2	3	002	Dental	39.00	1	3000.00	3	2	1	100.00	16b;	16b;	
H3528	011	2	1	02	01	H3528_011_2	3	001	Dental	29.00	1	2000.00	3	2	1	100.00	16b;	16b;	
H3528	014	0	1	01	01	H3528_014_0	4	001	Dental	29.00	1	2000.00	3	2	1	100.00	16b;	16b;	
H3528	014	0	1	01	01	H3528_014_0	4	003	Dental	39.00	1	3500.00	3	2	2				16a;16b;
H3528	014	0	1	01	01	H3528_014_0	4	002	Dental	39.00	1	3000.00	3	2	1	100.00	16b;	16b;	
H3528	015	0	1	02	01	H3528_015_0	3	001	Dental	39.00	1	2000.00	3	2	1	100.00	16b;	16a;16b;	
H3528	015	0	1	02	01	H3528_015_0	3	002	Dental	49.00	1	3000.00	3	2	1	100.00	16b;	16a;16b;	
H3528	015	0	1	02	01	H3528_015_0	3	003	Dental	39.00	1	3500.00	3	2	2				16a;16b;
H3528	016	0	1	01	01	H3528_016_0	4	001	Dental	39.00	1	2000.00	3	2	1	100.00	16b;	16a;16b;	
H3528	016	0	1	01	01	H3528_016_0	4	002	Dental	49.00	1	3000.00	3	2	1	100.00	16b;	16a;16b;	
H3528	016	0	1	01	01	H3528_016_0	4	003	Dental	39.00	1	3500.00	3	2	2				16a;16b;
H3528	017	0	1	01	01	H3528_017_0	4	001	Dental	39.00	1	2000.00	3	2	2			16a;16b;	
H3528	017	0	1	01	01	H3528_017_0	4	002	Dental	49.00	1	3000.00	3	2	2			16a;16b;	
H3528	017	0	1	01	01	H3528_017_0	4	003	Dental	39.00	1	3500.00	3	2	2				16a;16b;
H3533	001	0	1	01	01	H3533_001_0	4	002	MyOption Platinum Dental	31.20	1	2000.00	3	2	2				16a;16b;
H3533	001	0	1	01	01	H3533_001_0	4	001	MyOption Dental High PPO	22.90	1	2000.00	3	2	2			16a;16b;	
H3533	006	0	1	01	01	H3533_006_0	5	001	MyOption Total Dental HMO	36.90	1	0.00	3	2	2				16a;16b;
H3533	010	0	1	01	01	H3533_010_0	5	002	MyOption Total Dental HMO	36.90	1	1000.00	3	2	2				16a;16b;
H3533	010	0	1	01	01	H3533_010_0	5	001	MyOption Enhanced Dental HMO	26.30	1	1000.00	3	2	2				16a;16b;
H3533	027	0	1	01	01	H3533_027_0	4	002	MyOption Platinum Dental	31.20	1	2000.00	3	2	2				16a;16b;
H3533	027	0	1	01	01	H3533_027_0	4	001	MyOption Dental High PPO	22.90	1	2000.00	3	2	2			16a;16b;	
H3536	002	0	1	01	01	H3536_002_0	6	001	Preventive Dental Package	16.00	2			2	2				16a;
H3536	002	0	1	01	01	H3536_002_0	6	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H3536	002	0	1	01	01	H3536_002_0	6	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
H3536	005	0	1	01	01	H3536_005_0	6	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
H3536	005	0	1	01	01	H3536_005_0	6	001	Preventive Dental Package	16.00	2			2	2				16a;
H3536	005	0	1	01	01	H3536_005_0	6	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H3653	004	0	1	01	01	H3653_004_0	6	002	OPTIONAL COMPREHENSIVE DENTAL PACKAGE #2	40.00	1	2000.00	3	2	1	50.00	16b;		16b;
H3653	004	0	1	01	01	H3653_004_0	6	001	OPTIONAL COMPREHENSIVE DENTAL PACKAGE #1	28.00	1	1000.00	3	2	1	25.00	16b;	16a;16b;	
H3653	015	0	1	01	01	H3653_015_0	6	002	OPTIONAL COMPREHENSIVE DENTAL PACKAGE #2	40.00	1	2000.00	3	2	1	50.00	16b;		16b;
H3653	015	0	1	01	01	H3653_015_0	6	001	OPTIONAL COMPREHENSIVE DENTAL PACKAGE #1	28.00	1	1000.00	3	2	1	25.00	16b;	16a;16b;	
H3653	018	0	1	01	01	H3653_018_0	5	002	OPTIONAL COMPREHENSIVE DENTAL PACKAGE #2	40.00	1	2000.00	3	2	1	50.00	16b;		16b;
H3653	018	0	1	01	01	H3653_018_0	5	001	OPTIONAL COMPREHENSIVE DENTAL PACKAGE #1	28.00	1	1000.00	3	2	1	25.00	16b;	16a;16b;	
H3653	022	0	1	01	01	H3653_022_0	6	002	OPTIONAL COMPREHENSIVE DENTAL PACKAGE #2	40.00	1	2000.00	3	2	1	50.00	16b;		16b;
H3653	022	0	1	01	01	H3653_022_0	6	001	OPTIONAL COMPREHENSIVE DENTAL PACKAGE #1	28.00	1	1000.00	3	2	1	25.00	16b;	16a;16b;	
H3653	023	0	1	01	01	H3653_023_0	6	002	OPTIONAL COMPREHENSIVE DENTAL PACKAGE #2	40.00	1	2000.00	3	2	1	50.00	16b;		16b;
H3653	023	0	1	01	01	H3653_023_0	6	001	OPTIONAL COMPREHENSIVE DENTAL PACKAGE #1	28.00	1	1000.00	3	2	1	25.00	16b;	16a;16b;	
H3653	024	0	1	01	01	H3653_024_0	6	002	OPTIONAL COMPREHENSIVE DENTAL PACKAGE #2	40.00	1	2000.00	3	2	1	50.00	16b;		16b;
H3653	024	0	1	01	01	H3653_024_0	6	001	OPTIONAL COMPREHENSIVE DENTAL PACKAGE #1	28.00	1	1000.00	3	2	1	25.00	16b;	16a;16b;	
H3655	034	0	1	01	01	H3655_034_0	7	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H3655	034	0	1	01	01	H3655_034_0	7	001	Preventive Dental Package	14.00	2			2	2				16a;
H3655	034	0	1	01	01	H3655_034_0	7	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H3655	038	0	1	01	01	H3655_038_0	7	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H3655	038	0	1	01	01	H3655_038_0	7	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H3655	038	0	1	01	01	H3655_038_0	7	001	Preventive Dental Package	14.00	2			2	2				16a;
H3655	041	0	1	01	01	H3655_041_0	7	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H3655	041	0	1	01	01	H3655_041_0	7	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H3655	041	0	1	01	01	H3655_041_0	7	001	Preventive Dental Package	14.00	2			2	2				16a;
H3655	042	0	1	01	01	H3655_042_0	7	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H3655	042	0	1	01	01	H3655_042_0	7	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H3655	042	0	1	01	01	H3655_042_0	7	001	Preventive Dental Package	14.00	2			2	2				16a;
H3655	045	1	1	01	01	H3655_045_1	7	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H3655	045	1	1	01	01	H3655_045_1	7	001	Preventive Dental Package	14.00	2			2	2				16a;
H3655	045	1	1	01	01	H3655_045_1	7	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H3655	045	2	1	01	01	H3655_045_2	7	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H3655	045	2	1	01	01	H3655_045_2	7	001	Preventive Dental Package	14.00	2			2	2				16a;
H3655	045	2	1	01	01	H3655_045_2	7	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H3655	045	3	1	01	01	H3655_045_3	7	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H3655	045	3	1	01	01	H3655_045_3	7	001	Preventive Dental Package	14.00	2			2	2				16a;
H3655	045	3	1	01	01	H3655_045_3	7	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H3655	045	4	1	01	01	H3655_045_4	7	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H3655	045	4	1	01	01	H3655_045_4	7	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H3655	045	4	1	01	01	H3655_045_4	7	001	Preventive Dental Package	14.00	2			2	2				16a;
H3660	028	0	1	02	01	H3660_028_0	5	001	Optional Supplemental Dental	28.00	1	1000.00	3	2	2				16b;
H3660	029	0	1	02	01	H3660_029_0	7	001	Optional Supplemental Dental	28.00	1	1000.00	3	2	2				16b;
H3660	044	0	1	01	01	H3660_044_0	8	001	Optional Supplemental Dental	28.00	1	1000.00	3	2	2				16b;
H3660	050	0	1	01	01	H3660_050_0	5	001	Optional Supplemental Dental	28.00	1	1000.00	3	2	2				16b;
H3660	052	1	1	01	01	H3660_052_1	3	001	Optional Supplemental Dental	28.00	1	1000.00	3	2	2				16b;
H3660	052	2	1	01	01	H3660_052_2	3	001	Optional Supplemental Dental	28.00	1	1000.00	3	2	2				16b;
H3660	053	1	1	01	01	H3660_053_1	5	001	Optional Supplemental Dental	28.00	1	750.00	3	2	2				16b;
H3660	053	2	1	01	01	H3660_053_2	5	001	Optional Supplemental Dental	28.00	1	750.00	3	2	2				16b;
H3668	013	0	1	01	01	H3668_013_0	5	002	Dental Gold	34.00	1	500.00	3	2	2				16b;
H3668	013	0	1	01	01	H3668_013_0	5	001	Dental Silver	18.00	1	0.00	3	2	2				16b;
H3668	014	0	1	01	01	H3668_014_0	5	001	Dental Silver	18.00	1	0.00	3	2	2				16b;
H3668	014	0	1	01	01	H3668_014_0	5	002	Dental Gold	34.00	1	500.00	3	2	2				16b;
H3668	015	0	1	01	01	H3668_015_0	5	001	Dental Silver	18.00	1	0.00	3	2	2				16b;
H3668	015	0	1	01	01	H3668_015_0	5	002	Dental Gold	34.00	1	500.00	3	2	2				16b;
H3668	016	0	1	01	01	H3668_016_0	5	001	Dental Silver	18.00	1	0.00	3	2	2				16b;
H3668	016	0	1	01	01	H3668_016_0	5	002	Dental Gold	34.00	1	500.00	3	2	2				16b;
H3668	017	0	1	01	01	H3668_017_0	5	002	Dental Gold	34.00	1	500.00	3	2	2				16b;
H3668	017	0	1	01	01	H3668_017_0	5	001	Dental Silver	18.00	1	0.00	3	2	2				16b;
H3668	018	1	1	01	01	H3668_018_1	5	002	Dental Gold	34.00	1	500.00	3	2	2				16b;
H3668	018	1	1	01	01	H3668_018_1	5	001	Dental Silver	18.00	1	0.00	3	2	2				16b;
H3668	018	2	1	01	01	H3668_018_2	5	001	Dental Silver	18.00	1	0.00	3	2	2				16b;
H3668	018	2	1	01	01	H3668_018_2	5	002	Dental Gold	34.00	1	500.00	3	2	2				16b;
H3668	018	3	1	01	01	H3668_018_3	5	001	Dental Silver	18.00	1	0.00	3	2	2				16b;
H3668	018	3	1	01	01	H3668_018_3	5	002	Dental Gold	34.00	1	500.00	3	2	2				16b;
H3668	019	1	1	01	01	H3668_019_1	5	002	Dental Gold	34.00	1	500.00	3	2	2				16b;
H3668	019	1	1	01	01	H3668_019_1	5	001	Dental Silver	18.00	1	0.00	3	2	2				16b;
H3668	019	2	1	01	01	H3668_019_2	5	001	Dental Silver	18.00	1	0.00	3	2	2				16b;
H3668	019	2	1	01	01	H3668_019_2	5	002	Dental Gold	34.00	1	500.00	3	2	2				16b;
H3668	019	3	1	01	01	H3668_019_3	5	001	Dental Silver	18.00	1	0.00	3	2	2				16b;
H3668	019	3	1	01	01	H3668_019_3	5	002	Dental Gold	34.00	1	500.00	3	2	2				16b;
H3668	020	0	1	01	01	H3668_020_0	5	001	Dental Silver	18.00	1	0.00	3	2	2				16b;
H3668	020	0	1	01	01	H3668_020_0	5	002	Dental Gold	34.00	1	500.00	3	2	2				16b;
H3668	021	0	1	01	01	H3668_021_0	5	001	Dental Silver	18.00	1	0.00	3	2	2				16b;
H3668	021	0	1	01	01	H3668_021_0	5	002	Dental Gold	34.00	1	500.00	3	2	2				16b;
H3668	022	0	1	01	01	H3668_022_0	5	002	Dental Gold	34.00	1	500.00	3	2	2				16b;
H3668	022	0	1	01	01	H3668_022_0	5	001	Dental Silver	18.00	1	0.00	3	2	2				16b;
H3668	023	0	1	01	01	H3668_023_0	5	001	Dental Silver	18.00	1	0.00	3	2	2				16b;
H3668	023	0	1	01	01	H3668_023_0	5	002	Dental Gold	34.00	1	500.00	3	2	2				16b;
H3668	024	0	1	01	01	H3668_024_0	5	001	Dental Silver	18.00	1	0.00	3	2	2				16b;
H3668	024	0	1	01	01	H3668_024_0	5	002	Dental Gold	34.00	1	500.00	3	2	2				16b;
H3668	025	0	1	01	01	H3668_025_0	5	001	Dental Silver	19.00	1	0.00	3	2	2				16b;
H3668	025	0	1	01	01	H3668_025_0	5	002	Dental Gold	34.00	1	500.00	3	2	2				16b;
H3668	026	0	1	01	01	H3668_026_0	5	001	Dental Silver	19.00	1	0.00	3	2	2				16b;
H3668	026	0	1	01	01	H3668_026_0	5	002	Dental Gold	34.00	1	500.00	3	2	2				16b;
H3668	029	0	1	01	01	H3668_029_0	4	002	Dental Gold	34.00	1	500.00	3	2	2				16b;
H3668	029	0	1	01	01	H3668_029_0	4	001	Dental Silver	19.00	1	0.00	3	2	2				16b;
H3672	013	0	1	01	01	H3672_013_0	6	001	Comprehensive Dental	21.30	1	1500.00	3	2	2			;	
H3672	014	0	1	01	01	H3672_014_0	5	001	Comprehensive Dental	21.30	1	1500.00	3	2	2			;	
H3672	020	0	1	01	01	H3672_020_0	8	001	Comprehensive Dental	22.90	1	1500.00	3	2	2			;	
H3672	021	0	1	01	01	H3672_021_0	5	001	Comprehensive Dental	22.90	1	1500.00	3	2	2			;	
H3672	023	0	1	01	01	H3672_023_0	6	001	Comprehensive Dental	24.00	1	1500.00	3	2	2			;	
H3672	024	0	1	01	01	H3672_024_0	5	001	Comprehensive Dental	23.90	1	1500.00	3	2	2			;	
H3749	018	0	1	02	01	H3749_018_0	5	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H3805	007	0	1	01	01	H3805_007_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H3805	015	0	1	01	01	H3805_015_0	4	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H3805	017	0	1	01	01	H3805_017_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H3805	019	0	1	01	01	H3805_019_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H3805	023	1	1	01	01	H3805_023_1	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H3805	023	2	1	01	01	H3805_023_2	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H3805	025	1	1	01	01	H3805_025_1	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H3805	025	2	1	01	01	H3805_025_2	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H3805	029	0	1	01	01	H3805_029_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H3805	030	0	1	01	01	H3805_030_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H3805	033	0	1	02	01	H3805_033_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H3805	036	0	1	01	01	H3805_036_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H3805	037	0	1	01	01	H3805_037_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H3810	001	0	1	01	01	H3810_001_0	4	001	Dental Benefit	19.50	2			2	2			16a;16b;	
H3810	003	0	1	01	01	H3810_003_0	6	001	Dental Benefit	19.50	2			2	2			16a;16b;	
H3810	021	0	1	01	01	H3810_021_0	4	001	Dental Benefit	19.50	2			2	2			16a;16b;	
H3810	022	0	1	01	01	H3810_022_0	6	001	Dental Benefit	19.50	2			2	2			16a;16b;	
H3813	001	0	1	04	01	H3813_001_0	6	001	Moda Health Extra Care	5.00	1	500.00	3	2	2			7b;13a;14c;	
H3813	009	0	1	04	01	H3813_009_0	7	001	Moda Health Extra Care	5.00	1	500.00	3	2	2			7b;13a;14c;	
H3813	010	0	1	04	01	H3813_010_0	7	001	Moda Health Extra Care	5.00	1	500.00	3	2	2			7b;13a;14c;	
H3813	011	0	1	04	01	H3813_011_0	7	001	Moda Health Extra Care	5.00	1	500.00	3	2	2			7b;13a;14c;	
H3813	012	0	1	04	01	H3813_012_0	7	001	Moda Health Extra Care	5.00	1	500.00	3	2	2			7b;13a;14c;	
H3813	013	0	1	04	01	H3813_013_0	7	001	Moda Health Extra Care	5.00	1	500.00	3	2	2			7b;13a;14c;	
H3813	014	0	1	04	01	H3813_014_0	8	001	Moda Health Extra Care	5.00	1	500.00	3	2	2			7b;13a;14c;	
H3815	001	0	1	01	01	H3815_001_0	4	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	006	0	1	01	01	H3815_006_0	3	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	007	0	1	01	01	H3815_007_0	3	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	008	0	1	01	01	H3815_008_0	3	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	010	0	1	01	01	H3815_010_0	3	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	011	0	1	01	01	H3815_011_0	3	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	013	0	1	01	01	H3815_013_0	5	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	015	0	1	01	01	H3815_015_0	3	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	016	0	1	01	01	H3815_016_0	4	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	018	0	1	01	01	H3815_018_0	3	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	019	0	1	01	01	H3815_019_0	4	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	020	0	1	01	01	H3815_020_0	3	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	021	0	1	01	01	H3815_021_0	3	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	023	0	1	01	01	H3815_023_0	3	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	025	0	1	01	01	H3815_025_0	3	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	026	0	1	01	01	H3815_026_0	5	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	027	0	1	01	01	H3815_027_0	5	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	028	0	1	01	01	H3815_028_0	3	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	029	0	1	01	01	H3815_029_0	3	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	031	0	1	01	01	H3815_031_0	3	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	032	0	1	01	01	H3815_032_0	3	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	033	0	1	01	01	H3815_033_0	5	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H3815	034	0	1	01	01	H3815_034_0	3	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16a;16b;
H3817	008	1	1	04	01	H3817_008_1	7	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H3817	008	2	1	04	01	H3817_008_2	7	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H3817	011	1	1	04	01	H3817_011_1	7	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H3817	011	2	1	04	01	H3817_011_2	7	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H3822	007	0	1	02	01	H3822_007_0	4	001	Optional Supplemental Premier Package	23.90	1	2150.00	6	2	2			16a;16b;17b;18a;18b;	
H3822	012	0	1	01	01	H3822_012_0	3	001	Optional Supplemental Premier Package	37.10	1	2150.00	3	2	2			16a;16b;17b;18a;18b;	
H3864	002	0	1	01	01	H3864_002_0	5	001	Comprehensive Dental	57.00	1	1000.00	3	2	2				16b;
H3864	006	0	1	01	01	H3864_006_0	4	001	Comprehensive Dental	57.00	1	1000.00	3	2	2				16b;
H3864	014	0	1	02	01	H3864_014_0	4	002	Comprehensive Dental	57.00	1	1000.00	3	2	2				16b;
H3864	014	0	1	02	01	H3864_014_0	4	001	Preventive Dental	30.00	2			2	2				16a;
H3864	021	0	1	01	01	H3864_021_0	4	001	Preventive Dental	24.00	2			2	2				16a;
H3864	021	0	1	01	01	H3864_021_0	4	002	Comprehensive Dental	56.00	1	1000.00	3	2	2				16b;
H3864	024	0	1	02	01	H3864_024_0	6	001	Comprehensive Dental	56.00	1	1000.00	3	2	2				16b;
H3864	027	0	1	01	01	H3864_027_0	5	001	Preventive Dental	30.00	2			2	2				16a;
H3864	027	0	1	01	01	H3864_027_0	5	002	Comprehensive Dental	57.00	1	1000.00	3	2	2				16b;
H3864	029	0	1	02	01	H3864_029_0	4	001	Preventive Dental	24.00	2			2	2				16a;
H3864	029	0	1	02	01	H3864_029_0	4	002	Comprehensive Dental	57.00	1	1000.00	3	2	2				16b;
H3864	030	0	1	01	01	H3864_030_0	3	001	Comprehensive Dental	57.00	1	1000.00	3	2	2				16b;
H3864	032	0	1	01	01	H3864_032_0	5	001	Comprehensive Dental	56.00	1	1000.00	3	2	2				16b;
H3864	033	0	1	02	01	H3864_033_0	6	001	Comprehensive Dental	57.00	1	1000.00	3	2	2				16b;
H3864	034	0	1	02	01	H3864_034_0	5	001	Comprehensive Dental	57.00	1	1000.00	3	2	2				16b;
H3864	035	0	1	01	01	H3864_035_0	3	001	Comprehensive Dental	57.00	1	1000.00	3	2	2				16b;
H3864	036	0	1	01	01	H3864_036_0	4	002	Comprehensive Dental	57.00	1	1000.00	3	2	2				16b;
H3864	036	0	1	01	01	H3864_036_0	4	001	Preventive Dental	30.00	2			2	2				16a;
H3864	037	0	1	01	01	H3864_037_0	4	001	Preventive Dental	33.00	2			2	2				16a;
H3864	037	0	1	01	01	H3864_037_0	4	002	Comprehensive Dental	57.00	1	1000.00	3	2	2				16b;
H3864	040	0	1	01	01	H3864_040_0	4	001	Comprehensive Dental	57.00	1	1000.00	3	2	2				16b;
H3864	041	0	1	01	01	H3864_041_0	4	001	Preventive Dental	30.00	2			2	2				16a;
H3864	041	0	1	01	01	H3864_041_0	4	002	Comprehensive Dental	57.00	1	1000.00	3	2	2				16b;
H3864	042	0	1	01	01	H3864_042_0	4	001	Comprehensive Dental	57.00	1	1000.00	3	2	2				16b;
H3890	001	0	1	04	01	H3890_001_0	5	001	Comprehensive Dental	25.00	1	1000.00	3	2	2				16b;
H3890	002	0	1	04	01	H3890_002_0	6	001	Comprehensive Dental	25.00	1	1000.00	3	2	2				16b;
H3924	059	21	1	04	01	H3924_059_21	5	001	Geisinger Gold Health+	38.00	2			2	2			14c;16a;16b;17a;17b;18a;18b;	
H3924	059	22	1	04	01	H3924_059_22	5	001	Geisinger Gold Health+	38.00	2			2	2			14c;16a;16b;17a;17b;18a;18b;	
H3924	065	0	1	04	01	H3924_065_0	5	001	Geisinger Gold Health+	38.00	2			2	2			14c;16a;16b;17a;17b;18a;18b;	
H3931	133	0	1	01	01	H3931_133_0	3	001	Basic Dental Package	7.00	1	1000.00	3	2	2			16a;16b;	
H3931	133	0	1	01	01	H3931_133_0	3	002	Basic Dental and Vision Package	9.80	1	1125.00	3	2	2			16a;16b;17b;	
H4036	008	0	1	04	01	H4036_008_0	7	002	Dental and Vision Package	36.00	2			2	2				16a;16b;17b;
H4036	008	0	1	04	01	H4036_008_0	7	001	Preventive Dental Package	23.00	2			2	2				16a;
H4036	008	0	1	04	01	H4036_008_0	7	003	Enhanced Dental and Vision Package	57.00	2			2	2				16a;16b;17b;
H4036	009	0	1	04	01	H4036_009_0	9	001	Preventive Dental Package	23.00	2			2	2				16a;
H4036	009	0	1	04	01	H4036_009_0	9	002	Dental and Vision Package	36.00	2			2	2				16a;16b;17b;
H4036	009	0	1	04	01	H4036_009_0	9	003	Enhanced Dental and Vision Package	57.00	2			2	2				16a;16b;17b;
H4036	017	0	1	04	01	H4036_017_0	7	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H4036	017	0	1	04	01	H4036_017_0	7	001	Preventive Dental Package	20.00	2			2	2				16a;
H4036	017	0	1	04	01	H4036_017_0	7	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H4036	020	0	1	04	01	H4036_020_0	7	002	Dental and Vision Package	36.00	2			2	2				16a;16b;17b;
H4036	020	0	1	04	01	H4036_020_0	7	003	Enhanced Dental and Vision Package	57.00	2			2	2				16a;16b;17b;
H4036	020	0	1	04	01	H4036_020_0	7	001	Preventive Dental Package	23.00	2			2	2				16a;
H4036	022	0	1	04	01	H4036_022_0	6	001	Preventive Dental Package	20.00	2			2	2				16a;
H4036	022	0	1	04	01	H4036_022_0	6	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H4036	022	0	1	04	01	H4036_022_0	6	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H4036	023	0	1	04	01	H4036_023_0	7	001	Preventive Dental Package	20.00	2			2	2				16a;
H4036	023	0	1	04	01	H4036_023_0	7	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H4036	023	0	1	04	01	H4036_023_0	7	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H4036	024	0	1	04	01	H4036_024_0	6	003	Enhanced Dental and Vision Package	57.00	2			2	2				16a;16b;17b;
H4036	024	0	1	04	01	H4036_024_0	6	002	Dental and Vision Package	36.00	2			2	2				16a;16b;17b;
H4036	024	0	1	04	01	H4036_024_0	6	001	Preventive Dental Package	23.00	2			2	2				16a;
H4036	025	0	1	04	01	H4036_025_0	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H4036	025	0	1	04	01	H4036_025_0	8	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H4036	025	0	1	04	01	H4036_025_0	8	001	Preventive Dental Package	20.00	2			2	2				16a;
H4152	004	0	1	01	01	H4152_004_0	8	001	Dental Rider	21.80	1	1000.00	3	2	2			16a;16b;	
H4152	017	0	1	01	01	H4152_017_0	9	001	Dental Rider	21.80	1	1000.00	3	2	2			16a;16b;	
H4343	001	0	1	01	01	H4343_001_0	4	001	Centene Silver 1500 40%, Vision 200	23.00	1	1700.00	3	2	2				16a;16b;17a;17b;
H4343	002	0	1	01	01	H4343_002_0	4	001	Centene Silver 1500 40%, Vision 200	23.00	1	1700.00	3	2	2				16a;16b;17a;17b;
H4346	001	0	1	01	01	H4346_001_0	7	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H4346	001	0	1	01	01	H4346_001_0	7	001	Preventive Dental Package	16.00	2			2	2				16a;
H4346	001	0	1	01	01	H4346_001_0	7	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H4346	005	0	1	01	01	H4346_005_0	6	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H4346	005	0	1	01	01	H4346_005_0	6	001	Preventive Dental Package	16.00	2			2	2				16a;
H4346	005	0	1	01	01	H4346_005_0	6	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H4346	006	0	1	01	01	H4346_006_0	6	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H4346	006	0	1	01	01	H4346_006_0	6	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H4346	006	0	1	01	01	H4346_006_0	6	001	Preventive Dental Package	16.00	2			2	2				16a;
H4346	008	0	1	01	01	H4346_008_0	6	001	Preventive Dental Package	16.00	2			2	2				16a;
H4346	008	0	1	01	01	H4346_008_0	6	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H4346	008	0	1	01	01	H4346_008_0	6	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H4346	009	0	1	01	01	H4346_009_0	6	001	Preventive Dental Package	16.00	2			2	2				16a;
H4346	009	0	1	01	01	H4346_009_0	6	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H4346	009	0	1	01	01	H4346_009_0	6	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H4346	010	0	1	01	01	H4346_010_0	7	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H4346	010	0	1	01	01	H4346_010_0	7	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H4346	010	0	1	01	01	H4346_010_0	7	001	Preventive Dental Package	16.00	2			2	2				16a;
H4346	012	0	1	01	01	H4346_012_0	8	003	Enhanced Dental and Vision Package	63.00	2			2	2				16a;16b;17b;
H4346	012	0	1	01	01	H4346_012_0	8	001	Preventive Dental Package	8.00	2			2	2				16a;
H4346	012	0	1	01	01	H4346_012_0	8	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H4346	017	0	1	01	01	H4346_017_0	9	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H4346	017	0	1	01	01	H4346_017_0	9	001	Preventive Dental Package	16.00	2			2	2				16a;
H4346	017	0	1	01	01	H4346_017_0	9	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H4346	019	0	1	01	01	H4346_019_0	8	001	Preventive Dental Package	16.00	2			2	2				16a;
H4346	019	0	1	01	01	H4346_019_0	8	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H4346	019	0	1	01	01	H4346_019_0	8	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H4346	022	0	1	01	01	H4346_022_0	9	003	Enhanced Dental and Vision Package	64.00	2			2	2				16a;16b;17b;
H4346	022	0	1	01	01	H4346_022_0	9	001	Preventive Dental Package	8.00	2			2	2				16a;
H4346	022	0	1	01	01	H4346_022_0	9	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H4346	023	0	1	01	01	H4346_023_0	9	003	Enhanced Dental and Vision Package	64.00	2			2	2				16a;16b;17b;
H4346	023	0	1	01	01	H4346_023_0	9	001	Preventive Dental Package	8.00	2			2	2				16a;
H4346	023	0	1	01	01	H4346_023_0	9	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H4346	024	0	1	01	01	H4346_024_0	8	001	Preventive Dental Package	16.00	2			2	2				16a;
H4346	024	0	1	01	01	H4346_024_0	8	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H4346	024	0	1	01	01	H4346_024_0	8	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H4346	029	0	1	01	01	H4346_029_0	8	002	Dental and Vision Package	30.00	2			2	2				16a;16b;17b;
H4346	029	0	1	01	01	H4346_029_0	8	003	Enhanced Dental and Vision Package	57.00	2			2	2				16a;16b;17b;
H4346	029	0	1	01	01	H4346_029_0	8	001	Preventive Dental Package	7.00	2			2	2				16a;
H4461	031	2	1	01	01	H4461_031_2	3	001	MyOption DEN205	72.40	1	2000.00	3	2	2				16b;
H4461	031	3	1	01	01	H4461_031_3	3	001	MyOption DEN205	72.40	1	2000.00	3	2	2				16b;
H4461	035	0	1	01	01	H4461_035_0	3	001	MyOption DEN205	72.40	1	2000.00	3	2	2				16b;
H4461	036	0	1	01	01	H4461_036_0	3	001	MyOption DEN205	72.40	1	2000.00	3	2	2				16b;
H4497	001	1	1	04	01	H4497_001_1	9	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	17b;
H4497	001	2	1	04	01	H4497_001_2	9	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	17b;
H4497	001	3	1	04	01	H4497_001_3	9	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	17b;
H4497	002	1	1	04	01	H4497_002_1	9	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	17b;
H4497	002	2	1	04	01	H4497_002_2	9	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	17b;
H4497	002	3	1	04	01	H4497_002_3	9	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	17b;
H4497	005	1	1	04	01	H4497_005_1	10	001	Optional Dental and Vision Rider	22.00	2			2	2			;	16b;17b;
H4497	005	2	1	04	01	H4497_005_2	11	001	Optional Dental and Vision Rider	22.00	2			2	2			;	16b;17b;
H4514	007	0	1	01	01	H4514_007_0	2	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H4527	024	0	1	02	01	H4527_024_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H4527	037	0	1	02	01	H4527_037_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H4590	025	0	1	01	01	H4590_025_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H4604	014	0	1	01	01	H4604_014_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H4604	016	0	1	01	01	H4604_016_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H4604	020	0	1	01	01	H4604_020_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H4604	022	0	1	01	01	H4604_022_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H4604	023	0	1	01	01	H4604_023_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H4605	002	0	1	04	01	H4605_002_0	7	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H4605	007	0	1	04	01	H4605_007_0	7	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H4605	008	0	1	04	01	H4605_008_0	7	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H4605	009	0	1	04	01	H4605_009_0	7	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H4623	001	0	1	01	01	H4623_001_0	4	001	MyOption Total Dental HMO	31.00	2			2	2				16a;16b;
H4623	002	0	1	01	01	H4623_002_0	7	001	MyOption Total Dental HMO	31.00	2			2	2				16a;16b;
H4754	004	0	1	04	01	H4754_004_0	4	001	Comprehensive Dental	57.00	1	1000.00	3	2	2				16b;
H4754	006	0	1	04	01	H4754_006_0	3	001	Comprehensive Dental	56.00	1	1000.00	3	2	2				16b;
H4754	007	0	1	04	01	H4754_007_0	4	002	Comprehensive Dental	57.00	1	1000.00	3	2	2				16b;
H4754	007	0	1	04	01	H4754_007_0	4	001	Preventive Dental	30.00	2			2	2				16a;
H4754	008	0	1	04	01	H4754_008_0	3	001	Preventive Dental	30.00	2			2	2				16a;
H4754	008	0	1	04	01	H4754_008_0	3	002	Comprehensive Dental	57.00	1	1000.00	3	2	2				16b;
H4754	009	0	1	04	01	H4754_009_0	4	001	Preventive Dental	24.00	2			2	2				16a;
H4754	009	0	1	04	01	H4754_009_0	4	002	Comprehensive Dental	56.00	1	1000.00	3	2	2				16b;
H4754	011	0	1	04	01	H4754_011_0	4	001	Comprehensive Dental	56.00	1	1000.00	3	2	2				16b;
H4754	012	0	1	04	01	H4754_012_0	3	001	Preventive Dental	24.00	2			2	2				16a;
H4754	012	0	1	04	01	H4754_012_0	3	002	Comprehensive Dental	56.00	1	1000.00	3	2	2				16b;
H4754	016	0	1	04	01	H4754_016_0	3	001	Comprehensive Dental	57.00	1	1000.00	3	2	2				16b;
H4754	017	0	1	04	01	H4754_017_0	6	002	Comprehensive Dental	57.00	1	1000.00	3	2	2				16b;
H4754	017	0	1	04	01	H4754_017_0	6	001	Preventive Dental	24.00	2			2	2				16a;
H4801	001	0	1	04	01	H4801_001_0	3	001	Optional Supplemental Premier Package	40.50	1	2150.00	6	2	2			16a;16b;17b;18a;18b;	
H4801	002	0	1	04	01	H4801_002_0	3	001	Optional Supplemental Basic Package	31.30	1	1000.00	6	2	2			16b;	
H4801	003	0	1	04	01	H4801_003_0	3	001	Optional Supplemental Basic Package	31.60	1	1000.00	6	2	2			16b;	
H4801	004	0	1	04	01	H4801_004_0	3	001	Optional Supplemental Basic Package	28.10	1	1000.00	6	2	2			16b;	
H4801	006	0	1	04	01	H4801_006_0	3	001	Optional Supplemental Basic Package	27.50	1	1000.00	6	2	2			16b;	
H4801	009	0	1	04	01	H4801_009_0	3	001	Optional Supplemental Plus Package	35.40	1	2150.00	6	2	2			16b;17b;18a;18b;	
H4801	010	0	1	04	01	H4801_010_0	3	001	Optional Supplemental Basic Package	32.60	1	1000.00	6	2	2			16b;	
H4801	011	0	1	04	01	H4801_011_0	3	001	Optional Supplemental Basic Package	32.50	1	1000.00	6	2	2			16b;	
H4801	012	0	1	04	01	H4801_012_0	3	001	Optional Supplemental Plus Package	36.50	1	2150.00	6	2	2			16b;17b;18a;18b;	
H4829	002	0	1	04	01	H4829_002_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H4829	003	0	1	04	01	H4829_003_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H4829	004	0	1	04	01	H4829_004_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H4829	005	0	1	04	01	H4829_005_0	4	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H4829	006	0	1	04	01	H4829_006_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H4829	007	0	1	04	01	H4829_007_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H4829	008	0	1	04	01	H4829_008_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H4875	016	1	1	04	01	H4875_016_1	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	016	2	1	04	01	H4875_016_2	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	016	3	1	04	01	H4875_016_3	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	016	4	1	04	01	H4875_016_4	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	016	5	1	04	01	H4875_016_5	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	017	1	1	04	01	H4875_017_1	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	017	2	1	04	01	H4875_017_2	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	017	3	1	04	01	H4875_017_3	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	017	4	1	04	01	H4875_017_4	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	017	5	1	04	01	H4875_017_5	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	018	1	1	04	01	H4875_018_1	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	018	2	1	04	01	H4875_018_2	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	018	3	1	04	01	H4875_018_3	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	018	4	1	04	01	H4875_018_4	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	018	5	1	04	01	H4875_018_5	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	020	1	1	04	01	H4875_020_1	10	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	020	2	1	04	01	H4875_020_2	10	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	020	3	1	04	01	H4875_020_3	10	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	021	1	1	04	01	H4875_021_1	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	021	2	1	04	01	H4875_021_2	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	022	1	1	04	01	H4875_022_1	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	022	2	1	04	01	H4875_022_2	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4875	022	5	1	04	01	H4875_022_5	9	001	Enhanced Vision and Dental	29.00	1	2650.00	3	2	2			16a;16b;	17b;
H4882	001	0	1	04	01	H4882_001_0	7	001	Journey Comprehensive Dental Benefit	27.90	1	1100.00	3	2	1	50.00	16b;		16a;16b;
H4882	002	0	1	04	01	H4882_002_0	6	001	Journey Comprehensive Dental Benefit	27.90	1	1100.00	3	2	1	50.00	16b;		16a;16b;
H4882	003	0	1	04	01	H4882_003_0	5	001	Journey Comprehensive Dental Benefit	32.80	1	1100.00	3	2	1	50.00	16b;		16a;16b;
H4882	007	0	1	04	01	H4882_007_0	6	001	Journey Comprehensive Dental Benefit	26.30	1	1100.00	3	2	1	50.00	16b;		16a;16b;
H4882	008	0	1	04	01	H4882_008_0	6	001	Journey Comprehensive Dental Benefit	26.30	1	1100.00	3	2	1	50.00	16b;		16a;16b;
H4909	014	0	1	04	01	H4909_014_0	6	001	Preventive Dental Package	23.00	2			2	2				16a;
H4909	014	0	1	04	01	H4909_014_0	6	002	Dental and Vision Package	34.00	2			2	2				16a;16b;17b;
H4909	014	0	1	04	01	H4909_014_0	6	003	Enhanced Dental and Vision Package	58.00	2			2	2				16a;16b;17b;
H4909	015	0	1	04	01	H4909_015_0	7	001	Preventive Dental Package	18.00	2			2	2				16a;
H4909	015	0	1	04	01	H4909_015_0	7	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H4909	015	0	1	04	01	H4909_015_0	7	003	Enhanced Dental and Vision Package	58.00	2			2	2				16a;16b;17b;
H4909	016	0	1	04	01	H4909_016_0	8	001	Preventive Dental Package	18.00	2			2	2				16a;
H4909	016	0	1	04	01	H4909_016_0	8	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H4909	016	0	1	04	01	H4909_016_0	8	003	Enhanced Dental and Vision Package	58.00	2			2	2				16a;16b;17b;
H4909	020	0	1	04	01	H4909_020_0	5	001	Preventive Dental Package	23.00	2			2	2				16a;
H4909	020	0	1	04	01	H4909_020_0	5	002	Dental and Vision Package	34.00	2			2	2				16a;16b;17b;
H4909	020	0	1	04	01	H4909_020_0	5	003	Enhanced Dental and Vision Package	58.00	2			2	2				16a;16b;17b;
H4909	021	0	1	04	01	H4909_021_0	6	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H4909	021	0	1	04	01	H4909_021_0	6	003	Enhanced Dental and Vision Package	58.00	2			2	2				16a;16b;17b;
H4909	021	0	1	04	01	H4909_021_0	6	001	Preventive Dental Package	18.00	2			2	2				16a;
H4909	022	0	1	04	01	H4909_022_0	12	003	Enhanced Dental and Vision Package	56.00	2			2	2				16a;16b;17b;
H4909	022	0	1	04	01	H4909_022_0	12	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H4909	022	0	1	04	01	H4909_022_0	12	001	Preventive Dental Package	7.00	2			2	2				16a;
H4909	023	0	1	04	01	H4909_023_0	6	001	Preventive Dental Package	20.00	2			2	2				16a;
H4909	023	0	1	04	01	H4909_023_0	6	003	Enhanced Dental and Vision Package	58.00	2			2	2				16a;16b;17b;
H4909	023	0	1	04	01	H4909_023_0	6	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H4909	024	0	1	04	01	H4909_024_0	7	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H4909	024	0	1	04	01	H4909_024_0	7	003	Enhanced Dental and Vision Package	58.00	2			2	2				16a;16b;17b;
H4909	024	0	1	04	01	H4909_024_0	7	001	Preventive Dental Package	20.00	2			2	2				16a;
H4909	025	0	1	04	01	H4909_025_0	7	003	Enhanced Dental and Vision Package	58.00	2			2	2				16a;16b;17b;
H4909	025	0	1	04	01	H4909_025_0	7	001	Preventive Dental Package	20.00	2			2	2				16a;
H4909	025	0	1	04	01	H4909_025_0	7	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H4909	026	0	1	04	01	H4909_026_0	6	001	Preventive Dental Package	23.00	2			2	2				16a;
H4909	026	0	1	04	01	H4909_026_0	6	003	Enhanced Dental and Vision Package	58.00	2			2	2				16a;16b;17b;
H4909	026	0	1	04	01	H4909_026_0	6	002	Dental and Vision Package	34.00	2			2	2				16a;16b;17b;
H4922	011	0	1	01	01	H4922_011_0	6	001	Preventive and Comprehensive Dental	16.00	2			1	2			16a;16b;	
H4922	011	0	1	01	01	H4922_011_0	6	002	Eye Wear	8.30	1	275.00	3	2	2			17b;	
H4937	001	0	1	04	01	H4937_001_0	7	001	Dental PPO	41.90	1	1500.00	6	2	1	50.00	16b;	16a;16b;	
H4961	001	0	1	04	01	H4961_001_0	7	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H4961	003	0	1	04	01	H4961_003_0	3	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H4961	006	0	1	04	01	H4961_006_0	3	001	DENTAL ALLOWANCE	29.00	1	1500.00	3	2	2				16b;
H4961	007	0	1	04	01	H4961_007_0	9	001	Options+	62.00	1	15000.00	3	2	2			10b;13b;14c;18b;	4c;16b;
H4961	008	0	1	04	01	H4961_008_0	3	001	Options+	62.00	1	15000.00	3	2	2			10b;13b;14c;18b;	4c;16b;
H5009	008	0	1	04	01	H5009_008_0	8	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H5009	009	0	1	04	01	H5009_009_0	8	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H5009	010	0	1	04	01	H5009_010_0	8	001	Alternative Care	20.00	2			2	2			7b;13a;14c;	
H5010	002	0	1	04	01	H5010_002_0	7	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H5010	007	0	1	04	01	H5010_007_0	8	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H5050	001	0	1	01	01	H5050_001_0	6	001	Dental HMO	54.00	1	1500.00	3	2	2				16a;16b;
H5050	004	0	1	01	01	H5050_004_0	7	001	Dental HMO	54.00	1	1500.00	3	2	2				16a;16b;
H5050	009	0	1	01	01	H5050_009_0	7	001	Dental HMO	54.00	1	1500.00	3	2	2				16a;16b;
H5050	013	0	1	01	01	H5050_013_0	7	001	Dental HMO	54.00	1	1500.00	3	2	2			16a;16b;	
H5050	017	0	1	01	01	H5050_017_0	7	001	Dental HMO	54.00	1	1500.00	3	2	2			16b;	16a;
H5050	019	0	1	01	01	H5050_019_0	8	001	Dental HMO	54.00	1	1500.00	3	2	2			16b;	16a;
H5050	021	0	1	01	01	H5050_021_0	7	001	Dental HMO	54.00	1	1500.00	3	2	2			16b;	16a;
H5050	022	0	1	01	01	H5050_022_0	7	001	Dental HMO	54.00	1	1500.00	3	2	2			16b;	16a;
H5050	023	0	1	01	01	H5050_023_0	7	001	Dental HMO	54.00	1	1500.00	3	2	2			16a;16b;	
H5211	001	0	1	02	01	H5211_001_0	8	001	Comprehensive Dental	43.00	1	1000.00	3	2	1	100.00	16b;	16b;	16a;
H5211	002	0	1	02	01	H5211_002_0	9	001	Comprehensive Dental	43.00	1	1000.00	3	2	1	100.00	16b;	16b;	16a;
H5211	003	0	1	02	01	H5211_003_0	8	001	Comprehensive Dental	43.00	1	1000.00	3	2	1	100.00	16b;	16b;	16a;
H5211	004	0	1	02	01	H5211_004_0	8	001	Comprehensive Dental	43.00	1	1000.00	3	2	1	100.00	16b;	16b;	16a;
H5211	010	0	1	01	01	H5211_010_0	8	001	Comprehensive Dental	34.00	1	1000.00	3	2	1	100.00	16b;	16b;	16a;
H5211	012	0	1	02	01	H5211_012_0	9	001	Comprehensive Dental	43.00	1	1000.00	3	2	1	100.00	16b;	16b;	16a;
H5211	013	0	1	02	01	H5211_013_0	8	001	Comprehensive Dental	43.00	1	1000.00	3	2	1	100.00	16b;	16b;	16a;
H5215	001	0	1	04	01	H5215_001_0	7	001	Dental	39.00	1	1000.00	3	2	1	100.00	16b;		16a;16b;
H5215	002	0	1	04	01	H5215_002_0	9	001	Dental	39.00	1	1000.00	3	2	1	100.00	16b;		16a;16b;
H5215	005	0	1	04	01	H5215_005_0	7	001	Dental	39.00	1	1000.00	3	2	1	100.00	16b;		16a;16b;
H5215	006	0	1	04	01	H5215_006_0	7	001	Dental	39.00	1	1000.00	3	2	1	100.00	16b;		16a;16b;
H5215	008	0	1	04	01	H5215_008_0	9	001	Dental	39.00	1	1000.00	3	2	1	100.00	16b;		16a;16b;
H5215	009	0	1	04	01	H5215_009_0	10	001	Dental	39.00	1	1000.00	3	2	1	100.00	16b;		16a;16b;
H5215	010	0	1	04	01	H5215_010_0	7	001	Dental	39.00	1	1000.00	3	2	1	100.00	16b;		16a;16b;
H5215	011	0	1	04	01	H5215_011_0	7	001	Dental	39.00	1	1000.00	3	2	1	100.00	16b;		16a;16b;
H5215	012	0	1	04	01	H5215_012_0	9	001	Dental	39.00	1	1000.00	3	2	1	100.00	16b;		16a;16b;
H5216	001	0	1	04	01	H5216_001_0	5	001	MyOption DEN204	77.10	1	2000.00	3	2	2				16b;
H5216	001	0	1	04	01	H5216_001_0	5	002	MyOption DEN205	109.70	1	2000.00	3	2	2				16b;
H5216	006	0	1	04	01	H5216_006_0	5	002	MyOption DEN205	109.70	1	2000.00	3	2	2				16b;
H5216	006	0	1	04	01	H5216_006_0	5	001	MyOption DEN204	77.10	1	2000.00	3	2	2				16b;
H5216	009	0	1	04	01	H5216_009_0	7	002	MyOption Total Dental PPO	34.40	1	1000.00	3	2	2				16a;16b;
H5216	009	0	1	04	01	H5216_009_0	7	001	MyOption Enhanced Dental PPO	22.70	1	1000.00	3	2	2				16a;16b;
H5216	011	0	1	04	01	H5216_011_0	5	002	MyOption Total Dental PPO	34.40	1	1000.00	3	2	2				16a;16b;
H5216	011	0	1	04	01	H5216_011_0	5	001	MyOption Enhanced Dental PPO	22.70	1	1000.00	3	2	2				16a;16b;
H5216	013	0	1	04	01	H5216_013_0	5	001	MyOption Enhanced Dental PPO	22.90	1	1000.00	3	2	2				16a;16b;
H5216	013	0	1	04	01	H5216_013_0	5	002	MyOption Total Dental PPO	35.30	1	1000.00	3	2	2				16a;16b;
H5216	014	0	1	04	01	H5216_014_0	4	001	MyOption Dental High PPO	22.60	1	2000.00	3	2	2			16a;16b;	
H5216	014	0	1	04	01	H5216_014_0	4	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5216	014	0	1	04	01	H5216_014_0	4	003	MyOption Plus	24.10	2			2	1	50.00	16b;		17a;17b;16a;16b;
H5216	017	0	1	04	01	H5216_017_0	4	001	MyOption Dental High PPO	22.60	1	2000.00	3	2	2			16a;16b;	
H5216	017	0	1	04	01	H5216_017_0	4	004	MyOption Platinum Dental	26.70	1	2000.00	3	2	2				16a;16b;
H5216	017	0	1	04	01	H5216_017_0	4	003	MyOption Plus	22.40	2			2	1	50.00	16b;		17a;17b;16a;16b;
H5216	017	0	1	04	01	H5216_017_0	4	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5216	019	0	1	04	01	H5216_019_0	5	001	MyOption Enhanced Dental PPO	25.20	1	1000.00	3	2	2				16a;16b;
H5216	019	0	1	04	01	H5216_019_0	5	002	MyOption Total Dental PPO	34.90	1	1000.00	3	2	2				16a;16b;
H5216	021	0	1	04	01	H5216_021_0	5	001	MyOption Enhanced Dental PPO	18.90	1	1000.00	3	2	2				16a;16b;
H5216	021	0	1	04	01	H5216_021_0	5	002	MyOption Total Dental PPO	26.50	1	1000.00	3	2	2				16a;16b;
H5216	022	0	1	04	01	H5216_022_0	5	001	MyOption Enhanced Dental PPO	18.90	1	1000.00	3	2	2				16a;16b;
H5216	022	0	1	04	01	H5216_022_0	5	002	MyOption Total Dental PPO	26.50	1	1000.00	3	2	2				16a;16b;
H5216	023	0	1	04	01	H5216_023_0	5	001	MyOption Enhanced Dental PPO	25.20	1	1000.00	3	2	2				16a;16b;
H5216	023	0	1	04	01	H5216_023_0	5	002	MyOption Total Dental PPO	34.90	1	1000.00	3	2	2				16a;16b;
H5216	024	0	1	04	01	H5216_024_0	4	002	MyOption Platinum Dental	24.70	1	2000.00	3	2	2				16a;16b;
H5216	024	0	1	04	01	H5216_024_0	4	001	MyOption Dental High PPO	22.50	1	2000.00	3	2	2			16a;16b;	
H5216	027	0	1	04	01	H5216_027_0	4	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5216	027	0	1	04	01	H5216_027_0	4	003	MyOption Plus	23.60	2			2	1	50.00	16b;		17a;17b;16a;16b;
H5216	027	0	1	04	01	H5216_027_0	4	004	MyOption Platinum Dental	27.80	1	2000.00	3	2	2				16a;16b;
H5216	027	0	1	04	01	H5216_027_0	4	001	MyOption Dental High PPO	19.80	1	2000.00	3	2	2			16a;16b;	
H5216	029	0	1	04	01	H5216_029_0	5	003	MyOption Total Dental PPO	47.50	1	1000.00	3	2	2				16a;16b;
H5216	029	0	1	04	01	H5216_029_0	5	001	MyOption Enhanced Dental PPO	33.10	1	1000.00	3	2	2				16a;16b;
H5216	029	0	1	04	01	H5216_029_0	5	002	MyOption Dental Enriched PPO	33.10	1	1000.00	3	2	2				16a;16b;
H5216	032	0	1	04	01	H5216_032_0	4	002	MyOption DEN205	84.10	1	2000.00	3	2	2				16b;
H5216	032	0	1	04	01	H5216_032_0	4	001	MyOption DEN204	53.90	1	2000.00	3	2	2				16b;
H5216	034	0	1	04	01	H5216_034_0	4	001	MyOption Vision	15.30	2			2	2				17a;17b;
H5216	034	0	1	04	01	H5216_034_0	4	002	MyOption Enhanced Dental PPO	31.50	1	2000.00	3	2	2				16a;16b;
H5216	034	0	1	04	01	H5216_034_0	4	003	MyOption Total Dental PPO	42.70	1	2000.00	3	2	2				16a;16b;
H5216	036	0	1	04	01	H5216_036_0	5	002	MyOption Dental Enriched PPO	33.30	1	1000.00	3	2	2				16a;16b;
H5216	036	0	1	04	01	H5216_036_0	5	003	MyOption Total Dental PPO	47.50	1	1000.00	3	2	2				16a;16b;
H5216	036	0	1	04	01	H5216_036_0	5	001	MyOption Vision	15.30	2			2	2				17a;17b;
H5216	037	0	1	04	01	H5216_037_0	4	001	MyOption Vision	15.30	2			2	2				17a;17b;
H5216	039	0	1	04	01	H5216_039_0	4	003	MyOption Total Dental PPO	47.50	1	2000.00	3	2	2				16a;16b;
H5216	039	0	1	04	01	H5216_039_0	4	002	MyOption Enhanced Dental PPO	33.30	1	2000.00	3	2	2				16a;16b;
H5216	039	0	1	04	01	H5216_039_0	4	001	MyOption Vision	15.30	2			2	2				17a;17b;
H5216	044	0	1	04	01	H5216_044_0	5	001	MyOption DEN204	83.40	1	2000.00	3	2	2				16b;
H5216	047	0	1	04	01	H5216_047_0	4	001	MyOption Dental High PPO	40.80	1	2000.00	3	2	2			16a;16b;	
H5216	048	0	1	04	01	H5216_048_0	4	001	MyOption DEN205	135.70	1	2000.00	3	2	2				16b;
H5216	050	0	1	04	01	H5216_050_0	5	002	MyOption Total Dental PPO	34.10	1	1000.00	3	2	2				16a;16b;
H5216	050	0	1	04	01	H5216_050_0	5	001	MyOption Enhanced Dental PPO	23.80	1	1000.00	3	2	2				16a;16b;
H5216	051	0	1	04	01	H5216_051_0	5	002	MyOption Total Dental PPO	34.10	1	1000.00	3	2	2				16a;16b;
H5216	051	0	1	04	01	H5216_051_0	5	001	MyOption Enhanced Dental PPO	23.80	1	1000.00	3	2	2				16a;16b;
H5216	052	1	1	04	01	H5216_052_1	5	002	MyOption Total Dental PPO	34.10	1	1000.00	3	2	2				16a;16b;
H5216	052	1	1	04	01	H5216_052_1	5	001	MyOption Enhanced Dental PPO	23.80	1	1000.00	3	2	2				16a;16b;
H5216	052	2	1	04	01	H5216_052_2	5	001	MyOption Enhanced Dental PPO	18.90	1	1000.00	3	2	2				16a;16b;
H5216	052	2	1	04	01	H5216_052_2	5	002	MyOption Total Dental PPO	26.50	1	1000.00	3	2	2				16a;16b;
H5216	053	0	1	04	01	H5216_053_0	5	002	MyOption Total Dental PPO	34.90	1	1000.00	3	2	2				16a;16b;
H5216	053	0	1	04	01	H5216_053_0	5	001	MyOption Enhanced Dental PPO	22.50	1	1000.00	3	2	2				16a;16b;
H5216	054	0	1	04	01	H5216_054_0	5	002	MyOption Total Dental PPO	34.90	1	1000.00	3	2	2				16a;16b;
H5216	054	0	1	04	01	H5216_054_0	5	001	MyOption Enhanced Dental PPO	25.20	1	1000.00	3	2	2				16a;16b;
H5216	055	0	1	04	01	H5216_055_0	5	002	MyOption Total Dental PPO	34.90	1	1000.00	3	2	2				16a;16b;
H5216	055	0	1	04	01	H5216_055_0	5	001	MyOption Enhanced Dental PPO	22.50	1	1000.00	3	2	2				16a;16b;
H5216	057	0	1	04	01	H5216_057_0	4	001	MyOption Enhanced Dental PPO	31.60	1	2000.00	3	2	2				16a;16b;
H5216	057	0	1	04	01	H5216_057_0	4	002	MyOption Total Dental PPO	45.40	1	2000.00	3	2	2				16a;16b;
H5216	058	0	1	04	01	H5216_058_0	4	001	MyOption Dental High PPO	27.50	1	2000.00	3	2	2			16a;16b;	
H5216	058	0	1	04	01	H5216_058_0	4	002	MyOption Platinum Dental	37.40	1	2000.00	3	2	2				16a;16b;
H5216	059	0	1	04	01	H5216_059_0	3	002	MyOption Total Dental PPO	55.60	1	1000.00	3	2	2				16a;16b;
H5216	059	0	1	04	01	H5216_059_0	3	001	MyOption Enhanced Dental PPO	38.40	1	1000.00	3	2	2				16a;16b;
H5216	071	0	1	04	01	H5216_071_0	5	002	MyOption Dental Enriched PPO	21.10	1	1000.00	3	2	2				16a;16b;
H5216	071	0	1	04	01	H5216_071_0	5	003	MyOption Total Dental PPO	29.40	1	1000.00	3	2	2				16a;16b;
H5216	071	0	1	04	01	H5216_071_0	5	001	MyOption Enhanced Dental PPO	21.10	1	1000.00	3	2	2				16a;16b;
H5216	073	0	1	04	01	H5216_073_0	4	001	MyOption Dental High PPO	18.30	1	2000.00	3	2	2			16a;16b;	
H5216	073	0	1	04	01	H5216_073_0	4	003	MyOption Plus	20.30	2			2	1	50.00	16b;		17a;17b;16a;16b;
H5216	073	0	1	04	01	H5216_073_0	4	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5216	077	0	1	04	01	H5216_077_0	4	001	MyOption DEN204	66.80	1	2000.00	3	2	2				16b;
H5216	077	0	1	04	01	H5216_077_0	4	002	MyOption DEN205	97.00	1	2000.00	3	2	2				16b;
H5216	078	1	1	04	01	H5216_078_1	4	002	MyOption Platinum Dental	31.20	1	2000.00	3	2	2				16a;16b;
H5216	078	1	1	04	01	H5216_078_1	4	001	MyOption Dental High PPO	26.80	1	2000.00	3	2	2			16a;16b;	
H5216	078	2	1	04	01	H5216_078_2	4	001	MyOption Dental High PPO	26.80	1	2000.00	3	2	2			16a;16b;	
H5216	078	2	1	04	01	H5216_078_2	4	002	MyOption Platinum Dental	31.20	1	2000.00	3	2	2				16a;16b;
H5216	080	1	1	04	01	H5216_080_1	6	001	MyOption Total Dental PPO	47.60	2			2	2				16a;16b;
H5216	080	2	1	04	01	H5216_080_2	5	001	MyOption Enhanced Dental PPO	32.80	1	1000.00	3	2	2				16a;16b;
H5216	080	2	1	04	01	H5216_080_2	5	002	MyOption Total Dental PPO	47.60	1	1000.00	3	2	2				16a;16b;
H5216	080	3	1	04	01	H5216_080_3	6	001	MyOption Total Dental PPO	47.60	2			2	2				16a;16b;
H5216	081	0	1	04	01	H5216_081_0	4	001	MyOption Dental High PPO	20.00	1	2000.00	3	2	2			16a;16b;	
H5216	081	0	1	04	01	H5216_081_0	4	002	MyOption Platinum Dental	25.00	1	2000.00	3	2	2				16a;16b;
H5216	088	0	1	04	01	H5216_088_0	4	001	MyOption DEN204	60.80	1	2000.00	3	2	2				16b;
H5216	088	0	1	04	01	H5216_088_0	4	002	MyOption DEN205	86.10	1	2000.00	3	2	2				16b;
H5216	089	0	1	04	01	H5216_089_0	4	002	MyOption DEN204	62.30	1	2000.00	3	2	2				16b;
H5216	089	0	1	04	01	H5216_089_0	4	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H5216	092	0	1	04	01	H5216_092_0	6	001	MyOption Plus	28.40	2			2	1	50.00	16b;	17a;17b;16a;16b;	
H5216	092	0	1	04	01	H5216_092_0	6	002	MyOption Platinum Dental	36.90	1	2000.00	3	2	2				16a;16b;
H5216	093	0	1	04	01	H5216_093_0	4	002	MyOption DEN205	72.40	1	2000.00	3	2	2				16b;
H5216	093	0	1	04	01	H5216_093_0	4	001	MyOption DEN204	47.80	1	2000.00	3	2	2				16b;
H5216	096	0	1	04	01	H5216_096_0	4	001	MyOption Dental High PPO	13.60	1	2000.00	3	2	2			16a;16b;	
H5216	096	0	1	04	01	H5216_096_0	4	002	MyOption Plus	18.90	2			2	1	50.00	16b;		17a;17b;16a;16b;
H5216	096	0	1	04	01	H5216_096_0	4	003	MyOption Platinum Dental	18.40	1	2000.00	3	2	2				16a;16b;
H5216	097	0	1	04	01	H5216_097_0	4	003	MyOption Platinum Dental	24.10	1	2000.00	3	2	2				16a;16b;
H5216	097	0	1	04	01	H5216_097_0	4	002	MyOption Plus	21.30	2			2	1	50.00	16b;		17a;17b;16a;16b;
H5216	097	0	1	04	01	H5216_097_0	4	001	MyOption Dental High PPO	16.80	1	2000.00	3	2	2			16a;16b;	
H5216	098	0	1	04	01	H5216_098_0	4	001	MyOption DEN204	47.80	1	2000.00	3	2	2				16b;
H5216	098	0	1	04	01	H5216_098_0	4	002	MyOption DEN205	72.40	1	2000.00	3	2	2				16b;
H5216	100	0	1	04	01	H5216_100_0	4	001	MyOption Dental High PPO	19.80	1	2000.00	3	2	2			16a;16b;	
H5216	100	0	1	04	01	H5216_100_0	4	002	MyOption Platinum Dental	27.80	1	2000.00	3	2	2				16a;16b;
H5216	100	0	1	04	01	H5216_100_0	4	004	MyOption DEN207	53.50	1	2000.00	3	2	2				16a;16b;
H5216	100	0	1	04	01	H5216_100_0	4	003	MyOption DEN206	39.50	1	2000.00	3	2	2				16a;16b;
H5216	103	0	1	04	01	H5216_103_0	5	002	MyOption Total Dental PPO	37.20	1	1000.00	3	2	2				16a;16b;
H5216	103	0	1	04	01	H5216_103_0	5	001	MyOption Enhanced Dental PPO	26.30	1	1000.00	3	2	2				16a;16b;
H5216	106	0	1	04	01	H5216_106_0	5	001	MyOption Enhanced Dental PPO	23.80	1	1000.00	3	2	2				16a;16b;
H5216	106	0	1	04	01	H5216_106_0	5	002	MyOption Total Dental PPO	34.10	1	1000.00	3	2	2				16a;16b;
H5216	107	0	1	04	01	H5216_107_0	5	003	MyOption Total Dental PPO	34.90	1	1000.00	3	2	2				16a;16b;
H5216	107	0	1	04	01	H5216_107_0	5	001	MyOption Enhanced Dental PPO	25.20	1	1000.00	3	2	2				16a;16b;
H5216	107	0	1	04	01	H5216_107_0	5	002	MyOption Dental Enriched PPO	25.20	1	1000.00	3	2	2				16a;16b;
H5216	109	0	1	04	01	H5216_109_0	5	002	MyOption Total Dental PPO	34.10	1	1000.00	3	2	2				16a;16b;
H5216	109	0	1	04	01	H5216_109_0	5	001	MyOption Enhanced Dental PPO	25.20	1	1000.00	3	2	2				16a;16b;
H5216	111	0	1	04	01	H5216_111_0	5	002	MyOption Total Dental PPO	34.90	1	1000.00	3	2	2				16a;16b;
H5216	111	0	1	04	01	H5216_111_0	5	001	MyOption Enhanced Dental PPO	25.20	1	1000.00	3	2	2				16a;16b;
H5216	112	0	1	04	01	H5216_112_0	4	001	MyOption DEN204	58.10	1	2000.00	3	2	2				16b;
H5216	112	0	1	04	01	H5216_112_0	4	002	MyOption DEN205	85.50	1	2000.00	3	2	2				16b;
H5216	114	0	1	04	01	H5216_114_0	5	001	MyOption Enhanced Dental PPO	22.50	1	1000.00	3	2	2				16a;16b;
H5216	114	0	1	04	01	H5216_114_0	5	002	MyOption Total Dental PPO	34.90	1	1000.00	3	2	2				16a;16b;
H5216	116	0	1	04	01	H5216_116_0	4	001	MyOption Enhanced Dental PPO	29.70	1	1000.00	3	2	2				16a;16b;
H5216	116	0	1	04	01	H5216_116_0	4	002	MyOption Total Dental PPO	43.20	1	1000.00	3	2	2				16a;16b;
H5216	120	0	1	04	01	H5216_120_0	6	001	MyOption Total Dental PPO	31.00	2			2	2				16a;16b;
H5216	124	0	1	04	01	H5216_124_0	6	001	MyOption Total Dental PPO	26.50	2			2	2				16a;16b;
H5216	131	0	1	04	01	H5216_131_0	4	001	MyOption DEN204	65.50	1	2000.00	3	2	2				16b;
H5216	132	0	1	04	01	H5216_132_0	4	001	MyOption DEN204	83.40	1	2000.00	3	2	2				16b;
H5216	133	0	1	04	01	H5216_133_0	6	001	MyOption Enhanced Dental PPO	22.70	1	1000.00	3	2	2				16a;16b;
H5216	133	0	1	04	01	H5216_133_0	6	002	MyOption Total Dental PPO	34.40	1	1000.00	3	2	2				16a;16b;
H5216	136	0	1	04	01	H5216_136_0	5	001	MyOption Total Dental PPO	25.10	1	1000.00	3	2	2				16a;16b;
H5216	137	0	1	04	01	H5216_137_0	5	001	MyOption Dental High PPO	26.80	1	2000.00	3	2	2			16a;16b;	
H5216	137	0	1	04	01	H5216_137_0	5	002	MyOption Platinum Dental	39.90	1	2000.00	3	2	2				16a;16b;
H5216	141	0	1	04	01	H5216_141_0	4	002	MyOption Total Dental PPO	47.50	1	2000.00	3	2	2				16a;16b;
H5216	141	0	1	04	01	H5216_141_0	4	001	MyOption Dental Enriched PPO	33.30	1	2000.00	3	2	2				16a;16b;
H5216	142	1	1	04	01	H5216_142_1	5	002	MyOption Platinum Dental	22.30	1	2000.00	3	2	2				16a;16b;
H5216	142	1	1	04	01	H5216_142_1	5	001	MyOption Dental High PPO	20.80	1	2000.00	3	2	2			16a;16b;	
H5216	142	2	1	04	01	H5216_142_2	4	001	MyOption Dental High PPO	20.80	1	2000.00	3	2	2			16a;16b;	
H5216	142	2	1	04	01	H5216_142_2	4	002	MyOption Platinum Dental	22.30	1	2000.00	3	2	2				16a;16b;
H5216	143	0	1	04	01	H5216_143_0	5	001	MyOption Enhanced Dental PPO	21.10	1	1000.00	3	2	2				16a;16b;
H5216	143	0	1	04	01	H5216_143_0	5	002	MyOption Dental Enriched PPO	21.10	1	1000.00	3	2	2				16a;16b;
H5216	143	0	1	04	01	H5216_143_0	5	003	MyOption Total Dental PPO	29.40	1	1000.00	3	2	2				16a;16b;
H5216	144	0	1	04	01	H5216_144_0	4	002	MyOption Platinum Dental	27.80	1	2000.00	3	2	2				16a;16b;
H5216	144	0	1	04	01	H5216_144_0	4	001	MyOption Dental High PPO	19.80	1	2000.00	3	2	2			16a;16b;	
H5216	152	0	1	04	01	H5216_152_0	5	002	MyOption Total Dental PPO	34.90	1	1000.00	3	2	2				16a;16b;
H5216	152	0	1	04	01	H5216_152_0	5	001	MyOption Enhanced Dental PPO	24.20	1	1000.00	3	2	2				16a;16b;
H5216	154	0	1	04	01	H5216_154_0	4	001	MyOption Dental High PPO	20.80	1	2000.00	3	2	2			16a;16b;	
H5216	158	0	1	04	01	H5216_158_0	5	001	MyOption Total Dental PPO	25.10	1	1000.00	3	2	2				16a;16b;
H5216	163	0	1	04	01	H5216_163_0	4	001	MyOption Dental High PPO	19.90	1	2000.00	3	2	2			16a;16b;	
H5216	163	0	1	04	01	H5216_163_0	4	002	MyOption Platinum Dental	24.20	1	2000.00	3	2	2				16a;16b;
H5216	168	0	1	04	01	H5216_168_0	6	001	MyOption DEN204	77.10	1	2000.00	3	2	2				16b;
H5216	168	0	1	04	01	H5216_168_0	6	002	MyOption DEN205	109.70	1	2000.00	3	2	2				16b;
H5216	169	0	1	04	01	H5216_169_0	4	002	MyOption Total Dental PPO	43.20	1	2000.00	3	2	2				16a;16b;
H5216	169	0	1	04	01	H5216_169_0	4	001	MyOption Enhanced Dental PPO	29.70	1	2000.00	3	2	2				16a;16b;
H5216	170	0	1	04	01	H5216_170_0	5	001	MyOption Total Dental PPO	43.20	1	0.00	3	2	2				16a;16b;
H5216	172	0	1	04	01	H5216_172_0	5	001	MyOption Enhanced Dental PPO	29.70	1	2000.00	3	2	2				16a;16b;
H5216	172	0	1	04	01	H5216_172_0	5	002	MyOption Total Dental PPO	43.20	1	2000.00	3	2	2				16a;16b;
H5216	177	0	1	04	01	H5216_177_0	4	001	MyOption Enhanced Dental PPO	27.00	1	2000.00	3	2	2				16a;16b;
H5216	177	0	1	04	01	H5216_177_0	4	002	MyOption Total Dental PPO	38.60	1	2000.00	3	2	2				16a;16b;
H5216	185	0	1	04	01	H5216_185_0	6	001	MyOption Total Dental PPO	43.20	2			2	2				16a;16b;
H5216	186	0	1	04	01	H5216_186_0	6	001	MyOption Total Dental PPO	43.20	2			2	2				16a;16b;
H5216	188	0	1	04	01	H5216_188_0	4	001	MyOption DEN205	85.50	1	2000.00	3	2	2				16b;
H5216	189	0	1	04	01	H5216_189_0	4	001	MyOption Enhanced Dental PPO	30.90	1	2000.00	3	2	2				16a;16b;
H5216	190	0	1	04	01	H5216_190_0	3	001	MyOption Enhanced Dental Plus PPO	32.50	1	1000.00	3	2	2				16a;16b;
H5216	190	0	1	04	01	H5216_190_0	3	002	MyOption Total Dental Plus PPO	46.30	1	1000.00	3	2	2				16a;16b;
H5216	192	0	1	04	01	H5216_192_0	4	002	MyOption DEN205	85.50	1	2000.00	3	2	2				16b;
H5216	192	0	1	04	01	H5216_192_0	4	001	MyOption DEN204	58.10	1	2000.00	3	2	2				16b;
H5216	194	0	1	04	01	H5216_194_0	4	001	MyOption Dental Enriched PPO	33.30	1	2000.00	3	2	2				16a;16b;
H5216	194	0	1	04	01	H5216_194_0	4	002	MyOption Total Dental PPO	47.50	1	2000.00	3	2	2				16a;16b;
H5216	196	1	1	04	01	H5216_196_1	4	002	MyOption Total Dental PPO	35.60	1	2000.00	3	2	2				16a;16b;
H5216	196	1	1	04	01	H5216_196_1	4	001	MyOption Enhanced Dental PPO	26.00	1	2000.00	3	2	2				16a;16b;
H5216	196	2	1	04	01	H5216_196_2	4	001	MyOption Dental High PPO	22.40	1	2000.00	3	2	2			16a;16b;	
H5216	196	2	1	04	01	H5216_196_2	4	002	MyOption Platinum Dental	27.90	1	2000.00	3	2	2				16a;16b;
H5216	198	0	1	04	01	H5216_198_0	4	002	MyOption Total Dental PPO	42.70	1	2000.00	3	2	2				16a;16b;
H5216	198	0	1	04	01	H5216_198_0	4	001	MyOption Enhanced Dental PPO	31.50	1	2000.00	3	2	2				16a;16b;
H5216	211	0	1	04	01	H5216_211_0	5	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H5216	211	0	1	04	01	H5216_211_0	5	003	MyOption Dental Enriched PPO	25.40	1	1000.00	3	2	2				16a;16b;
H5216	211	0	1	04	01	H5216_211_0	5	004	MyOption Total Dental PPO	37.00	1	1000.00	3	2	2				16a;16b;
H5216	211	0	1	04	01	H5216_211_0	5	002	MyOption Enhanced Dental PPO	25.40	1	1000.00	3	2	2				16a;16b;
H5216	212	0	1	04	01	H5216_212_0	4	001	MyOption DEN204	37.30	1	2000.00	3	2	2				16b;
H5216	212	0	1	04	01	H5216_212_0	4	002	MyOption DEN205	54.30	1	2000.00	3	2	2				16b;
H5216	214	1	1	04	01	H5216_214_1	4	001	MyOption DEN204	37.30	1	2000.00	3	2	2				16b;
H5216	214	1	1	04	01	H5216_214_1	4	002	MyOption DEN205	54.30	1	2000.00	3	2	2				16b;
H5216	214	2	1	04	01	H5216_214_2	4	002	MyOption DEN205	54.30	1	2000.00	3	2	2				16b;
H5216	214	2	1	04	01	H5216_214_2	4	001	MyOption DEN204	37.30	1	2000.00	3	2	2				16b;
H5216	214	3	1	04	01	H5216_214_3	4	001	MyOption DEN204	37.30	1	2000.00	3	2	2				16b;
H5216	214	3	1	04	01	H5216_214_3	4	002	MyOption DEN205	54.30	1	2000.00	3	2	2				16b;
H5216	215	0	1	04	01	H5216_215_0	4	001	MyOption DEN204	53.90	1	2000.00	3	2	2				16b;
H5216	218	0	1	04	01	H5216_218_0	3	002	MyOption Total Dental Plus PPO	46.80	1	1000.00	3	2	2				16a;16b;
H5216	218	0	1	04	01	H5216_218_0	3	001	MyOption Enhanced Dental Plus PPO	32.90	1	1000.00	3	2	2				16a;16b;
H5216	222	0	1	04	01	H5216_222_0	4	001	MyOption Enhanced Dental PPO	34.20	1	2000.00	3	2	2				16a;16b;
H5216	224	0	1	04	01	H5216_224_0	5	002	MyOption Total Dental PPO	42.70	1	1000.00	3	2	2				16a;16b;
H5216	224	0	1	04	01	H5216_224_0	5	001	MyOption Enhanced Dental PPO	31.50	1	1000.00	3	2	2				16a;16b;
H5216	226	0	1	04	01	H5216_226_0	4	002	MyOption DEN205	76.40	1	2000.00	3	2	2				16b;
H5216	226	0	1	04	01	H5216_226_0	4	001	MyOption DEN204	56.30	1	2000.00	3	2	2				16b;
H5216	229	0	1	04	01	H5216_229_0	5	001	MyOption Enhanced Dental PPO	25.20	1	1000.00	3	2	2				16a;16b;
H5216	229	0	1	04	01	H5216_229_0	5	002	MyOption Total Dental PPO	34.90	1	1000.00	3	2	2				16a;16b;
H5216	230	0	1	04	01	H5216_230_0	5	001	MyOption Total Dental PPO	32.00	2			2	2				16a;16b;
H5216	232	1	1	04	01	H5216_232_1	4	001	MyOption DEN204	76.30	1	2000.00	3	2	2				16b;
H5216	232	1	1	04	01	H5216_232_1	4	002	MyOption DEN205	105.00	1	2000.00	3	2	2				16b;
H5216	232	2	1	04	01	H5216_232_2	4	003	MyOption DEN205	105.00	1	2000.00	3	2	2				16b;
H5216	232	2	1	04	01	H5216_232_2	4	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H5216	232	2	1	04	01	H5216_232_2	4	002	MyOption DEN204	76.30	1	2000.00	3	2	2				16b;
H5216	233	1	1	04	01	H5216_233_1	4	001	MyOption Platinum Dental	38.70	1	2000.00	3	2	2			16a;16b;	
H5216	233	2	1	04	01	H5216_233_2	4	001	MyOption Platinum Dental	38.70	1	2000.00	3	2	2			16a;16b;	
H5216	237	1	1	04	01	H5216_237_1	4	001	MyOption Dental High PPO	20.80	1	2000.00	3	2	2			16a;16b;	
H5216	237	1	1	04	01	H5216_237_1	4	002	MyOption Platinum Dental	22.30	1	2000.00	3	2	2				16a;16b;
H5216	248	1	1	04	01	H5216_248_1	4	002	MyOption Platinum Dental	27.80	1	2000.00	3	2	2				16a;16b;
H5216	248	1	1	04	01	H5216_248_1	4	001	MyOption Dental High PPO	19.80	1	2000.00	3	2	2			16a;16b;	
H5216	248	2	1	04	01	H5216_248_2	4	001	MyOption DEN204	56.20	1	2000.00	3	2	2				16b;
H5216	248	2	1	04	01	H5216_248_2	4	002	MyOption DEN205	81.50	1	2000.00	3	2	2				16b;
H5216	249	0	1	04	01	H5216_249_0	4	002	MyOption Total Dental PPO	52.90	1	2000.00	3	2	2				16a;16b;
H5216	249	0	1	04	01	H5216_249_0	4	001	MyOption Enhanced Dental PPO	36.10	1	2000.00	3	2	2				16a;16b;
H5216	251	0	1	04	01	H5216_251_0	4	001	MyOption DEN205	84.10	1	2000.00	3	2	2				16b;
H5216	254	0	1	04	01	H5216_254_0	5	002	MyOption Total Dental PPO	37.50	1	2000.00	3	2	2				16a;16b;
H5216	254	0	1	04	01	H5216_254_0	5	001	MyOption Enhanced Dental PPO	26.20	1	1000.00	3	2	2				16a;16b;
H5216	258	0	1	04	01	H5216_258_0	4	001	MyOption DEN204	77.10	1	2000.00	3	2	2				16b;
H5216	260	0	1	04	01	H5216_260_0	3	002	MyOption DEN205	97.20	1	2000.00	3	2	2				16b;
H5216	260	0	1	04	01	H5216_260_0	3	001	MyOption DEN204	69.30	1	2000.00	3	2	2				16b;
H5216	261	0	1	04	01	H5216_261_0	4	002	MyOption DEN205	97.00	1	2000.00	3	2	2				16b;
H5216	261	0	1	04	01	H5216_261_0	4	001	MyOption DEN204	66.80	1	2000.00	3	2	2				16b;
H5216	263	0	1	04	01	H5216_263_0	5	001	MyOption DEN204	69.30	1	2000.00	3	2	2				16b;
H5216	263	0	1	04	01	H5216_263_0	5	002	MyOption DEN205	97.20	1	2000.00	3	2	2				16b;
H5216	264	0	1	04	01	H5216_264_0	3	001	MyOption DEN204	51.40	1	2000.00	3	2	2				16b;
H5216	264	0	1	04	01	H5216_264_0	3	002	MyOption DEN205	73.30	1	2000.00	3	2	2				16b;
H5216	265	0	1	04	01	H5216_265_0	3	001	MyOption DEN204	69.30	1	2000.00	3	2	2				16b;
H5216	265	0	1	04	01	H5216_265_0	3	002	MyOption DEN205	97.20	1	2000.00	3	2	2				16b;
H5216	266	0	1	04	01	H5216_266_0	5	002	MyOption DEN205	81.50	1	2000.00	3	2	2				16b;
H5216	266	0	1	04	01	H5216_266_0	5	001	MyOption DEN204	56.20	1	2000.00	3	2	2				16b;
H5216	269	0	1	04	01	H5216_269_0	3	002	MyOption DEN205	54.30	1	2000.00	3	2	2				16b;
H5216	269	0	1	04	01	H5216_269_0	3	001	MyOption DEN204	37.30	1	2000.00	3	2	2				16b;
H5216	270	1	1	04	01	H5216_270_1	4	001	MyOption DEN204	51.40	1	2000.00	3	2	2				16b;
H5216	270	2	1	04	01	H5216_270_2	5	001	MyOption DEN204	51.40	1	2000.00	3	2	2				16b;
H5216	272	0	1	04	01	H5216_272_0	3	002	MyOption DEN205	54.30	1	2000.00	3	2	2				16b;
H5216	272	0	1	04	01	H5216_272_0	3	001	MyOption DEN204	37.30	1	2000.00	3	2	2				16b;
H5216	279	0	1	04	01	H5216_279_0	4	002	MyOption Dental Enriched PPO	25.00	1	2000.00	3	2	2				16a;16b;
H5216	279	0	1	04	01	H5216_279_0	4	003	MyOption Total Dental PPO	31.60	1	2000.00	3	2	2				16a;16b;
H5216	279	0	1	04	01	H5216_279_0	4	001	MyOption Enhanced Dental PPO	25.00	1	2000.00	3	2	2				16a;16b;
H5216	281	0	1	04	01	H5216_281_0	4	002	MyOption DEN205	105.70	1	2000.00	3	2	2				16b;
H5216	281	0	1	04	01	H5216_281_0	4	001	MyOption DEN204	74.70	1	2000.00	3	2	2				16b;
H5216	283	0	1	04	01	H5216_283_0	4	001	MyOption DEN204	53.90	1	2000.00	3	2	2				16b;
H5216	285	0	1	04	01	H5216_285_0	3	001	MyOption DEN204	56.30	1	2000.00	3	2	2				16b;
H5216	285	0	1	04	01	H5216_285_0	3	002	MyOption DEN205	81.20	1	2000.00	3	2	2				16b;
H5216	286	0	1	04	01	H5216_286_0	3	001	MyOption DEN205	74.10	1	2000.00	3	2	2				16b;
H5216	287	0	1	04	01	H5216_287_0	4	001	MyOption DEN204	53.00	1	2000.00	3	2	2				16b;
H5216	287	0	1	04	01	H5216_287_0	4	002	MyOption DEN205	80.10	1	2000.00	3	2	2				16b;
H5216	300	0	1	04	01	H5216_300_0	3	002	MyOption DEN205	58.90	1	2000.00	3	2	2				16b;
H5216	300	0	1	04	01	H5216_300_0	3	001	MyOption DEN204	40.30	1	2000.00	3	2	2				16b;
H5232	001	0	1	04	01	H5232_001_0	6	002	OPTIONAL COMPREHENSIVE DENTAL PACKAGE #2	40.00	1	2000.00	3	2	1	50.00	16b;		16b;
H5232	001	0	1	04	01	H5232_001_0	6	001	OPTIONAL COMPREHENSIVE DENTAL PACKAGE #1	28.00	1	1000.00	3	2	1	25.00	16b;	16a;16b;	
H5253	034	0	1	02	01	H5253_034_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H5253	035	0	1	02	01	H5253_035_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H5253	036	0	1	01	01	H5253_036_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H5253	072	0	1	02	01	H5253_072_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H5253	073	0	1	02	01	H5253_073_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H5253	079	0	1	02	01	H5253_079_0	4	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H5253	097	0	1	02	01	H5253_097_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H5253	103	0	1	02	01	H5253_103_0	4	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H5253	105	0	1	02	01	H5253_105_0	4	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H5253	107	2	1	02	01	H5253_107_2	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H5253	108	1	1	02	01	H5253_108_1	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H5253	110	0	1	02	01	H5253_110_0	4	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H5253	111	1	1	02	01	H5253_111_1	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H5256	004	0	1	18	06	H5256_004_0	1	001	Out of Network Benefits	33.00	2			2	2				13d;
H5262	001	0	1	01	01	H5262_001_0	4	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H5262	003	0	1	01	01	H5262_003_0	4	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H5262	004	0	1	01	01	H5262_004_0	3	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H5262	005	0	1	01	01	H5262_005_0	3	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H5262	007	0	1	01	01	H5262_007_0	3	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H5262	008	0	1	01	01	H5262_008_0	3	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H5262	009	0	1	01	01	H5262_009_0	2	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H5262	010	0	1	01	01	H5262_010_0	2	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H5262	011	0	1	01	01	H5262_011_0	3	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H5262	012	0	1	01	01	H5262_012_0	3	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H5262	013	0	1	01	01	H5262_013_0	2	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H5262	018	0	1	01	01	H5262_018_0	3	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H5262	019	0	1	01	01	H5262_019_0	3	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H5262	020	0	1	01	01	H5262_020_0	2	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H5262	021	0	1	01	01	H5262_021_0	4	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H5262	023	0	1	01	01	H5262_023_0	3	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H5262	024	0	1	01	01	H5262_024_0	3	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H5262	025	0	1	01	01	H5262_025_0	2	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H5262	026	0	1	01	01	H5262_026_0	3	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H5262	027	0	1	01	01	H5262_027_0	2	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H5273	002	0	1	01	01	H5273_002_0	8	001	CarePartners of Connecticut Dental Option	19.00	1	1000.00	3	2	2				16b;
H5296	001	0	1	01	01	H5296_001_0	5	001	DENTAL ALLOWANCE	22.00	1	2000.00	4	2	2				16b;
H5373	001	0	1	01	01	H5373_001_0	5	002	OPTIONAL COMPREHENSIVE DENTAL PACKAGE #2	38.80	1	2000.00	3	2	1	50.00	16b;		16b;
H5373	001	0	1	01	01	H5373_001_0	5	001	OPTIONAL COMPREHENSIVE DENTAL PACKAGE #1	27.20	1	1000.00	3	2	1	25.00	16b;	16a;16b;	
H5377	001	0	1	01	01	H5377_001_0	3	001	MyOption Dental High PPO	19.80	1	2000.00	3	2	2			16a;16b;	
H5386	003	0	1	01	01	H5386_003_0	2	001	Delta Dental Advantage for Sharp Health Plan	13.00	2			2	2			16a;16b;	
H5398	001	0	1	01	01	H5398_001_0	4	001	Centene Silver 1500 40%, Vision 200	23.00	1	1700.00	3	2	2				16a;16b;17a;17b;
H5422	008	0	1	01	01	H5422_008_0	6	001	Preventive Dental Package	17.00	2			2	2				16a;
H5422	008	0	1	01	01	H5422_008_0	6	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H5422	008	0	1	01	01	H5422_008_0	6	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H5422	011	0	1	01	01	H5422_011_0	7	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H5422	011	0	1	01	01	H5422_011_0	7	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H5422	011	0	1	01	01	H5422_011_0	7	001	Preventive Dental Package	17.00	2			2	2				16a;
H5422	014	0	1	01	01	H5422_014_0	5	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H5422	014	0	1	01	01	H5422_014_0	5	001	Preventive Dental Package	17.00	2			2	2				16a;
H5422	014	0	1	01	01	H5422_014_0	5	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H5422	015	0	1	01	01	H5422_015_0	9	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H5422	015	0	1	01	01	H5422_015_0	9	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H5422	015	0	1	01	01	H5422_015_0	9	001	Preventive Dental Package	17.00	2			2	2				16a;
H5422	017	0	1	01	01	H5422_017_0	7	001	Preventive Dental Package	17.00	2			2	2				16a;
H5422	017	0	1	01	01	H5422_017_0	7	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H5422	017	0	1	01	01	H5422_017_0	7	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H5425	001	0	1	01	01	H5425_001_0	5	001	Essential Dental	10.00	2			2	2				16b;
H5425	004	0	1	01	01	H5425_004_0	5	001	Essential Dental	10.00	2			2	2				16b;
H5425	005	0	1	01	01	H5425_005_0	5	002	Enhanced Dental	16.00	2			2	2				16a;16b;
H5425	005	0	1	01	01	H5425_005_0	5	001	Basic Dental	6.00	2			2	2				16a;16b;
H5425	019	0	1	01	01	H5425_019_0	5	001	Basic Dental	6.00	2			2	2				16a;16b;
H5425	019	0	1	01	01	H5425_019_0	5	002	Enhanced Dental	16.00	2			2	2				16a;16b;
H5425	020	0	1	01	01	H5425_020_0	5	001	Basic Dental	6.00	2			2	2				16a;16b;
H5425	020	0	1	01	01	H5425_020_0	5	002	Enhanced Dental	16.00	2			2	2				16a;16b;
H5425	052	0	1	01	01	H5425_052_0	5	001	Basic Dental	6.00	2			2	2				16a;16b;
H5425	052	0	1	01	01	H5425_052_0	5	002	Enhanced Dental	16.00	2			2	2				16a;16b;
H5425	053	0	1	01	01	H5425_053_0	5	001	Basic Dental	6.00	2			2	2				16a;16b;
H5425	053	0	1	01	01	H5425_053_0	5	002	Enhanced Dental	16.00	2			2	2				16a;16b;
H5425	054	0	1	01	01	H5425_054_0	5	001	Basic Dental	6.00	2			2	2				16a;16b;
H5425	054	0	1	01	01	H5425_054_0	5	002	Enhanced Dental	16.00	2			2	2				16a;16b;
H5425	055	0	1	01	01	H5425_055_0	5	001	Basic Dental	6.00	2			2	2				16a;16b;
H5425	055	0	1	01	01	H5425_055_0	5	002	Enhanced Dental	16.00	2			2	2				16a;16b;
H5425	073	0	1	01	01	H5425_073_0	5	001	Basic Dental	6.00	2			2	2				16a;16b;
H5425	073	0	1	01	01	H5425_073_0	5	002	Enhanced Dental	16.00	2			2	2				16a;16b;
H5425	074	0	1	01	01	H5425_074_0	5	001	Essential Dental	10.00	2			2	2				16b;
H5425	075	0	1	01	01	H5425_075_0	5	001	Essential Dental	10.00	2			2	2				16b;
H5425	076	0	1	01	01	H5425_076_0	5	001	Essential Dental	10.00	2			2	2				16b;
H5425	077	0	1	01	01	H5425_077_0	5	001	Essential Dental	10.00	2			2	2				16b;
H5425	078	0	1	01	01	H5425_078_0	5	001	Essential Dental	10.00	2			2	2				16b;
H5425	079	0	1	01	01	H5425_079_0	5	001	Essential Dental	10.00	2			2	2				16b;
H5425	080	0	1	01	01	H5425_080_0	5	001	Essential Dental	10.00	2			2	2				16b;
H5425	082	0	1	01	01	H5425_082_0	5	001	Essential Dental	10.00	2			2	2				16b;
H5521	040	0	1	04	01	H5521_040_0	4	001	Deluxe Comprehensive Dental Package	11.00	1	2000.00	3	2	1	50.00	16b;	16b;	
H5521	076	0	1	04	01	H5521_076_0	4	001	Deluxe Comprehensive Dental Package	10.00	1	2000.00	3	2	1	50.00	16b;	16b;	
H5521	117	0	1	04	01	H5521_117_0	4	001	Deluxe Comprehensive Dental Package	11.00	1	2000.00	3	2	1	50.00	16b;	16b;	
H5521	120	0	1	04	01	H5521_120_0	4	002	Deluxe Dental and Vision Package	29.90	1	2200.00	3	2	1	50.00	16b;	16a;16b;17b;	
H5521	120	0	1	04	01	H5521_120_0	4	001	Deluxe Dental Package	24.00	1	2000.00	3	2	1	50.00	16b;	16a;16b;	
H5521	121	0	1	04	01	H5521_121_0	3	001	Deluxe Comprehensive Dental Package	11.00	1	2000.00	3	2	1	50.00	16b;	16b;	
H5521	123	0	1	04	01	H5521_123_0	2	001	Deluxe Comprehensive Dental Package	8.00	1	2000.00	3	2	1	50.00	16b;	16b;	
H5521	124	0	1	04	01	H5521_124_0	2	001	Deluxe Comprehensive Dental Package	7.00	1	2000.00	3	2	1	50.00	16b;	16b;	
H5521	124	0	1	04	01	H5521_124_0	2	002	Deluxe Comprehensive Dental and Vision Package	12.90	1	2200.00	3	2	1	50.00	16b;	16b;17b;	
H5521	277	0	1	04	01	H5521_277_0	2	002	Deluxe Dental and Vision Package	36.90	1	2200.00	3	2	1	50.00	16b;	16a;16b;17b;	
H5521	277	0	1	04	01	H5521_277_0	2	001	Deluxe Dental Package	31.00	1	2000.00	3	2	1	50.00	16b;	16a;16b;	
H5521	278	0	1	04	01	H5521_278_0	2	001	Deluxe Comprehensive Dental Package	12.00	1	2000.00	3	2	1	50.00	16b;	16b;	
H5521	313	0	1	04	01	H5521_313_0	4	001	Deluxe Dental Package	14.00	1	1000.00	3	2	1	50.00	16b;	16a;16b;	
H5521	318	0	1	04	01	H5521_318_0	3	001	Deluxe Comprehensive Dental Package	10.00	1	2000.00	3	2	1	50.00	16b;	16b;	
H5521	341	0	1	04	01	H5521_341_0	4	001	Deluxe Dental Package	25.00	1	2000.00	3	2	1	50.00	16b;	16a;16b;	
H5525	004	0	1	04	01	H5525_004_0	4	002	MyOption DEN205	84.10	1	2000.00	3	2	2				16b;
H5525	004	0	1	04	01	H5525_004_0	4	001	MyOption DEN204	53.90	1	2000.00	3	2	2				16b;
H5525	005	0	1	04	01	H5525_005_0	5	002	MyOption Total Dental PPO	31.00	1	1000.00	3	2	2				16a;16b;
H5525	005	0	1	04	01	H5525_005_0	5	001	MyOption Enhanced Dental PPO	19.60	1	1000.00	3	2	2				16a;16b;
H5525	006	0	1	04	01	H5525_006_0	5	002	MyOption Total Dental PPO	31.00	1	1000.00	3	2	2				16a;16b;
H5525	006	0	1	04	01	H5525_006_0	5	001	MyOption Enhanced Dental PPO	19.60	1	1000.00	3	2	2				16a;16b;
H5525	007	0	1	04	01	H5525_007_0	5	002	MyOption Total Dental PPO	31.00	1	1000.00	3	2	2				16a;16b;
H5525	007	0	1	04	01	H5525_007_0	5	001	MyOption Enhanced Dental PPO	19.60	1	1000.00	3	2	2				16a;16b;
H5525	008	0	1	04	01	H5525_008_0	5	001	MyOption Enhanced Dental PPO	22.50	1	1000.00	3	2	2				16a;16b;
H5525	008	0	1	04	01	H5525_008_0	5	002	MyOption Total Dental PPO	34.90	1	1000.00	3	2	2				16a;16b;
H5525	022	0	1	04	01	H5525_022_0	4	001	MyOption Dental High PPO	20.30	1	2000.00	3	2	2			16a;16b;	
H5525	022	0	1	04	01	H5525_022_0	4	002	MyOption Platinum Dental	22.50	1	2000.00	3	2	2				16a;16b;
H5525	023	0	1	04	01	H5525_023_0	5	002	MyOption Total Dental PPO	26.50	1	1000.00	3	2	2				16a;16b;
H5525	023	0	1	04	01	H5525_023_0	5	001	MyOption Enhanced Dental PPO	18.90	1	1000.00	3	2	2				16a;16b;
H5525	024	0	1	04	01	H5525_024_0	4	003	MyOption Plus	21.50	2			2	1	50.00	16b;		17a;17b;16a;16b;
H5525	024	0	1	04	01	H5525_024_0	4	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5525	024	0	1	04	01	H5525_024_0	4	001	MyOption Dental High PPO	20.80	1	2000.00	3	2	2			16a;16b;	
H5525	026	0	1	04	01	H5525_026_0	5	005	MyOption DEN206	49.40	1	2000.00	3	2	2				16a;16b;
H5525	026	0	1	04	01	H5525_026_0	5	004	MyOption Platinum Dental	26.70	1	2000.00	3	2	2				16a;16b;
H5525	026	0	1	04	01	H5525_026_0	5	003	MyOption Plus	22.40	2			2	1	50.00	16b;		17a;17b;16a;16b;
H5525	026	0	1	04	01	H5525_026_0	5	001	MyOption Dental High PPO	22.60	1	2000.00	3	2	2			16a;16b;	
H5525	026	0	1	04	01	H5525_026_0	5	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5525	027	0	1	04	01	H5525_027_0	4	002	MyOption DEN204	62.30	1	2000.00	3	2	2				16b;
H5525	027	0	1	04	01	H5525_027_0	4	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H5525	030	0	1	04	01	H5525_030_0	5	002	MyOption Total Dental PPO	34.10	1	1000.00	3	2	2				16a;16b;
H5525	030	0	1	04	01	H5525_030_0	5	001	MyOption Enhanced Dental PPO	25.20	1	1000.00	3	2	2				16a;16b;
H5525	031	0	1	04	01	H5525_031_0	3	001	MyOption DEN205	87.10	1	2000.00	3	2	2				16b;
H5525	035	0	1	04	01	H5525_035_0	5	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5525	035	0	1	04	01	H5525_035_0	5	003	MyOption Plus	22.40	2			2	1	50.00	16b;		17a;17b;16a;16b;
H5525	035	0	1	04	01	H5525_035_0	5	005	MyOption DEN206	49.40	1	2000.00	3	2	2				16a;16b;
H5525	035	0	1	04	01	H5525_035_0	5	001	MyOption Dental High PPO	22.60	1	2000.00	3	2	2			16a;16b;	
H5525	035	0	1	04	01	H5525_035_0	5	004	MyOption Platinum Dental	26.70	1	2000.00	3	2	2				16a;16b;
H5525	042	0	1	04	01	H5525_042_0	4	002	MyOption Fitness	15.00	2			2	2			14c;	
H5525	042	0	1	04	01	H5525_042_0	4	001	MyOption Dental High PPO	22.50	1	2000.00	3	2	2			16a;16b;	
H5525	042	0	1	04	01	H5525_042_0	4	003	MyOption Platinum Dental	24.70	1	2000.00	3	2	2				16a;16b;
H5525	044	0	1	04	01	H5525_044_0	4	001	MyOption DEN205	76.40	1	2000.00	3	2	2				16b;
H5525	049	0	1	04	01	H5525_049_0	5	001	MyOption Enhanced Dental PPO	25.40	1	1000.00	3	2	2				16a;16b;
H5525	049	0	1	04	01	H5525_049_0	5	003	MyOption Total Dental PPO	37.00	1	1000.00	3	2	2				16a;16b;
H5525	049	0	1	04	01	H5525_049_0	5	002	MyOption Dental Enriched PPO	25.40	1	1000.00	3	2	2				16a;16b;
H5525	050	0	1	04	01	H5525_050_0	3	002	MyOption DEN205	88.20	1	2000.00	3	2	2				16b;
H5525	050	0	1	04	01	H5525_050_0	3	001	MyOption DEN204	61.40	1	2000.00	3	2	2				16b;
H5525	051	1	1	04	01	H5525_051_1	5	002	MyOption Total Dental PPO	31.00	1	1000.00	3	2	2				16a;16b;
H5525	051	1	1	04	01	H5525_051_1	5	001	MyOption Enhanced Dental PPO	19.60	1	1000.00	3	2	2				16a;16b;
H5525	051	2	1	04	01	H5525_051_2	5	001	MyOption Enhanced Dental PPO	19.60	1	1000.00	3	2	2				16a;16b;
H5525	051	2	1	04	01	H5525_051_2	5	002	MyOption Total Dental PPO	31.00	1	1000.00	3	2	2				16a;16b;
H5526	004	0	1	04	01	H5526_004_0	6	002	Optional Supplemental Dental Enhanced	25.00	1	1000.00	3	2	2				16b;
H5526	004	0	1	04	01	H5526_004_0	6	001	Optional Supplemental Dental Basic	12.00	1	500.00	3	2	2				16b;
H5526	016	0	1	04	01	H5526_016_0	5	002	Optional Supplemental Dental Enhanced	25.00	1	1000.00	3	2	2				16b;
H5526	016	0	1	04	01	H5526_016_0	5	001	Optional Supplemental Dental Basic	12.00	1	500.00	3	2	2				16b;
H5526	018	0	1	04	01	H5526_018_0	5	001	Optional Supplemental Dental Basic	13.00	1	500.00	3	2	2				16b;
H5526	018	0	1	04	01	H5526_018_0	5	002	Optional Supplemental Dental Enhanced	24.00	1	1000.00	3	2	2				16b;
H5526	020	0	1	04	01	H5526_020_0	5	001	Optional Supplemental Dental Basic	12.00	1	500.00	3	2	2				16b;
H5526	020	0	1	04	01	H5526_020_0	5	002	Optional Supplemental Dental Enhanced	25.00	1	1000.00	3	2	2				16b;
H5526	021	0	1	04	01	H5526_021_0	5	002	Optional Supplemental Dental Enhanced	24.00	1	1000.00	3	2	2				16b;
H5526	021	0	1	04	01	H5526_021_0	5	001	Optional Supplemental Dental Basic	13.00	1	500.00	3	2	2				16b;
H5526	022	0	1	04	01	H5526_022_0	5	001	Optional Supplemental Dental Basic	13.00	1	500.00	3	2	2				16a;16b;
H5526	022	0	1	04	01	H5526_022_0	5	002	Optional Supplemental Dental Enhanced	24.00	1	1000.00	3	2	2				16a;16b;
H5590	005	0	1	01	01	H5590_005_0	4	001	Centene Gold 4000 20%	30.00	1	4000.00	3	2	2				16a;16b;
H5613	002	0		07	02	H5613_002_0	2	001	Optional Supplemental Rider	30.00	2				2				14c;16a;17a;17b;18a;18b;
H5613	801	0		07	02	H5613_801_0	1	001	Optional Supplemental Rider		2				2				14c;16a;17a;17b;18a;18b;
H5613	802	0		07	02	H5613_802_0	1	001	Optional Supplemental Rider		2				2				14c;16a;17a;17b;18a;18b;
H5619	001	0	1	01	01	H5619_001_0	4	001	MyOption Dental High PPO	23.40	1	2000.00	3	2	2			16a;16b;	
H5619	001	0	1	01	01	H5619_001_0	4	002	MyOption Platinum Dental	30.10	1	2000.00	3	2	2				16a;16b;
H5619	012	0	1	01	01	H5619_012_0	4	001	MyOption Dental High PPO	23.40	1	2000.00	3	2	2			16a;16b;	
H5619	012	0	1	01	01	H5619_012_0	4	002	MyOption DEN207	57.60	1	2000.00	3	2	2				16a;16b;
H5619	013	0	1	01	01	H5619_013_0	4	001	MyOption Dental High PPO	23.40	1	2000.00	3	2	2			16a;16b;	
H5619	013	0	1	01	01	H5619_013_0	4	003	MyOption Plus	23.60	2			2	1	50.00	16b;		17a;17b;16a;16b;
H5619	013	0	1	01	01	H5619_013_0	4	002	MyOption Vision	15.30	2			2	2				17a;17b;
H5619	015	0	1	01	01	H5619_015_0	4	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5619	015	0	1	01	01	H5619_015_0	4	003	MyOption Plus	23.60	2			2	1	50.00	16b;		17a;17b;16a;16b;
H5619	015	0	1	01	01	H5619_015_0	4	001	MyOption Dental High PPO	23.40	1	2000.00	3	2	2			16a;16b;	
H5619	026	0	1	01	01	H5619_026_0	4	002	MyOption Fitness	15.00	2			2	2			14c;	
H5619	026	0	1	01	01	H5619_026_0	4	001	MyOption Dental High PPO	23.40	1	2000.00	3	2	2			16a;16b;	
H5619	029	0	1	01	01	H5619_029_0	4	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H5619	029	0	1	01	01	H5619_029_0	4	003	MyOption Platinum Dental	29.20	1	2000.00	3	2	2				16a;16b;
H5619	029	0	1	01	01	H5619_029_0	4	002	MyOption Plus	23.60	2			2	1	50.00	16b;	16a;16b;	17a;17b;
H5619	032	0	1	01	01	H5619_032_0	5	002	MyOption Total Dental HMO	37.50	1	1000.00	3	2	2				16a;16b;
H5619	032	0	1	01	01	H5619_032_0	5	001	MyOption Enhanced Dental HMO	26.30	1	1000.00	3	2	2				16a;16b;
H5619	039	1	1	01	01	H5619_039_1	4	001	MyOption Dental High PPO	23.40	1	2000.00	3	2	2			16a;16b;	
H5619	039	1	1	01	01	H5619_039_1	4	002	MyOption Platinum Dental	29.20	1	2000.00	3	2	2				16a;16b;
H5619	039	2	1	01	01	H5619_039_2	4	002	MyOption DEN205	88.70	1	2000.00	3	2	2				16b;
H5619	039	2	1	01	01	H5619_039_2	4	001	MyOption DEN204	61.50	1	2000.00	3	2	2				16b;
H5619	041	0	1	01	01	H5619_041_0	6	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H5619	041	0	1	01	01	H5619_041_0	6	003	MyOption Platinum Dental	27.80	1	2000.00	3	2	2				16a;16b;
H5619	041	0	1	01	01	H5619_041_0	6	002	MyOption Plus	23.60	2			2	1	50.00	16b;	16a;16b;	17a;17b;
H5619	046	0	1	01	01	H5619_046_0	7	003	MyOption Total Dental HMO	34.90	1	1000.00	3	2	2				16a;16b;
H5619	046	0	1	01	01	H5619_046_0	7	001	MyOption Enhanced Dental HMO	24.20	1	1000.00	3	2	2				16a;16b;
H5619	046	0	1	01	01	H5619_046_0	7	002	MyOption Dental Enriched HMO	24.20	1	1000.00	3	2	2				16a;16b;
H5619	047	0	1	01	01	H5619_047_0	7	001	MyOption Enhanced Dental HMO	24.20	1	1000.00	3	2	2				16a;16b;
H5619	047	0	1	01	01	H5619_047_0	7	002	MyOption Dental Enriched HMO	24.20	1	1000.00	3	2	2				16a;16b;
H5619	047	0	1	01	01	H5619_047_0	7	003	MyOption Total Dental HMO	34.90	1	1000.00	3	2	2				16a;16b;
H5619	049	0	1	01	01	H5619_049_0	5	002	MyOption Total Dental HMO	34.90	1	1000.00	3	2	2				16a;16b;
H5619	049	0	1	01	01	H5619_049_0	5	001	MyOption Dental Enriched HMO	22.50	1	1000.00	3	2	2				16a;16b;
H5619	050	0	1	01	01	H5619_050_0	5	001	MyOption Dental Enriched HMO	25.20	1	1000.00	3	2	2				16a;16b;
H5619	050	0	1	01	01	H5619_050_0	5	002	MyOption Total Dental HMO	34.90	1	1000.00	3	2	2				16a;16b;
H5619	051	0	1	01	01	H5619_051_0	5	002	MyOption Total Dental HMO	34.90	1	1000.00	3	2	2				16a;16b;
H5619	051	0	1	01	01	H5619_051_0	5	001	MyOption Dental Enriched HMO	22.50	1	1000.00	3	2	2				16a;16b;
H5619	052	0	1	01	01	H5619_052_0	5	001	MyOption Dental Enriched HMO	22.50	1	1000.00	3	2	2				16a;16b;
H5619	052	0	1	01	01	H5619_052_0	5	002	MyOption Total Dental HMO	34.90	1	1000.00	3	2	2				16a;16b;
H5619	053	0	1	01	01	H5619_053_0	5	001	MyOption Dental Enriched HMO	22.50	1	1000.00	3	2	2				16a;16b;
H5619	053	0	1	01	01	H5619_053_0	5	002	MyOption Total Dental HMO	34.90	1	1000.00	3	2	2				16a;16b;
H5619	055	0	1	01	01	H5619_055_0	5	002	MyOption Total Dental Plus HMO	46.80	1	1000.00	3	2	2				16a;16b;
H5619	055	0	1	01	01	H5619_055_0	5	001	MyOption Enhanced Dental Plus HMO	34.50	1	1000.00	3	2	2				16a;16b;
H5619	056	0	1	01	01	H5619_056_0	4	001	MyOption DEN206	78.10	1	2000.00	3	2	2			16a;16b;	
H5619	057	0	1	01	01	H5619_057_0	7	002	MyOption DEN205	135.70	1	2000.00	3	2	2				16b;
H5619	057	0	1	01	01	H5619_057_0	7	001	MyOption DEN204	104.80	1	2000.00	3	2	2				16b;
H5619	059	0	1	01	01	H5619_059_0	6	001	MyOption DEN205	135.70	1	2000.00	3	2	2				16b;
H5619	060	0	1	01	01	H5619_060_0	4	001	MyOption DEN206	78.10	1	2000.00	3	2	2			16a;16b;	
H5619	061	0	1	01	01	H5619_061_0	7	001	MyOption DEN205	135.70	1	2000.00	3	2	2				16b;
H5619	063	0	1	01	01	H5619_063_0	6	001	MyOption Platinum Dental	51.50	1	2000.00	3	2	2			16a;16b;	
H5619	064	0	1	01	01	H5619_064_0	5	001	MyOption DEN204	104.80	1	2000.00	3	2	2				16b;
H5619	066	0	1	01	01	H5619_066_0	6	002	MyOption Platinum Dental	30.10	1	2000.00	3	2	2				16a;16b;
H5619	066	0	1	01	01	H5619_066_0	6	001	MyOption Dental High PPO	23.40	1	2000.00	3	2	2			16a;16b;	
H5619	069	0	1	01	01	H5619_069_0	4	002	MyOption Total Dental HMO	29.80	1	2000.00	3	2	2				16a;16b;
H5619	069	0	1	01	01	H5619_069_0	4	001	MyOption Enhanced Dental HMO	21.70	1	2000.00	3	2	2				16a;16b;
H5619	073	0	1	01	01	H5619_073_0	7	002	MyOption DEN205	85.50	1	2000.00	3	2	2				16b;
H5619	073	0	1	01	01	H5619_073_0	7	001	MyOption DEN204	58.10	1	2000.00	3	2	2				16b;
H5619	094	0	1	01	01	H5619_094_0	5	002	MyOption DEN205	54.30	1	2000.00	3	2	2				16b;
H5619	094	0	1	01	01	H5619_094_0	5	001	MyOption DEN204	37.30	1	2000.00	3	2	2				16b;
H5619	097	0	1	01	01	H5619_097_0	8	001	MyOption DEN205	135.70	1	2000.00	3	2	2				16b;
H5619	099	0	1	01	01	H5619_099_0	4	001	MyOption Platinum Dental	51.50	1	2000.00	3	2	2			16a;16b;	
H5619	100	0	1	01	01	H5619_100_0	8	001	MyOption DEN204	104.80	1	2000.00	3	2	2				16b;
H5619	101	0	1	01	01	H5619_101_0	4	001	MyOption DEN205	135.70	1	2000.00	3	2	2				16b;
H5619	111	0	1	01	01	H5619_111_0	6	001	MyOption Total Dental HMO	32.00	2			2	2				16a;16b;
H5619	114	0	1	01	01	H5619_114_0	4	001	MyOption DEN204	104.80	1	2000.00	3	2	2				16b;
H5619	115	0	1	01	01	H5619_115_0	4	001	MyOption DEN204	104.80	1	2000.00	3	2	2				16b;
H5619	116	0	1	01	01	H5619_116_0	4	002	MyOption Total Dental HMO	37.50	1	2000.00	3	2	2				16a;16b;
H5619	116	0	1	01	01	H5619_116_0	4	001	MyOption Enhanced Dental HMO	26.30	1	2000.00	3	2	2				16a;16b;
H5619	119	0	1	01	01	H5619_119_0	4	001	MyOption Dental High PPO	23.40	1	2000.00	3	2	2			16a;16b;	
H5619	119	0	1	01	01	H5619_119_0	4	002	MyOption Platinum Dental	29.20	1	2000.00	3	2	2				16a;16b;
H5619	120	0	1	01	01	H5619_120_0	2	001	MyOption Fitness	15.00	2			2	2			14c;	
H5619	121	0	1	01	01	H5619_121_0	2	001	MyOption Fitness	15.00	2			2	2			14c;	
H5619	122	0	1	01	01	H5619_122_0	4	001	MyOption Enhanced Dental HMO	21.70	1	2000.00	3	2	2				16a;16b;
H5619	122	0	1	01	01	H5619_122_0	4	002	MyOption Total Dental HMO	29.80	1	2000.00	3	2	2				16a;16b;
H5619	124	0	1	01	01	H5619_124_0	5	001	MyOption Enhanced Dental Plus HMO	32.40	1	1000.00	3	2	2				16a;16b;
H5619	124	0	1	01	01	H5619_124_0	5	002	MyOption Total Dental Plus HMO	46.80	1	1000.00	3	2	2				16a;16b;
H5619	128	0	1	01	01	H5619_128_0	6	001	MyOption Total Dental HMO	33.30	2			2	2				16a;16b;
H5619	130	1	1	01	01	H5619_130_1	4	001	MyOption Dental Enriched HMO	26.30	1	2000.00	3	2	2				16a;16b;
H5619	130	2	1	01	01	H5619_130_2	4	001	MyOption Dental Enriched HMO	26.30	1	2000.00	3	2	2				16a;16b;
H5619	133	0	1	01	01	H5619_133_0	5	001	MyOption Enhanced Dental Plus HMO	64.50	1	1000.00	3	2	2				16a;16b;
H5619	135	0	1	01	01	H5619_135_0	7	002	MyOption Total Dental HMO	34.90	1	1000.00	3	2	2				16a;16b;
H5619	135	0	1	01	01	H5619_135_0	7	001	MyOption Dental Enriched HMO	24.20	1	1000.00	3	2	2				16a;16b;
H5619	137	0	1	01	01	H5619_137_0	4	002	MyOption Platinum Dental	37.40	1	2000.00	3	2	2				16a;16b;
H5619	137	0	1	01	01	H5619_137_0	4	001	MyOption Dental High PPO	27.50	1	2000.00	3	2	2			16a;16b;	
H5619	138	0	1	01	01	H5619_138_0	4	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H5619	138	0	1	01	01	H5619_138_0	4	002	MyOption DEN204	61.50	1	2000.00	3	2	2				16b;
H5619	138	0	1	01	01	H5619_138_0	4	003	MyOption DEN205	88.70	1	2000.00	3	2	2				16b;
H5619	139	1	1	01	01	H5619_139_1	6	001	MyOption Platinum Dental	27.80	1	2000.00	3	2	2			16a;16b;	
H5619	139	2	1	01	01	H5619_139_2	6	001	MyOption Platinum Dental	27.80	1	2000.00	3	2	2			16a;16b;	
H5619	140	1	1	01	01	H5619_140_1	7	001	MyOption Enhanced Dental HMO	24.20	1	1000.00	3	2	2				16a;16b;
H5619	140	1	1	01	01	H5619_140_1	7	002	MyOption Dental Enriched HMO	24.20	1	1000.00	3	2	2				16a;16b;
H5619	140	1	1	01	01	H5619_140_1	7	003	MyOption Total Dental HMO	34.90	1	1000.00	3	2	2				16a;16b;
H5619	140	2	1	01	01	H5619_140_2	7	001	MyOption Enhanced Dental HMO	24.20	1	1000.00	3	2	2				16a;16b;
H5619	140	2	1	01	01	H5619_140_2	7	002	MyOption Dental Enriched HMO	24.20	1	1000.00	3	2	2				16a;16b;
H5619	140	2	1	01	01	H5619_140_2	7	003	MyOption Total Dental HMO	34.90	1	1000.00	3	2	2				16a;16b;
H5619	143	0	1	01	01	H5619_143_0	5	001	MyOption DEN204	104.80	1	2000.00	3	2	2				16b;
H5644	002	0	1	01	01	H5644_002_0	8	001	Dental	39.00	1	1000.00	3	2	1	100.00	16b;		16a;16b;
H5652	002	0	1	02	01	H5652_002_0	2	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H5652	004	0	1	02	01	H5652_004_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H5652	008	0	1	02	01	H5652_008_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H5746	018	0	1	01	01	H5746_018_0	8	001	Preventive Dental Package	6.00	2			2	2				16a;
H5746	018	0	1	01	01	H5746_018_0	8	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
H5746	018	0	1	01	01	H5746_018_0	8	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H5746	019	0	1	01	01	H5746_019_0	8	001	Preventive Dental Package	6.00	2			2	2				16a;
H5746	019	0	1	01	01	H5746_019_0	8	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H5746	019	0	1	01	01	H5746_019_0	8	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H5828	005	0	1	02	01	H5828_005_0	9	001	Preventive Dental Package	7.00	2			2	2				16a;
H5828	005	0	1	02	01	H5828_005_0	9	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H5828	005	0	1	02	01	H5828_005_0	9	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H5828	006	0	1	02	01	H5828_006_0	7	001	Preventive Dental Package	7.00	2			2	2				16a;
H5828	006	0	1	02	01	H5828_006_0	7	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H5828	006	0	1	02	01	H5828_006_0	7	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H5828	008	0	1	01	01	H5828_008_0	7	001	Preventive Dental Package	7.00	2			2	2				16a;
H5828	008	0	1	01	01	H5828_008_0	7	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H5828	008	0	1	01	01	H5828_008_0	7	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H5843	001	0	1	01	01	H5843_001_0	12	001	Optional Supplemental Dental Benefit	20.20	1	1000.00	3	2	2			16b;	
H5843	002	0	1	01	01	H5843_002_0	12	001	Optional Supplemental Dental Benefit	20.20	1	1000.00	3	2	2			16b;	
H5843	004	0	1	01	01	H5843_004_0	12	001	Optional Supplemental Dental Benefit	20.20	1	1000.00	3	2	2			16b;	
H5843	005	0	1	01	01	H5843_005_0	12	001	Optional Supplemental Dental Benefit	20.20	1	1000.00	3	2	2			16b;	
H5854	007	0	1	01	01	H5854_007_0	6	001	Preventive Dental Package	16.00	2			2	2				16a;
H5854	007	0	1	01	01	H5854_007_0	6	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H5854	007	0	1	01	01	H5854_007_0	6	003	Enhanced Dental and Vision Package	40.00	2			2	2				16a;16b;17b;
H5854	009	0	1	01	01	H5854_009_0	6	003	Enhanced Dental and Vision Package	40.00	2			2	2				16a;16b;17b;
H5854	009	0	1	01	01	H5854_009_0	6	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H5854	009	0	1	01	01	H5854_009_0	6	001	Preventive Dental Package	16.00	2			2	2				16a;
H5854	010	0	1	01	01	H5854_010_0	7	001	Preventive Dental Package	16.00	2			2	2				16a;
H5854	010	0	1	01	01	H5854_010_0	7	003	Enhanced Dental and Vision Package	40.00	2			2	2				16a;16b;17b;
H5854	010	0	1	01	01	H5854_010_0	7	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H5854	011	0	1	01	01	H5854_011_0	6	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H5854	011	0	1	01	01	H5854_011_0	6	003	Enhanced Dental and Vision Package	40.00	2			2	2				16a;16b;17b;
H5854	011	0	1	01	01	H5854_011_0	6	001	Preventive Dental Package	16.00	2			2	2				16a;
H5854	015	0	1	01	01	H5854_015_0	6	003	Enhanced Dental and Vision Package	40.00	2			2	2				16a;16b;17b;
H5854	015	0	1	01	01	H5854_015_0	6	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H5854	015	0	1	01	01	H5854_015_0	6	001	Preventive Dental Package	16.00	2			2	2				16a;
H5883	001	1	1	02	01	H5883_001_1	5	002	Supplemental Dental, Vision Package 2	37.40	1	2800.00	3	2	2				16a;16b;17a;17b;
H5883	001	1	1	02	01	H5883_001_1	5	001	Supplemental Dental, Vision Package 1	20.40	1	1700.00	3	2	2			16a;16b;17b;	17a;
H5883	001	2	1	02	01	H5883_001_2	6	002	Supplemental Dental, Vision Package 2	37.40	1	2800.00	3	2	2				16a;16b;17a;17b;
H5883	001	2	1	02	01	H5883_001_2	6	001	Supplemental Dental, Vision Package 1	20.40	1	1700.00	3	2	2			16a;16b;17b;	17a;
H5883	001	3	1	02	01	H5883_001_3	5	002	Supplemental Dental, Vision Package 2	37.40	1	2800.00	3	2	2				16a;16b;17a;17b;
H5883	001	3	1	02	01	H5883_001_3	5	001	Supplemental Dental, Vision Package 1	20.40	1	1700.00	3	2	2			16a;16b;17b;	17a;
H5883	001	4	1	02	01	H5883_001_4	6	001	Supplemental Dental, Vision Package 1	20.40	1	1700.00	3	2	2			16a;16b;17b;	17a;
H5883	001	4	1	02	01	H5883_001_4	6	002	Supplemental Dental, Vision Package 2	37.40	1	2800.00	3	2	2				16a;16b;17a;17b;
H5883	001	5	1	02	01	H5883_001_5	5	001	Supplemental Dental, Vision Package 1	20.40	1	1700.00	3	2	2			16a;16b;17b;	17a;
H5883	001	5	1	02	01	H5883_001_5	5	002	Supplemental Dental, Vision Package 2	37.40	1	2800.00	3	2	2				16a;16b;17a;17b;
H5883	002	1	1	02	01	H5883_002_1	8	002	Supplemental Dental, Vision Package 2	32.40	1	2800.00	3	2	2				16a;16b;17a;17b;
H5883	002	1	1	02	01	H5883_002_1	8	001	Supplemental Dental, Vision Package 1	20.40	1	1700.00	3	2	2			16a;16b;	17a;17b;
H5883	002	2	1	02	01	H5883_002_2	8	002	Supplemental Dental, Vision Package 2	32.40	1	2800.00	3	2	2				16a;16b;17a;17b;
H5883	002	2	1	02	01	H5883_002_2	8	001	Supplemental Dental, Vision Package 1	20.40	1	1700.00	3	2	2			16a;16b;	17a;17b;
H5883	002	3	1	02	01	H5883_002_3	8	002	Supplemental Dental, Vision Package 2	32.40	1	2800.00	3	2	2				16a;16b;17a;17b;
H5883	002	3	1	02	01	H5883_002_3	8	001	Supplemental Dental, Vision Package 1	20.40	1	1700.00	3	2	2			16a;16b;	17a;17b;
H5883	002	4	1	02	01	H5883_002_4	8	001	Supplemental Dental, Vision Package 1	20.40	1	1700.00	3	2	2			16a;16b;	17a;17b;
H5883	002	4	1	02	01	H5883_002_4	8	002	Supplemental Dental, Vision Package 2	32.40	1	2800.00	3	2	2				16a;16b;17a;17b;
H5883	002	7	1	02	01	H5883_002_7	8	001	Supplemental Dental, Vision Package 1	20.40	1	1700.00	3	2	2			16a;16b;	17a;17b;
H5883	002	7	1	02	01	H5883_002_7	8	002	Supplemental Dental, Vision Package 2	32.40	1	2800.00	3	2	2				16a;16b;17a;17b;
H5883	003	1	1	02	01	H5883_003_1	8	002	Supplemental Dental, Vision Package 2	32.40	1	2800.00	3	2	2				16a;16b;17a;17b;
H5883	003	1	1	02	01	H5883_003_1	8	001	Supplemental Dental, Vision Package 1	20.40	1	1700.00	3	2	2			16a;16b;	17a;17b;
H5883	003	2	1	02	01	H5883_003_2	8	002	Supplemental Dental, Vision Package 2	32.40	1	2800.00	3	2	2				16a;16b;17a;17b;
H5883	003	2	1	02	01	H5883_003_2	8	001	Supplemental Dental, Vision Package 1	20.40	1	1700.00	3	2	2			16a;16b;	17a;17b;
H5883	003	3	1	02	01	H5883_003_3	8	001	Supplemental Dental, Vision Package 1	20.40	1	1700.00	3	2	2			16a;16b;	17a;17b;
H5883	003	3	1	02	01	H5883_003_3	8	002	Supplemental Dental, Vision Package 2	32.40	1	2800.00	3	2	2				16a;16b;17a;17b;
H5883	003	4	1	02	01	H5883_003_4	8	001	Supplemental Dental, Vision Package 1	20.40	1	1700.00	3	2	2			16a;16b;	17a;17b;
H5883	003	4	1	02	01	H5883_003_4	8	002	Supplemental Dental, Vision Package 2	32.40	1	2800.00	3	2	2				16a;16b;17a;17b;
H5883	003	5	1	02	01	H5883_003_5	8	001	Supplemental Dental, Vision Package 1	20.40	1	1700.00	3	2	2			16a;16b;	17a;17b;
H5883	003	5	1	02	01	H5883_003_5	8	002	Supplemental Dental, Vision Package 2	32.40	1	2800.00	3	2	2				16a;16b;17a;17b;
H5883	007	0	1	01	01	H5883_007_0	8	002	Supplemental Dental, Vision, Hearing Package 2	35.50	1	5300.00	6	2	2				16a;16b;17b;18a;18b;
H5883	007	0	1	01	01	H5883_007_0	8	001	Supplemental Dental, Vision, Hearing Package 1	13.50	1	2900.00	6	2	2			16a;16b;17b;18a;18b;	
H5883	014	1	1	02	01	H5883_014_1	8	001	Supplemental Dental, Vision Package 1	20.40	1	1700.00	3	2	2			16a;16b;	17a;17b;
H5883	014	1	1	02	01	H5883_014_1	8	002	Supplemental Dental, Vision Package 2	32.40	1	2800.00	3	2	2				16a;16b;17a;17b;
H5883	014	2	1	02	01	H5883_014_2	8	002	Supplemental Dental, Vision Package 2	32.40	1	2800.00	3	2	2				16a;16b;17a;17b;
H5883	014	2	1	02	01	H5883_014_2	8	001	Supplemental Dental, Vision Package 1	20.40	1	1700.00	3	2	2			16a;16b;	17a;17b;
H5883	014	3	1	02	01	H5883_014_3	8	001	Supplemental Dental, Vision Package 1	20.40	1	1700.00	3	2	2			16a;16b;	17a;17b;
H5883	014	3	1	02	01	H5883_014_3	8	002	Supplemental Dental, Vision Package 2	32.40	1	2800.00	3	2	2				16a;16b;17a;17b;
H5883	014	4	1	02	01	H5883_014_4	8	001	Supplemental Dental, Vision Package 1	20.40	1	1700.00	3	2	2			16a;16b;	17a;17b;
H5883	014	4	1	02	01	H5883_014_4	8	002	Supplemental Dental, Vision Package 2	32.40	1	2800.00	3	2	2				16a;16b;17a;17b;
H5883	014	5	1	02	01	H5883_014_5	8	002	Supplemental Dental, Vision Package 2	32.40	1	2800.00	3	2	2				16a;16b;17a;17b;
H5883	014	5	1	02	01	H5883_014_5	8	001	Supplemental Dental, Vision Package 1	20.40	1	1700.00	3	2	2			16a;16b;	17a;17b;
H5970	001	0	1	04	01	H5970_001_0	5	002	MyOption Total Dental PPO	36.90	1	1000.00	3	2	2				16a;16b;
H5970	001	0	1	04	01	H5970_001_0	5	001	MyOption Enhanced Dental PPO	26.30	1	1000.00	3	2	2				16a;16b;
H5970	015	0	1	04	01	H5970_015_0	5	001	MyOption Enhanced Dental PPO	26.30	1	1000.00	3	2	2				16a;16b;
H5970	015	0	1	04	01	H5970_015_0	5	002	MyOption Total Dental PPO	36.90	1	1000.00	3	2	2				16a;16b;
H5970	016	0	1	04	01	H5970_016_0	4	001	MyOption Total Dental PPO	36.90	1	0.00	3	2	2				16a;16b;
H5970	018	0	1	04	01	H5970_018_0	4	003	MyOption Plus	23.80	2			2	1	50.00	16b;		17a;17b;16a;16b;
H5970	018	0	1	04	01	H5970_018_0	4	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5970	018	0	1	04	01	H5970_018_0	4	004	MyOption Platinum Dental	31.20	1	2000.00	3	2	2				16a;16b;
H5970	018	0	1	04	01	H5970_018_0	4	001	MyOption Dental High PPO	22.90	1	2000.00	3	2	2			16a;16b;	
H5970	019	0	1	04	01	H5970_019_0	5	001	MyOption Enhanced Dental PPO	26.30	1	1000.00	3	2	2				16a;16b;
H5970	019	0	1	04	01	H5970_019_0	5	002	MyOption Total Dental PPO	36.90	1	2000.00	3	2	2				16a;16b;
H5970	024	1	1	04	01	H5970_024_1	4	002	MyOption Platinum Dental	31.20	1	2000.00	3	2	2				16a;16b;
H5970	024	1	1	04	01	H5970_024_1	4	001	MyOption Dental High PPO	22.90	1	2000.00	3	2	2			16a;16b;	
H5970	024	2	1	04	01	H5970_024_2	4	001	MyOption Dental High PPO	22.90	1	2000.00	3	2	2			16a;16b;	
H5970	024	2	1	04	01	H5970_024_2	4	002	MyOption Platinum Dental	31.20	1	2000.00	3	2	2				16a;16b;
H6067	002	1	1	01	01	H6067_002_1	8	001	Upgraded Comprehensive Dental & Vision	17.00	2			2	2				16b;17b;
H6067	002	2	1	01	01	H6067_002_2	8	001	Upgraded Comprehensive Dental & Vision	17.00	2			2	2				16b;17b;
H6237	006	0	1	01	01	H6237_006_0	4	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H6237	007	1	1	01	01	H6237_007_1	7	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H6237	007	2	1	01	01	H6237_007_2	8	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H6237	007	3	1	01	01	H6237_007_3	8	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H6237	008	1	1	01	01	H6237_008_1	7	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H6237	008	2	1	01	01	H6237_008_2	8	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H6237	008	3	1	01	01	H6237_008_3	7	001	Dental	24.00	1	1000.00	3	2	2			16b;	
H6306	011	1	1	02	01	H6306_011_1	8	001	Comprehensive Dental	32.00	1	1000.00	3	2	2			16a;16b;	
H6306	011	1	1	02	01	H6306_011_1	8	002	Expanded Dental	55.00	1	2000.00	3	2	2			16a;16b;	
H6306	011	3	1	02	01	H6306_011_3	8	002	Expanded Dental	55.00	1	2000.00	3	2	2			16a;16b;	
H6306	011	3	1	02	01	H6306_011_3	8	001	Comprehensive Dental	32.00	1	1000.00	3	2	2			16a;16b;	
H6306	012	1	1	02	01	H6306_012_1	8	001	Comprehensive Dental	32.00	1	1000.00	3	2	2			16a;16b;	
H6306	012	1	1	02	01	H6306_012_1	8	002	Expanded Dental	55.00	1	2000.00	3	2	2			16a;16b;	
H6306	012	5	1	02	01	H6306_012_5	8	002	Expanded Dental	55.00	1	2000.00	3	2	2			16a;16b;	
H6306	012	5	1	02	01	H6306_012_5	8	001	Comprehensive Dental	32.00	1	1000.00	3	2	2			16a;16b;	
H6306	013	0	1	02	01	H6306_013_0	6	002	Expanded Dental	45.00	1	2000.00	3	2	2			16a;16b;	
H6306	013	0	1	02	01	H6306_013_0	6	001	Comprehensive Dental	26.00	1	1000.00	3	2	2			16a;16b;	
H6306	014	0	1	02	01	H6306_014_0	6	001	Comprehensive Dental	26.00	1	1000.00	3	2	2			16a;16b;	
H6306	014	0	1	02	01	H6306_014_0	6	002	Expanded Dental	45.00	1	2000.00	3	2	2			16a;16b;	
H6306	015	0	1	02	01	H6306_015_0	5	001	Comprehensive Dental	32.00	1	1000.00	3	2	2			16a;16b;	
H6306	015	0	1	02	01	H6306_015_0	5	002	Expanded Dental	55.00	1	2000.00	3	2	2			16a;16b;	
H6316	001	0	1	01	01	H6316_001_0	7	003	Enhanced Dental and Vision Package	53.00	2			2	2				16a;16b;17b;
H6316	001	0	1	01	01	H6316_001_0	7	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H6316	001	0	1	01	01	H6316_001_0	7	001	Preventive Dental Package	16.00	2			2	2				16a;
H6322	001	0	1	01	01	H6322_001_0	8	001	Delta Dental 1	24.00	1	1000.00	3	2	2				16b;
H6322	001	0	1	01	01	H6322_001_0	8	002	Delta Dental 2	36.00	1	1500.00	3	2	2				16b;
H6322	002	0	1	01	01	H6322_002_0	9	001	Delta Dental 1	24.00	1	1000.00	3	2	2				16b;
H6322	002	0	1	01	01	H6322_002_0	9	002	Delta Dental 2	36.00	1	1500.00	3	2	2				16b;
H6322	003	1	1	02	01	H6322_003_1	8	001	Delta Dental 1	24.00	1	1000.00	3	2	2				16b;
H6322	003	1	1	02	01	H6322_003_1	8	002	Delta Dental 2	36.00	1	1500.00	3	2	2				16b;
H6322	003	2	1	02	01	H6322_003_2	9	001	Delta Dental 1	24.00	1	1000.00	3	2	2				16b;
H6322	003	2	1	02	01	H6322_003_2	9	002	Delta Dental 2	36.00	1	1500.00	3	2	2				16b;
H6328	001	0	1	04	01	H6328_001_0	5	001	Dental Rider	26.00	1	7500.00	3	2	2			16b;	
H6328	002	0	1	04	01	H6328_002_0	5	001	Dental Rider	26.00	1	7500.00	3	2	2			16b;	
H6328	003	0	1	04	01	H6328_003_0	5	001	Dental Rider	26.00	1	7500.00	3	2	2			16b;	
H6328	005	0	1	04	01	H6328_005_0	5	001	Dental Rider	26.00	1	7500.00	3	2	2			16b;	
H6351	003	0	1	01	01	H6351_003_0	10	001	Preventive and Comprehensive Dental	30.00	1	2000.00	3	2	2			;	16a;16b;
H6351	004	0	1	01	01	H6351_004_0	9	001	Preventive and Comprehensive Dental	30.00	1	2000.00	3	2	2				16a;16b;
H6526	001	0	1	01	01	H6526_001_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H6526	002	0	1	01	01	H6526_002_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
H6528	035	0	1	04	01	H6528_035_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H6622	001	0	1	01	01	H6622_001_0	5	002	MyOption DEN205	109.70	1	2000.00	3	2	2				16b;
H6622	001	0	1	01	01	H6622_001_0	5	001	MyOption DEN204	77.10	1	2000.00	3	2	2				16b;
H6622	002	0	1	01	01	H6622_002_0	5	001	MyOption DEN204	77.10	1	2000.00	3	2	2				16b;
H6622	002	0	1	01	01	H6622_002_0	5	002	MyOption DEN205	109.70	1	2000.00	3	2	2				16b;
H6622	007	0	1	01	01	H6622_007_0	5	001	MyOption DEN204	62.30	1	2000.00	3	2	2				16b;
H6622	010	0	1	01	01	H6622_010_0	5	003	MyOption Total Dental HMO	47.50	1	1000.00	3	2	2				16a;16b;
H6622	010	0	1	01	01	H6622_010_0	5	002	MyOption Dental Enriched HMO	33.10	1	1000.00	3	2	2				16a;16b;
H6622	010	0	1	01	01	H6622_010_0	5	001	MyOption Enhanced Dental HMO	33.10	1	1000.00	3	2	2				16a;16b;
H6622	011	0	1	01	01	H6622_011_0	5	003	MyOption Total Dental Plus HMO	45.70	1	1000.00	3	2	2				16a;16b;
H6622	011	0	1	01	01	H6622_011_0	5	001	MyOption Fitness	15.00	2			2	2			14c;	
H6622	011	0	1	01	01	H6622_011_0	5	002	MyOption Enhanced Dental Plus HMO	32.90	1	1000.00	3	2	2				16a;16b;
H6622	013	0	1	01	01	H6622_013_0	5	002	MyOption Total Dental HMO	34.10	1	1000.00	3	2	2				16a;16b;
H6622	013	0	1	01	01	H6622_013_0	5	001	MyOption Enhanced Dental HMO	23.80	1	1000.00	3	2	2				16a;16b;
H6622	014	0	1	01	01	H6622_014_0	5	002	MyOption Total Dental HMO	34.10	1	1000.00	3	2	2				16a;16b;
H6622	014	0	1	01	01	H6622_014_0	5	001	MyOption Enhanced Dental HMO	23.80	1	1000.00	3	2	2				16a;16b;
H6622	017	0	1	01	01	H6622_017_0	5	002	MyOption Total Dental Plus HMO	45.70	1	1000.00	3	2	2				16a;16b;
H6622	017	0	1	01	01	H6622_017_0	5	001	MyOption Enhanced Dental Plus HMO	34.50	1	1000.00	3	2	2				16a;16b;
H6622	019	0	1	01	01	H6622_019_0	5	001	MyOption Dental Enriched HMO	25.20	1	1000.00	3	2	2				16a;16b;
H6622	019	0	1	01	01	H6622_019_0	5	002	MyOption Total Dental HMO	34.10	1	1000.00	3	2	2				16a;16b;
H6622	021	1	1	01	01	H6622_021_1	5	002	MyOption Total Dental HMO	33.30	1	1000.00	3	2	2				16a;16b;
H6622	021	1	1	01	01	H6622_021_1	5	001	MyOption Enhanced Dental HMO	25.20	1	1000.00	3	2	2				16a;16b;
H6622	021	2	1	01	01	H6622_021_2	5	001	MyOption Enhanced Dental HMO	23.80	1	1000.00	3	2	2				16a;16b;
H6622	021	2	1	01	01	H6622_021_2	5	002	MyOption Total Dental HMO	34.10	1	1000.00	3	2	2				16a;16b;
H6622	022	0	1	01	01	H6622_022_0	5	002	MyOption Total Dental HMO	34.10	1	1000.00	3	2	2				16a;16b;
H6622	022	0	1	01	01	H6622_022_0	5	001	MyOption Enhanced Dental HMO	23.80	1	1000.00	3	2	2				16a;16b;
H6622	023	0	1	01	01	H6622_023_0	6	001	MyOption Enhanced Dental Plus HMO	32.90	1	1000.00	3	2	2				16a;16b;
H6622	023	0	1	01	01	H6622_023_0	6	002	MyOption Total Dental Plus HMO	45.70	1	1000.00	3	2	2				16a;16b;
H6622	028	0	1	01	01	H6622_028_0	5	001	MyOption Enhanced Dental HMO	33.30	1	1000.00	3	2	2				16a;16b;
H6622	028	0	1	01	01	H6622_028_0	5	002	MyOption Total Dental HMO	47.50	1	1000.00	3	2	2				16a;16b;
H6622	029	0	1	01	01	H6622_029_0	5	002	MyOption Total Dental HMO	47.50	1	1000.00	3	2	2				16a;16b;
H6622	029	0	1	01	01	H6622_029_0	5	001	MyOption Enhanced Dental HMO	33.30	1	1000.00	3	2	2				16a;16b;
H6622	030	0	1	01	01	H6622_030_0	4	002	MyOption Total Dental HMO	47.50	1	2000.00	3	2	2				16a;16b;
H6622	030	0	1	01	01	H6622_030_0	4	001	MyOption Enhanced Dental HMO	33.30	1	2000.00	3	2	2				16a;16b;
H6622	034	0	1	01	01	H6622_034_0	4	002	MyOption DEN205	109.70	1	2000.00	3	2	2				16b;
H6622	034	0	1	01	01	H6622_034_0	4	001	MyOption DEN204	77.10	1	2000.00	3	2	2				16b;
H6622	035	0	1	01	01	H6622_035_0	7	001	MyOption Total Dental HMO	31.00	2			2	2				16a;16b;
H6622	036	0	1	01	01	H6622_036_0	7	001	MyOption Total Dental HMO	31.00	2			2	2				16a;16b;
H6622	047	0	1	01	01	H6622_047_0	5	001	MyOption DEN204	40.30	1	2000.00	3	2	2				16b;
H6622	047	0	1	01	01	H6622_047_0	5	002	MyOption DEN205	58.90	1	2000.00	3	2	2				16b;
H6622	052	0	1	01	01	H6622_052_0	6	001	MyOption Total Dental HMO	31.00	2			2	2				16a;16b;
H6622	054	0	1	01	01	H6622_054_0	6	001	MyOption Total Dental HMO	31.00	2			2	2				16a;16b;
H6622	055	0	1	01	01	H6622_055_0	5	002	MyOption Total Dental Plus HMO	45.70	1	1000.00	3	2	2				16a;16b;
H6622	055	0	1	01	01	H6622_055_0	5	001	MyOption Enhanced Dental Plus HMO	32.90	1	1000.00	3	2	2				16a;16b;
H6622	057	0	1	01	01	H6622_057_0	5	002	MyOption DEN205	88.20	1	2000.00	3	2	2				16b;
H6622	057	0	1	01	01	H6622_057_0	5	001	MyOption DEN204	61.40	1	2000.00	3	2	2				16b;
H6622	059	0	1	01	01	H6622_059_0	5	001	MyOption DEN204	40.30	1	2000.00	3	2	2				16b;
H6622	059	0	1	01	01	H6622_059_0	5	002	MyOption DEN205	58.90	1	2000.00	3	2	2				16b;
H6622	060	0	1	01	01	H6622_060_0	6	003	MyOption Total Dental HMO	37.00	1	1000.00	3	2	2				16a;16b;
H6622	060	0	1	01	01	H6622_060_0	6	002	MyOption Dental Enriched HMO	25.40	1	1000.00	3	2	2				16a;16b;
H6622	060	0	1	01	01	H6622_060_0	6	001	MyOption Enhanced Dental HMO	25.40	1	1000.00	3	2	2				16a;16b;
H6622	061	0	1	01	01	H6622_061_0	6	001	MyOption Total Dental HMO	37.00	2			2	2				16a;16b;
H6622	064	0	1	01	01	H6622_064_0	9	001	MyOption Fitness	15.00	2			2	2			14c;	
H6622	066	0	1	01	01	H6622_066_0	6	001	MyOption Total Dental HMO	43.20	2			2	2				16a;16b;
H6622	069	0	1	01	01	H6622_069_0	5	002	MyOption Total Dental Plus HMO	45.70	1	1000.00	3	2	2				16a;16b;
H6622	069	0	1	01	01	H6622_069_0	5	001	MyOption Enhanced Dental Plus HMO	32.90	1	1000.00	3	2	2				16a;16b;
H6622	070	0	1	01	01	H6622_070_0	5	002	MyOption Total Dental Plus HMO	45.70	1	1000.00	3	2	2				16a;16b;
H6622	070	0	1	01	01	H6622_070_0	5	001	MyOption Enhanced Dental Plus HMO	32.90	1	1000.00	3	2	2				16a;16b;
H6622	073	0	1	02	01	H6622_073_0	4	001	MyOption DEN204	79.00	1	2000.00	3	2	2				16b;
H6622	073	0	1	02	01	H6622_073_0	4	002	MyOption DEN205	110.20	1	2000.00	3	2	2				16b;
H6622	075	0	1	01	01	H6622_075_0	3	002	MyOption DEN205	105.70	1	2000.00	3	2	2				16b;
H6622	075	0	1	01	01	H6622_075_0	3	001	MyOption DEN204	74.70	1	2000.00	3	2	2				16b;
H6678	001	0	1	01	01	H6678_001_0	4	001	Centene Silver 1500 40%, Vision 200	22.00	1	1700.00	3	2	2				16a;16b;17a;17b;
H6678	003	0	1	01	01	H6678_003_0	4	001	Centene Silver 1500 40%, Vision 200	22.00	1	1700.00	3	2	2				16a;16b;17a;17b;
H6706	001	0	1	01	01	H6706_001_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H6723	001	1	1	01	01	H6723_001_1	9	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	17b;
H6723	001	2	1	01	01	H6723_001_2	9	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	17b;
H6723	001	3	1	01	01	H6723_001_3	9	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	17b;
H6723	002	1	1	01	01	H6723_002_1	9	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	17b;
H6723	002	2	1	01	01	H6723_002_2	9	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	17b;
H6723	002	3	1	01	01	H6723_002_3	9	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	17b;
H6723	003	1	1	01	01	H6723_003_1	11	001	Optional Dental and Vision Rider	22.00	2			2	2			;	16b;17b;
H6723	003	2	1	01	01	H6723_003_2	9	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	17b;
H6723	003	3	1	01	01	H6723_003_3	9	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	17b;
H6723	005	1	1	01	01	H6723_005_1	9	001	Optional Dental and Vision Rider	22.00	2			2	2				16b;17b;
H6723	005	2	1	01	01	H6723_005_2	9	001	Optional Dental and Vision Rider	22.00	2			2	2				16b;17b;
H6723	006	1	1	01	01	H6723_006_1	9	001	Optional Dental and Vision Rider	22.00	2			2	2				16b;17b;
H6723	006	2	1	01	01	H6723_006_2	9	001	Optional Dental and Vision Rider	22.00	2			2	2				16b;17b;
H6723	006	3	1	01	01	H6723_006_3	9	001	Optional Dental and Vision Rider	22.00	2			2	2				16b;17b;
H6874	001	0	1	04	01	H6874_001_0	10	001	Choice Dental	25.00	1	2000.00	3	2	1	75.00	16b;		16a;16b;
H6874	002	0	1	04	01	H6874_002_0	8	001	Choice Dental	25.00	1	2000.00	3	2	1	75.00	16b;		16a;16b;
H6874	003	0	1	04	01	H6874_003_0	4	001	Choice Dental	25.00	1	2000.00	3	2	1	75.00	16b;		16a;16b;
H6910	001	0	1	01	01	H6910_001_0	5	002	Dental Gold	41.00	1	500.00	3	2	2				16b;
H6910	001	0	1	01	01	H6910_001_0	5	001	Dental Silver	21.00	1	0.00	3	2	2				16b;
H6910	002	0	1	01	01	H6910_002_0	5	001	Dental Silver	21.00	1	0.00	3	2	2				16b;
H6910	002	0	1	01	01	H6910_002_0	5	002	Dental Gold	41.00	1	500.00	3	2	2				16b;
H6910	003	0	1	01	01	H6910_003_0	5	001	Dental Silver	21.00	1	0.00	3	2	2				16b;
H6910	003	0	1	01	01	H6910_003_0	5	002	Dental Gold	41.00	1	500.00	3	2	2				16b;
H6910	004	0	1	01	01	H6910_004_0	4	002	Dental Gold	41.00	1	500.00	3	2	2				16b;
H6910	004	0	1	01	01	H6910_004_0	4	001	Dental Silver	21.00	1	0.00	3	2	2				16b;
H7063	001	0	1	04	01	H7063_001_0	7	001	Comprehensive Dental Buy-Up	21.00	1	1000.00	3	2	2				16b;
H7063	002	0	1	04	01	H7063_002_0	8	001	Comprehensive Dental Buy-Up	21.00	1	1000.00	3	2	2				16b;
H7074	001	0	1	04	01	H7074_001_0	7	001	Options+	52.00	1	25000.00	3	2	2			14c;	4c;13b;16b;
H7093	001	0	1	04	01	H7093_001_0	8	003	Enhanced Dental and Vision Package	63.00	2			2	2				16a;16b;17b;
H7093	001	0	1	04	01	H7093_001_0	8	001	Preventive Dental Package	28.00	2			2	2				16a;
H7093	001	0	1	04	01	H7093_001_0	8	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H7093	002	0	1	04	01	H7093_002_0	7	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H7093	002	0	1	04	01	H7093_002_0	7	001	Preventive Dental Package	28.00	2			2	2				16a;
H7093	002	0	1	04	01	H7093_002_0	7	003	Enhanced Dental and Vision Package	63.00	2			2	2				16a;16b;17b;
H7220	002	0	1	01	01	H7220_002_0	4	002	Dental Enhanced 1500	23.00	1	1500.00	3	2	1	25.00	16b;		16b;
H7220	002	0	1	01	01	H7220_002_0	4	001	Dental Enhanced 1000	17.00	1	1000.00	3	2	1	25.00	16b;		16b;
H7220	004	0	1	02	01	H7220_004_0	7	001	Dental Enhanced 1000	17.00	1	1000.00	3	2	1	25.00	16b;		16b;
H7220	004	0	1	02	01	H7220_004_0	7	002	Dental Enhanced 1500	23.00	1	1500.00	3	2	1	25.00	16b;		16b;
H7220	009	1	1	01	01	H7220_009_1	6	002	Dental Enhanced 1500	23.00	1	1500.00	3	2	1	25.00	16b;		16b;
H7220	009	1	1	01	01	H7220_009_1	6	001	Dental Enhanced 1000	17.00	1	1000.00	3	2	1	25.00	16b;		16b;
H7220	009	2	1	01	01	H7220_009_2	6	002	Dental Enhanced 1500	23.00	1	1500.00	3	2	1	25.00	16b;		16b;
H7220	009	2	1	01	01	H7220_009_2	6	001	Dental Enhanced 1000	17.00	1	1000.00	3	2	1	25.00	16b;		16b;
H7220	009	3	1	01	01	H7220_009_3	6	002	Dental Enhanced 1500	23.00	1	1500.00	3	2	1	25.00	16b;		16b;
H7220	009	3	1	01	01	H7220_009_3	6	001	Dental Enhanced 1000	17.00	1	1000.00	3	2	1	25.00	16b;		16b;
H7220	010	0	1	01	01	H7220_010_0	7	001	Dental Enhanced 1000	17.00	1	1000.00	3	2	1	25.00	16b;		16b;
H7220	010	0	1	01	01	H7220_010_0	7	002	Dental Enhanced 1500	23.00	1	1500.00	3	2	1	25.00	16b;		16b;
H7220	011	0	1	02	01	H7220_011_0	8	001	Dental Enhanced 1000	17.00	1	1000.00	3	2	1	25.00	16b;		16b;
H7220	011	0	1	02	01	H7220_011_0	8	002	Dental Enhanced 1500	23.00	1	1500.00	3	2	1	25.00	16b;		16b;
H7273	001	0	1	04	01	H7273_001_0	12	001	Optional Supplemental Dental Benefit	20.20	1	1000.00	3	2	2			16b;	
H7273	002	0	1	04	01	H7273_002_0	12	001	Optional Supplemental Dental Benefit	20.20	1	1000.00	3	2	2			16b;	
H7273	004	0	1	04	01	H7273_004_0	12	001	Optional Supplemental Dental Benefit	20.20	1	1000.00	3	2	2			16b;	
H7273	005	0	1	04	01	H7273_005_0	12	001	Optional Supplemental Dental Benefit	20.20	1	1000.00	3	2	2			16b;	
H7399	001	0	1	01	01	H7399_001_0	4	001	Centene Silver 1500 40%, Vision 200	28.00	1	1700.00	3	2	2				16a;16b;17a;17b;
H7404	001	0	1	04	01	H7404_001_0	6	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H7404	005	0	1	04	01	H7404_005_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H7404	011	0	1	04	01	H7404_011_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H7404	018	0	1	04	01	H7404_018_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H7404	020	0	1	04	01	H7404_020_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H7621	002	0	1	01	01	H7621_002_0	5	001	MyOption Enhanced Dental HMO	26.30	1	1000.00	3	2	2				16a;16b;
H7621	002	0	1	01	01	H7621_002_0	5	002	MyOption Total Dental HMO	37.50	1	1000.00	3	2	2				16a;16b;
H7621	003	0	1	01	01	H7621_003_0	5	002	MyOption DEN205	88.70	1	2000.00	3	2	2				16b;
H7621	003	0	1	01	01	H7621_003_0	5	001	MyOption DEN204	61.50	1	2000.00	3	2	2				16b;
H7728	002	0	1	04	01	H7728_002_0	7	003	Enhanced Dental and Vision Package	57.00	2			2	2				16a;16b;17b;
H7728	002	0	1	04	01	H7728_002_0	7	001	Preventive Dental Package	23.00	2			2	2				16a;
H7728	002	0	1	04	01	H7728_002_0	7	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H7728	004	1	1	04	01	H7728_004_1	7	003	Enhanced Dental and Vision Package	58.00	2			2	2				16a;16b;17b;
H7728	004	1	1	04	01	H7728_004_1	7	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H7728	004	1	1	04	01	H7728_004_1	7	001	Preventive Dental Package	20.00	2			2	2				16a;
H7728	004	2	1	04	01	H7728_004_2	7	003	Enhanced Dental and Vision Package	58.00	2			2	2				16a;16b;17b;
H7728	004	2	1	04	01	H7728_004_2	7	001	Preventive Dental Package	20.00	2			2	2				16a;
H7728	004	2	1	04	01	H7728_004_2	7	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H7728	005	0	1	04	01	H7728_005_0	6	002	Dental and Vision Package	30.00	2			2	2				16a;16b;17b;
H7728	005	0	1	04	01	H7728_005_0	6	001	Preventive Dental Package	21.00	2			2	2				16a;
H7728	005	0	1	04	01	H7728_005_0	6	003	Enhanced Dental and Vision Package	54.00	2			2	2				16a;16b;17b;
H7728	006	0	1	04	01	H7728_006_0	8	002	Dental and Vision Package	30.00	2			2	2				16a;16b;17b;
H7728	006	0	1	04	01	H7728_006_0	8	003	Enhanced Dental and Vision Package	54.00	2			2	2				16a;16b;17b;
H7728	006	0	1	04	01	H7728_006_0	8	001	Preventive Dental Package	21.00	2			2	2				16a;
H7728	009	0	1	04	01	H7728_009_0	7	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H7728	009	0	1	04	01	H7728_009_0	7	003	Enhanced Dental and Vision Package	58.00	2			2	2				16a;16b;17b;
H7728	009	0	1	04	01	H7728_009_0	7	001	Preventive Dental Package	20.00	2			2	2				16a;
H7728	010	0	1	04	01	H7728_010_0	7	001	Preventive Dental Package	23.00	2			2	2				16a;
H7728	010	0	1	04	01	H7728_010_0	7	002	Dental and Vision Package	32.00	2			2	2				16a;16b;17b;
H7728	010	0	1	04	01	H7728_010_0	7	003	Enhanced Dental and Vision Package	57.00	2			2	2				16a;16b;17b;
H7728	012	0	1	04	01	H7728_012_0	6	001	Preventive Dental Package	21.00	2			2	2				16a;
H7728	012	0	1	04	01	H7728_012_0	6	003	Enhanced Dental and Vision Package	54.00	2			2	2				16a;16b;17b;
H7728	012	0	1	04	01	H7728_012_0	6	002	Dental and Vision Package	30.00	2			2	2				16a;16b;17b;
H7746	001	0	1	01	01	H7746_001_0	9	001	Delta Dental 1	23.00	1	1000.00	3	2	2				16b;
H7746	001	0	1	01	01	H7746_001_0	9	002	Delta Dental 2	34.00	1	1500.00	3	2	2				16b;
H7746	002	0	1	01	01	H7746_002_0	9	002	Delta Dental 2	34.00	1	1500.00	3	2	2				16b;
H7746	002	0	1	01	01	H7746_002_0	9	001	Delta Dental 1	23.00	1	1000.00	3	2	2				16b;
H7746	003	0	1	02	01	H7746_003_0	9	001	Delta Dental 1	23.00	1	1000.00	3	2	2				16b;
H7746	003	0	1	02	01	H7746_003_0	9	002	Delta Dental 2	34.00	1	1500.00	3	2	2				16b;
H7925	001	0	1	01	01	H7925_001_0	4	001	Centene Silver 1500 40%, Vision 200	25.00	1	1700.00	3	2	2				16a;16b;17a;17b;
H8064	002	0	1	04	01	H8064_002_0	9	001	Comprehensive Dental	32.00	1	1000.00	3	2	2			16a;16b;	
H8064	002	0	1	04	01	H8064_002_0	9	002	Expanded Dental	55.00	1	2000.00	3	2	2			16a;16b;	
H8064	004	0	1	04	01	H8064_004_0	9	001	Comprehensive Dental	32.00	1	1000.00	3	2	2			16a;16b;	
H8064	004	0	1	04	01	H8064_004_0	9	002	Expanded Dental	55.00	1	2000.00	3	2	2			16a;16b;	
H8087	001	0	1	04	01	H8087_001_0	3	001	MyOption Enhanced Dental PPO	22.70	1	1000.00	3	2	2				16a;16b;
H8087	001	0	1	04	01	H8087_001_0	3	002	MyOption Total Dental PPO	34.40	1	1000.00	3	2	2				16a;16b;
H8087	004	0	1	04	01	H8087_004_0	3	001	MyOption DEN204	53.00	1	2000.00	3	2	2				16b;
H8087	004	0	1	04	01	H8087_004_0	3	002	MyOption DEN205	80.10	1	2000.00	3	2	2				16b;
H8145	008	0	1	09	04	H8145_008_0	3	001	MyOption DEN206	44.50	1	2000.00	3	2	2			16a;16b;	
H8145	008	0	1	09	04	H8145_008_0	3	002	MyOption DEN207	54.40	1	2000.00	3	2	2				16a;16b;
H8145	032	0	1	09	04	H8145_032_0	4	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H8145	032	0	1	09	04	H8145_032_0	4	002	MyOption Enhanced Dental PPO	23.80	1	1000.00	3	2	2				16a;16b;
H8145	032	0	1	09	04	H8145_032_0	4	003	MyOption Total Dental PPO	34.90	1	1000.00	3	2	2				16a;16b;
H8145	042	0	1	09	04	H8145_042_0	3	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H8145	052	0	1	09	04	H8145_052_0	4	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H8145	052	0	1	09	04	H8145_052_0	4	003	MyOption Platinum Dental	22.60	1	2000.00	3	2	2				16a;16b;
H8145	052	0	1	09	04	H8145_052_0	4	001	MyOption Dental High PPO	20.30	1	2000.00	3	2	2			16a;16b;	
H8145	055	0	1	09	04	H8145_055_0	3	001	MyOption Dental High PPO	18.70	1	2000.00	3	2	2			16a;16b;	
H8145	055	0	1	09	04	H8145_055_0	3	003	MyOption Platinum Dental	22.60	1	2000.00	3	2	2				16a;16b;
H8145	055	0	1	09	04	H8145_055_0	3	002	MyOption Plus	20.90	2			2	1	50.00	16b;	17a;17b;	16a;16b;
H8145	069	0	1	09	04	H8145_069_0	4	002	MyOption Enhanced Dental Plus PPO	34.70	1	1000.00	3	2	2				16a;16b;
H8145	069	0	1	09	04	H8145_069_0	4	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H8145	069	0	1	09	04	H8145_069_0	4	003	MyOption Total Dental Plus PPO	42.30	1	1000.00	3	2	2				16a;16b;
H8145	084	0	1	09	04	H8145_084_0	3	004	MyOption Platinum Dental	20.60	1	2000.00	3	2	2				16a;16b;
H8145	084	0	1	09	04	H8145_084_0	3	003	MyOption Fitness	15.00	2			2	2			14c;	
H8145	084	0	1	09	04	H8145_084_0	3	001	MyOption Dental High PPO	16.70	1	2000.00	3	2	2			16a;16b;	
H8145	084	0	1	09	04	H8145_084_0	3	002	MyOption Plus	19.90	2			2	1	50.00	16b;		17a;17b;16a;16b;
H8145	089	0	1	09	04	H8145_089_0	4	003	MyOption Plus	28.40	2			2	1	50.00	16b;		17a;17b;16a;16b;
H8145	089	0	1	09	04	H8145_089_0	4	001	MyOption Dental High PPO	29.90	1	2000.00	3	2	2			16a;16b;	
H8145	089	0	1	09	04	H8145_089_0	4	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H8145	091	0	1	09	04	H8145_091_0	4	001	MyOption Dental High PPO	19.80	1	2000.00	3	2	2			16a;16b;	
H8145	091	0	1	09	04	H8145_091_0	4	002	MyOption Plus	23.60	2			2	1	50.00	16b;		17a;17b;16a;16b;
H8145	091	0	1	09	04	H8145_091_0	4	004	MyOption Platinum Dental	27.80	1	2000.00	3	2	2				16a;16b;
H8145	091	0	1	09	04	H8145_091_0	4	003	MyOption Fitness	15.00	2			2	2			14c;	
H8145	120	0	1	09	04	H8145_120_0	3	001	MyOption Fitness	15.00	2			2	2			14c;	
H8145	121	0	1	09	04	H8145_121_0	3	001	MyOption DEN204	53.90	1	2000.00	3	2	2				16b;
H8145	122	0	1	09	04	H8145_122_0	5	001	MyOption Total Dental PPO	32.00	2			2	2				16a;16b;
H8145	123	0	1	09	04	H8145_123_0	4	003	MyOption Fitness	15.00	2			2	2			14c;	
H8145	123	0	1	09	04	H8145_123_0	4	002	MyOption Enhanced Dental PPO	28.00	1	1000.00	3	2	2				16a;16b;
H8145	123	0	1	09	04	H8145_123_0	4	001	MyOption Vision	15.30	2			2	2				17a;17b;
H8145	126	0	1	09	04	H8145_126_0	2	001	MyOption Dental High PPO	16.70	1	2000.00	3	2	2			16a;16b;	
H8145	126	0	1	09	04	H8145_126_0	2	002	MyOption Fitness	15.00	2			2	2			14c;	
H8211	001	0	1	04	01	H8211_001_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H8211	002	0	1	04	01	H8211_002_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H8211	005	0	1	04	01	H8211_005_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H8211	006	0	1	04	01	H8211_006_0	4	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H8211	007	0	1	04	01	H8211_007_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H8211	009	0	1	04	01	H8211_009_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H8225	001	0	1	01	01	H8225_001_0	4	001	Centene Silver 1500 40%, Vision 200	24.00	1	1700.00	3	2	2				16a;16b;17a;17b;
H8225	002	0	1	01	01	H8225_002_0	4	001	Centene Silver 1500 40%, Vision 200	23.00	1	1700.00	3	2	2				16a;16b;17a;17b;
H8343	001	0	1	04	01	H8343_001_0	8	002	Dental and Vision Package	36.00	2			2	2				16a;16b;17b;
H8343	001	0	1	04	01	H8343_001_0	8	001	Preventive Dental Package	19.00	2			2	2				16a;
H8343	001	0	1	04	01	H8343_001_0	8	003	Enhanced Dental and Vision Package	67.00	2			2	2				16a;16b;17b;
H8343	002	0	1	04	01	H8343_002_0	8	002	Dental and Vision Package	36.00	2			2	2				16a;16b;17b;
H8343	002	0	1	04	01	H8343_002_0	8	001	Preventive Dental Package	19.00	2			2	2				16a;
H8343	002	0	1	04	01	H8343_002_0	8	003	Enhanced Dental and Vision Package	67.00	2			2	2				16a;16b;17b;
H8343	003	0	1	04	01	H8343_003_0	8	001	Preventive Dental Package	19.00	2			2	2				16a;
H8343	003	0	1	04	01	H8343_003_0	8	002	Dental and Vision Package	36.00	2			2	2				16a;16b;17b;
H8343	003	0	1	04	01	H8343_003_0	8	003	Enhanced Dental and Vision Package	67.00	2			2	2				16a;16b;17b;
H8343	007	0	1	04	01	H8343_007_0	6	001	Preventive Dental Package	18.00	2			2	2				16a;
H8343	007	0	1	04	01	H8343_007_0	6	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H8343	007	0	1	04	01	H8343_007_0	6	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H8432	008	5	1	01	01	H8432_008_5	6	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	008	5	1	01	01	H8432_008_5	6	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	008	5	1	01	01	H8432_008_5	6	003	Enhanced Dental and Vision Package	44.00	2			2	2				16a;16b;17b;
H8432	008	6	1	01	01	H8432_008_6	7	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	008	6	1	01	01	H8432_008_6	7	003	Enhanced Dental and Vision Package	44.00	2			2	2				16a;16b;17b;
H8432	008	6	1	01	01	H8432_008_6	7	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	008	7	1	01	01	H8432_008_7	6	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	008	7	1	01	01	H8432_008_7	6	003	Enhanced Dental and Vision Package	44.00	2			2	2				16a;16b;17b;
H8432	008	7	1	01	01	H8432_008_7	6	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	009	0	1	01	01	H8432_009_0	6	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	009	0	1	01	01	H8432_009_0	6	003	Enhanced Dental and Vision Package	44.00	2			2	2				16a;16b;17b;
H8432	009	0	1	01	01	H8432_009_0	6	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	010	0	1	01	01	H8432_010_0	6	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	010	0	1	01	01	H8432_010_0	6	003	Enhanced Dental and Vision Package	44.00	2			2	2				16a;16b;17b;
H8432	010	0	1	01	01	H8432_010_0	6	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	011	0	1	01	01	H8432_011_0	6	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	011	0	1	01	01	H8432_011_0	6	003	Enhanced Dental and Vision Package	44.00	2			2	2				16a;16b;17b;
H8432	011	0	1	01	01	H8432_011_0	6	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	015	0	1	02	01	H8432_015_0	8	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	015	0	1	02	01	H8432_015_0	8	003	Enhanced Dental and Vision Package	44.00	2			2	2				16a;16b;17b;
H8432	015	0	1	02	01	H8432_015_0	8	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	027	0	1	01	01	H8432_027_0	6	003	Enhanced Dental and Vision Package	44.00	2			2	2				16a;16b;17b;
H8432	027	0	1	01	01	H8432_027_0	6	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	027	0	1	01	01	H8432_027_0	6	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	033	0	1	01	01	H8432_033_0	6	003	Enhanced Dental and Vision Package	44.00	2			2	2				16a;16b;17b;
H8432	033	0	1	01	01	H8432_033_0	6	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	033	0	1	01	01	H8432_033_0	6	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	035	0	1	01	01	H8432_035_0	6	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	035	0	1	01	01	H8432_035_0	6	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	035	0	1	01	01	H8432_035_0	6	003	Enhanced Dental and Vision Package	44.00	2			2	2				16a;16b;17b;
H8432	036	0	1	01	01	H8432_036_0	5	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	036	0	1	01	01	H8432_036_0	5	003	Enhanced Dental and Vision Package	44.00	2			2	2				16a;16b;17b;
H8432	036	0	1	01	01	H8432_036_0	5	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	037	1	1	01	01	H8432_037_1	7	003	Enhanced Dental and Vision Package	44.00	2			2	2				16a;16b;17b;
H8432	037	1	1	01	01	H8432_037_1	7	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	037	1	1	01	01	H8432_037_1	7	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	037	2	1	01	01	H8432_037_2	5	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	037	2	1	01	01	H8432_037_2	5	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	037	2	1	01	01	H8432_037_2	5	003	Enhanced Dental and Vision Package	44.00	2			2	2				16a;16b;17b;
H8432	038	1	1	01	01	H8432_038_1	7	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	038	1	1	01	01	H8432_038_1	7	003	Enhanced Dental and Vision Package	44.00	2			2	2				16a;16b;17b;
H8432	038	1	1	01	01	H8432_038_1	7	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	038	2	1	01	01	H8432_038_2	6	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	038	2	1	01	01	H8432_038_2	6	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	038	2	1	01	01	H8432_038_2	6	003	Enhanced Dental and Vision Package	44.00	2			2	2				16a;16b;17b;
H8552	020	0	1	04	01	H8552_020_0	6	001	Preventive Dental Package	22.00	2			2	2				16a;
H8552	020	0	1	04	01	H8552_020_0	6	002	Dental and Vision Package	35.00	2			2	2				16a;16b;17b;
H8552	020	0	1	04	01	H8552_020_0	6	003	Enhanced Dental and Vision Package	57.00	2			2	2				16a;16b;17b;
H8552	029	0	1	04	01	H8552_029_0	6	001	Preventive Dental Package	22.00	2			2	2				16a;
H8552	029	0	1	04	01	H8552_029_0	6	002	Dental and Vision Package	35.00	2			2	2				16a;16b;17b;
H8552	029	0	1	04	01	H8552_029_0	6	003	Enhanced Dental and Vision Package	57.00	2			2	2				16a;16b;17b;
H8604	010	0	1	04	01	H8604_010_0	7	001	Comprehensive Dental	27.20	1	1500.00	3	2	2			16b;	
H8604	011	0	1	04	01	H8604_011_0	7	001	Comprehensive Dental	26.70	1	1500.00	3	2	2			16b;	
H8604	013	0	1	04	01	H8604_013_0	7	001	Comprehensive Dental	26.30	1	1500.00	3	2	2			16b;	
H8634	002	0	1	04	01	H8634_002_0	3	001	Optional Supplemental Plus Package	29.30	1	2150.00	6	2	2			16b;17b;18a;18b;	
H8634	003	0	1	04	01	H8634_003_0	3	001	Optional Supplemental Premier Package	32.20	1	2150.00	6	2	2			16a;16b;17b;18a;18b;	
H8634	008	0	1	04	01	H8634_008_0	3	001	Optional Supplemental Premier Package	32.20	1	2150.00	6	2	2			16a;16b;17b;18a;18b;	
H8634	010	0	1	04	01	H8634_010_0	3	001	Optional Supplemental Premier Package	33.00	1	2150.00	6	2	2			16a;16b;17b;18a;18b;	
H8634	011	0	1	04	01	H8634_011_0	3	001	Optional Supplemental Premier Package	39.80	1	2150.00	6	2	2			16a;16b;17b;18a;18b;	
H8634	012	0	1	04	01	H8634_012_0	3	001	Optional Supplemental Premier Package	39.80	1	2150.00	6	2	2			16a;16b;17b;18a;18b;	
H8634	013	0	1	04	01	H8634_013_0	3	001	Optional Supplemental Premier Package	39.80	1	2150.00	6	2	2			16a;16b;17b;18a;18b;	
H8634	016	0	1	04	01	H8634_016_0	3	001	Optional Supplemental Premier Package	32.20	1	2150.00	6	2	2			16a;16b;17b;18a;18b;	
H8748	008	0	1	02	01	H8748_008_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
H8748	009	0	1	02	01	H8748_009_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H8764	001	0	1	01	01	H8764_001_0	7	001	Enhanced Benefits-Option C	43.00	2			2	2			13c;	10b;16b;17a;17b;18a;18b;
H8764	002	0	1	02	01	H8764_002_0	7	001	Enhanced Benefits-Option A	44.90	2			2	2				16a;16b;17a;17b;
H8764	002	0	1	02	01	H8764_002_0	7	002	Enhanced Benefits-Option B	49.90	2			2	2			13c;	10b;16a;16b;17a;17b;18a;18b;
H8764	003	0	1	01	01	H8764_003_0	7	002	Enhanced Benefits-Option B	49.90	2			2	2			13c;	10b;16a;16b;17a;17b;18a;18b;
H8764	003	0	1	01	01	H8764_003_0	7	001	Enhanced Benefits-Option A	44.90	2			2	2				16a;16b;17a;17b;
H8768	003	0	1	04	01	H8768_003_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H8768	016	0	1	04	01	H8768_016_0	5	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H8768	022	0	1	04	01	H8768_022_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H8768	032	0	1	04	01	H8768_032_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H8783	001	0	1	04	01	H8783_001_0	8	001	Choice Dental	25.00	1	2000.00	3	2	1	75.00	16b;		16a;16b;
H8783	002	0	1	04	01	H8783_002_0	9	001	Choice Dental	25.00	1	2000.00	3	2	1	75.00	16b;		16a;16b;
H8849	001	0	1	01	01	H8849_001_0	8	003	Enhanced Dental and Vision Package	52.00	2			2	2				16a;16b;17b;
H8849	001	0	1	01	01	H8849_001_0	8	001	Preventive Dental Package	14.00	2			2	2				16a;
H8849	001	0	1	01	01	H8849_001_0	8	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H8849	003	0	1	01	01	H8849_003_0	8	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H8849	003	0	1	01	01	H8849_003_0	8	003	Enhanced Dental and Vision Package	52.00	2			2	2				16a;16b;17b;
H8849	003	0	1	01	01	H8849_003_0	8	001	Preventive Dental Package	14.00	2			2	2				16a;
H8849	004	0	1	01	01	H8849_004_0	8	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H8849	004	0	1	01	01	H8849_004_0	8	001	Preventive Dental Package	14.00	2			2	2				16a;
H8849	004	0	1	01	01	H8849_004_0	8	003	Enhanced Dental and Vision Package	52.00	2			2	2				16a;16b;17b;
H8849	005	0	1	01	01	H8849_005_0	8	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H8849	005	0	1	01	01	H8849_005_0	8	003	Enhanced Dental and Vision Package	52.00	2			2	2				16a;16b;17b;
H8849	005	0	1	01	01	H8849_005_0	8	001	Preventive Dental Package	14.00	2			2	2				16a;
H8849	006	0	1	01	01	H8849_006_0	9	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H8849	006	0	1	01	01	H8849_006_0	9	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H8849	006	0	1	01	01	H8849_006_0	9	001	Preventive Dental Package	14.00	2			2	2				16a;
H8849	008	1	1	01	01	H8849_008_1	8	001	Preventive Dental Package	14.00	2			2	2				16a;
H8849	008	1	1	01	01	H8849_008_1	8	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H8849	008	1	1	01	01	H8849_008_1	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H8849	008	2	1	01	01	H8849_008_2	9	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H8849	008	2	1	01	01	H8849_008_2	9	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H8849	008	2	1	01	01	H8849_008_2	9	001	Preventive Dental Package	14.00	2			2	2				16a;
H8849	008	3	1	01	01	H8849_008_3	8	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H8849	008	3	1	01	01	H8849_008_3	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H8849	008	3	1	01	01	H8849_008_3	8	001	Preventive Dental Package	14.00	2			2	2				16a;
H8849	008	4	1	01	01	H8849_008_4	9	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H8849	008	4	1	01	01	H8849_008_4	9	001	Preventive Dental Package	14.00	2			2	2				16a;
H8849	008	4	1	01	01	H8849_008_4	9	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H8849	008	5	1	01	01	H8849_008_5	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H8849	008	5	1	01	01	H8849_008_5	8	001	Preventive Dental Package	14.00	2			2	2				16a;
H8849	008	5	1	01	01	H8849_008_5	8	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H8849	008	6	1	01	01	H8849_008_6	8	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H8849	008	6	1	01	01	H8849_008_6	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H8849	008	6	1	01	01	H8849_008_6	8	001	Preventive Dental Package	14.00	2			2	2				16a;
H8849	009	0	1	01	01	H8849_009_0	9	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H8849	009	0	1	01	01	H8849_009_0	9	001	Preventive Dental Package	14.00	2			2	2				16a;
H8849	009	0	1	01	01	H8849_009_0	9	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H8849	012	0	1	01	01	H8849_012_0	10	001	Preventive Dental Package	14.00	2			2	2				16a;
H8849	012	0	1	01	01	H8849_012_0	10	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H8849	012	0	1	01	01	H8849_012_0	10	003	Enhanced Dental and Vision Package	52.00	2			2	2				16a;16b;17b;
H8849	013	0	1	01	01	H8849_013_0	8	001	Preventive Dental Package	14.00	2			2	2				16a;
H8849	013	0	1	01	01	H8849_013_0	8	003	Enhanced Dental and Vision Package	52.00	2			2	2				16a;16b;17b;
H8849	013	0	1	01	01	H8849_013_0	8	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H8908	001	0	1	01	01	H8908_001_0	5	001	MyOption Enhanced Dental Plus HMO	32.50	1	1000.00	3	2	2				16a;16b;
H8908	001	0	1	01	01	H8908_001_0	5	002	MyOption Total Dental Plus HMO	46.30	1	1000.00	3	2	2				16a;16b;
H8908	002	0	1	01	01	H8908_002_0	5	001	MyOption Enhanced Dental HMO	22.70	1	1000.00	3	2	2				16a;16b;
H8908	002	0	1	01	01	H8908_002_0	5	002	MyOption Total Dental HMO	34.40	1	1000.00	3	2	2				16a;16b;
H8908	004	0	1	01	01	H8908_004_0	5	001	MyOption Enhanced Dental HMO	22.70	1	1000.00	3	2	2				16a;16b;
H8908	004	0	1	01	01	H8908_004_0	5	002	MyOption Total Dental HMO	34.40	1	1000.00	3	2	2				16a;16b;
H9003	001	0	1	01	01	H9003_001_0	8	001	Advantage Plus	44.00	2			2	2			16a;16b;17b;18b;	
H9003	006	0	1	01	01	H9003_006_0	8	001	Advantage Plus	44.00	2			2	2			16a;16b;17b;18b;	
H9003	007	0	1	01	01	H9003_007_0	8	001	Advantage Plus	44.00	2			2	2			16a;16b;17b;18b;	
H9003	008	0	1	01	01	H9003_008_0	8	001	Advantage Plus	44.00	2			2	2			16a;16b;17b;18b;	
H9003	009	0	1	01	01	H9003_009_0	8	001	Advantage Plus	44.00	2			2	2			16a;16b;17b;18b;	
H9042	001	1	1	04	01	H9042_001_1	7	001	Optional Dental	32.70	1	1000.00	3	2	2				16a;16b;
H9042	001	2	1	04	01	H9042_001_2	7	001	Optional Dental	32.70	1	1000.00	3	2	2				16a;16b;
H9047	013	0	2	01	01	H9047_013_0	6	002	Enhanced Dental	45.10	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	013	0	2	01	01	H9047_013_0	6	001	Basic Dental	32.50	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	033	0	1	01	01	H9047_033_0	6	001	Basic Dental	32.50	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	033	0	1	01	01	H9047_033_0	6	002	Enhanced Dental	45.10	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	035	0	1	02	01	H9047_035_0	6	001	Basic Dental	32.50	1	1000.00	4	2	1	150.00	16b;		16a;16b;
H9047	035	0	1	02	01	H9047_035_0	6	002	Enhanced Dental	45.10	1	1500.00	3	1	1	150.00	16b;		16a;16b;
H9047	037	0	1	01	01	H9047_037_0	7	001	Basic Dental	32.50	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	037	0	1	01	01	H9047_037_0	7	002	Enhanced Dental	45.10	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	038	0	1	02	01	H9047_038_0	8	001	Basic Dental	32.50	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	038	0	1	02	01	H9047_038_0	8	002	Enhanced Dental	45.10	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	039	0	1	02	01	H9047_039_0	7	001	Basic Dental	32.50	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	039	0	1	02	01	H9047_039_0	7	002	Enhanced Dental	45.10	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	045	0	1	01	01	H9047_045_0	7	002	Enhanced Dental	45.10	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	045	0	1	01	01	H9047_045_0	7	001	Basic Dental	32.50	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	047	0	1	02	01	H9047_047_0	7	001	Washington Basic Dental	34.10	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	047	0	1	02	01	H9047_047_0	7	002	Washington Enh Dental	48.00	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	049	0	1	01	01	H9047_049_0	7	002	Washington Enh Dental	48.00	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	049	0	1	01	01	H9047_049_0	7	001	Washington Basic Dental	34.10	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	054	0	1	01	01	H9047_054_0	7	002	Enhanced Dental	45.10	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	054	0	1	01	01	H9047_054_0	7	001	Basic Dental	32.50	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	055	1	1	01	01	H9047_055_1	7	002	Enhanced Dental	45.10	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	055	1	1	01	01	H9047_055_1	7	001	Basic Dental	32.50	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	055	2	1	01	01	H9047_055_2	7	002	Enhanced Dental	45.10	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	055	2	1	01	01	H9047_055_2	7	001	Basic Dental	32.50	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	056	1	1	02	01	H9047_056_1	7	002	Enhanced Dental	45.10	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	056	1	1	02	01	H9047_056_1	7	001	Basic Dental	32.50	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	056	2	1	02	01	H9047_056_2	7	002	Enhanced Dental	45.10	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	056	2	1	02	01	H9047_056_2	7	001	Basic Dental	32.50	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	059	0	1	02	01	H9047_059_0	7	002	Enhanced Dental	45.10	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	059	0	1	02	01	H9047_059_0	7	001	Basic Dental	32.50	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	060	0	1	02	01	H9047_060_0	7	001	Basic Dental	32.50	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	060	0	1	02	01	H9047_060_0	7	002	Enhanced Dental	45.10	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	062	0	1	02	01	H9047_062_0	7	001	Washington Basic Dental	34.10	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	062	0	1	02	01	H9047_062_0	7	002	Washington Enh Dental	48.00	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	063	0	1	01	01	H9047_063_0	7	002	Washington Enh Dental	48.00	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	063	0	1	01	01	H9047_063_0	7	001	Washington Basic Dental	34.10	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	805	0	1	02	01	H9047_805_0	5	002	Enhanced Dental		1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	805	0	1	02	01	H9047_805_0	5	001	Basic Dental		1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9070	003	0	1	04	01	H9070_003_0	6	001	MyOption Total Dental PPO	31.80	2			2	2				16a;16b;
H9070	005	0	1	04	01	H9070_005_0	5	001	MyOption DEN204	46.80	1	2000.00	3	2	2				16b;
H9070	006	2	1	04	01	H9070_006_2	4	002	MyOption DEN205	73.30	1	2000.00	3	2	2				16b;
H9070	006	2	1	04	01	H9070_006_2	4	001	MyOption DEN204	51.40	1	2000.00	3	2	2				16b;
H9070	006	3	1	04	01	H9070_006_3	6	001	MyOption Enhanced Dental PPO	22.50	1	2000.00	3	2	2				16a;16b;
H9104	006	0	1	01	01	H9104_006_0	5	002	Enhanced Dental	16.00	2			2	2				16a;16b;
H9104	006	0	1	01	01	H9104_006_0	5	001	Basic Dental	6.00	2			2	2				16a;16b;
H9219	001	0	1	04	01	H9219_001_0	7	001	Preventive Dental Package	23.00	2			2	2				16a;
H9219	001	0	1	04	01	H9219_001_0	7	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H9219	001	0	1	04	01	H9219_001_0	7	003	Enhanced Dental and Vision Package	54.00	2			2	2				16a;16b;17b;
H9219	002	0	1	04	01	H9219_002_0	6	001	Preventive Dental Package	23.00	2			2	2				16a;
H9219	002	0	1	04	01	H9219_002_0	6	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H9219	002	0	1	04	01	H9219_002_0	6	003	Enhanced Dental and Vision Package	54.00	2			2	2				16a;16b;17b;
H9525	004	0	1	01	01	H9525_004_0	7	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H9525	004	0	1	01	01	H9525_004_0	7	002	Dental and Vision Package	30.00	2			2	2				16a;16b;17b;
H9525	004	0	1	01	01	H9525_004_0	7	001	Preventive Dental Package	20.00	2			2	2				16a;
H9525	006	0	1	01	01	H9525_006_0	7	002	Dental and Vision Package	30.00	2			2	2				16a;16b;17b;
H9525	006	0	1	01	01	H9525_006_0	7	001	Preventive Dental Package	20.00	2			2	2				16a;
H9525	006	0	1	01	01	H9525_006_0	7	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H9525	011	0	1	01	01	H9525_011_0	9	001	Preventive Dental Package	19.00	2			2	2				16a;
H9525	011	0	1	01	01	H9525_011_0	9	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H9525	011	0	1	01	01	H9525_011_0	9	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H9525	013	1	1	01	01	H9525_013_1	7	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H9525	013	1	1	01	01	H9525_013_1	7	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
H9525	013	1	1	01	01	H9525_013_1	7	001	Preventive Dental Package	19.00	2			2	2				16a;
H9525	013	2	1	01	01	H9525_013_2	7	001	Preventive Dental Package	19.00	2			2	2				16a;
H9525	013	2	1	01	01	H9525_013_2	7	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H9525	013	2	1	01	01	H9525_013_2	7	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
H9525	013	3	1	01	01	H9525_013_3	7	001	Preventive Dental Package	19.00	2			2	2				16a;
H9525	013	3	1	01	01	H9525_013_3	7	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
H9525	013	3	1	01	01	H9525_013_3	7	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H9525	013	4	1	01	01	H9525_013_4	7	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
H9525	013	4	1	01	01	H9525_013_4	7	003	Enhanced Dental and Vision Package	48.00	2			2	2				16a;16b;17b;
H9525	013	4	1	01	01	H9525_013_4	7	001	Preventive Dental Package	19.00	2			2	2				16a;
H9572	001	1	1	04	01	H9572_001_1	7	001	Optional Dental and Vision	22.40	1	2750.00	6	2	2			16a;16b;	17b;
H9572	001	2	1	04	01	H9572_001_2	7	001	Optional Dental and Vision	22.40	1	2750.00	6	2	2			16a;16b;	17b;
H9572	001	3	1	04	01	H9572_001_3	7	001	Optional Dental and Vision	22.40	1	2750.00	6	2	2			16a;16b;	17b;
H9572	001	4	1	04	01	H9572_001_4	7	001	Optional Dental and Vision	22.40	1	2750.00	6	2	2			16a;16b;	17b;
H9572	001	6	1	04	01	H9572_001_6	7	001	Optional Dental and Vision	22.40	1	2750.00	6	2	2			16a;16b;	17b;
H9572	002	1	1	04	01	H9572_002_1	7	001	Optional Dental and Vision	22.40	1	2750.00	6	2	2			16a;16b;	17b;
H9572	002	2	1	04	01	H9572_002_2	7	001	Optional Dental and Vision	22.40	1	2750.00	6	2	2			16a;16b;	17b;
H9572	002	3	1	04	01	H9572_002_3	7	001	Optional Dental and Vision	22.40	1	2750.00	6	2	2			16a;16b;	17b;
H9572	002	4	1	04	01	H9572_002_4	7	001	Optional Dental and Vision	22.40	1	2750.00	6	2	2			16a;16b;	17b;
H9572	002	6	1	04	01	H9572_002_6	7	001	Optional Dental and Vision	22.40	1	2750.00	6	2	2			16a;16b;	17b;
H9572	003	1	1	04	01	H9572_003_1	7	001	Optional Dental and Vision	22.40	1	2750.00	6	2	2			16a;16b;	17b;
H9572	003	2	1	04	01	H9572_003_2	7	001	Optional Dental and Vision	22.40	1	2750.00	6	2	2			16a;16b;	17b;
H9572	003	3	1	04	01	H9572_003_3	7	001	Optional Dental and Vision	22.40	1	2750.00	6	2	2			16a;16b;	17b;
H9572	003	4	1	04	01	H9572_003_4	7	001	Optional Dental and Vision	22.40	1	2750.00	6	2	2			16a;16b;	17b;
H9572	003	6	1	04	01	H9572_003_6	7	001	Optional Dental and Vision	22.40	1	2750.00	6	2	2			16a;16b;	17b;
H9572	004	1	1	04	01	H9572_004_1	8	001	Optional Dental and Vision	22.40	1	2750.00	6	2	2			16a;16b;	17b;
H9572	004	2	1	04	01	H9572_004_2	8	001	Optional Dental and Vision	22.40	1	2750.00	6	2	2			16a;16b;	17b;
H9572	004	3	1	04	01	H9572_004_3	8	001	Optional Dental and Vision	22.40	1	2750.00	6	2	2			16a;16b;	17b;
H9572	004	4	1	04	01	H9572_004_4	8	001	Optional Dental and Vision	22.40	1	2750.00	6	2	2			16a;16b;	17b;
H9572	004	6	1	04	01	H9572_004_6	8	001	Optional Dental and Vision	22.40	1	2750.00	6	2	2			16a;16b;	17b;
H9614	001	0	1	04	01	H9614_001_0	6	001	Options+	42.00	1	15000.00	3	2	2			10b;14c;18b;	4c;13b;16b;
H9615	007	0	1	04	01	H9615_007_0	6	001	Comprehensive Dental	25.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H9615	008	0	1	04	01	H9615_008_0	6	001	Comprehensive Dental	25.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H9615	009	0	1	04	01	H9615_009_0	6	001	Comprehensive Dental	25.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H9615	010	0	1	04	01	H9615_010_0	6	001	Comprehensive Dental	25.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H9615	012	0	1	04	01	H9615_012_0	7	001	Comprehensive Dental	25.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H9615	014	0	1	04	01	H9615_014_0	6	001	Comprehensive Dental	25.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H9686	001	0	1	01	01	H9686_001_0	5	001	DENTAL ALLOWANCE	52.00	1	2000.00	3	2	2				16b;
H9686	003	0	1	01	01	H9686_003_0	7	001	DENTAL ALLOWANCE	31.00	1	2000.00	3	2	2				16b;
H9686	004	0	1	01	01	H9686_004_0	6	001	DENTAL ALLOWANCE	31.00	1	2000.00	3	2	2				16b;
H9808	004	0	1	04	01	H9808_004_0	11	001	Dental Rider	25.00	2			2	2			16b;	
H9808	005	0	1	04	01	H9808_005_0	11	001	Dental Rider	25.00	2			2	2			16b;	
H9808	807	0	1	04	01	H9808_807_0	8	001	Dental Rider		2			2	2			16b;	
H9808	808	0	1	04	01	H9808_808_0	8	001	Dental Rider		2			2	2			16b;	
H9827	001	0	1	01	01	H9827_001_0	5	002	Dental Gold	42.00	1	500.00	3	2	2				16b;
H9827	001	0	1	01	01	H9827_001_0	5	001	Dental Silver	19.00	1	0.00	3	2	2				16b;
H9827	002	0	1	01	01	H9827_002_0	5	001	Dental Silver	19.00	1	0.00	3	2	2				16b;
H9827	002	0	1	01	01	H9827_002_0	5	002	Dental Gold	42.00	1	500.00	3	2	2				16b;
H9827	003	0	1	01	01	H9827_003_0	5	001	Dental Silver	19.00	1	0.00	3	2	2				16b;
H9827	003	0	1	01	01	H9827_003_0	5	002	Dental Gold	42.00	1	500.00	3	2	2				16b;
H9834	001	0	1	01	01	H9834_001_0	4	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H9834	003	0	1	01	01	H9834_003_0	4	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H9834	004	0	1	01	01	H9834_004_0	3	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H9834	005	0	1	01	01	H9834_005_0	3	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H9834	006	0	1	01	01	H9834_006_0	4	001	Optional Dental Rider	48.10	1	1000.00	3	2	2				16a;16b;
H9976	004	0	1	04	01	H9976_004_0	4	001	Centene Silver 1500 20%	21.00	1	1500.00	3	2	2				16a;16b;
R0110	003	0	1	31	11	R0110_003_0	5	001	MyOption Total Dental PPO	40.50	1	1000.00	3	2	2				16a;16b;
R0865	003	0	1	31	11	R0865_003_0	5	003	MyOption Total Dental PPO	34.90	1	1000.00	3	2	2				16a;16b;
R0865	003	0	1	31	11	R0865_003_0	5	002	MyOption Dental Enriched PPO	25.20	1	1000.00	3	2	2				16a;16b;
R0865	003	0	1	31	11	R0865_003_0	5	001	MyOption Enhanced Dental PPO	25.20	1	1000.00	3	2	2				16a;16b;
R0923	002	0	1	31	11	R0923_002_0	4	002	MyOption Vision	15.30	2			2	2			17a;17b;	
R0923	002	0	1	31	11	R0923_002_0	4	001	MyOption Dental High PPO	18.70	1	2000.00	3	2	2			16a;16b;	
R0923	002	0	1	31	11	R0923_002_0	4	003	MyOption Platinum Dental	22.60	1	2000.00	3	2	2				16a;16b;
R1390	001	0	1	31	11	R1390_001_0	4	001	MyOption Dental High PPO	22.60	1	2000.00	3	2	2			16a;16b;	
R1390	001	0	1	31	11	R1390_001_0	4	002	MyOption Platinum Dental	27.80	1	2000.00	3	2	2				16a;16b;
R1390	001	0	1	31	11	R1390_001_0	4	004	MyOption DEN207	54.70	1	2000.00	3	2	2				16a;16b;
R1390	001	0	1	31	11	R1390_001_0	4	003	MyOption DEN206	49.40	1	2000.00	3	2	2				16a;16b;
R1390	002	0	1	31	11	R1390_002_0	3	001	MyOption Dental High PPO	22.60	1	2000.00	3	2	2			16a;16b;	
R1390	002	0	1	31	11	R1390_002_0	3	002	MyOption Platinum Dental	27.80	1	2000.00	3	2	2				16a;16b;
R1390	002	0	1	31	11	R1390_002_0	3	003	MyOption DEN206	49.40	1	2000.00	3	2	2				16a;16b;
R1390	002	0	1	31	11	R1390_002_0	3	004	MyOption DEN207	54.70	1	2000.00	3	2	2				16a;16b;
R2604	001	0	1	31	11	R2604_001_0	2	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
R3392	001	0	1	31	11	R3392_001_0	6	001	MyOption Total Dental PPO	31.60	2			2	2				16a;16b;
R3392	002	0	1	31	11	R3392_002_0	4	002	MyOption Dental Enriched PPO	25.00	1	1000.00	3	2	2				16a;16b;
R3392	002	0	1	31	11	R3392_002_0	4	003	MyOption Total Dental PPO	31.60	1	1000.00	3	2	2				16a;16b;
R3392	002	0	1	31	11	R3392_002_0	4	001	MyOption Enhanced Dental PPO	25.00	1	1000.00	3	2	2				16a;16b;
R3444	009	0	1	31	11	R3444_009_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
R3444	012	0	1	31	11	R3444_012_0	2	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
R3444	023	0	1	31	11	R3444_023_0	2	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
R3887	001	0	1	31	11	R3887_001_0	5	002	MyOption Total Dental PPO	34.40	1	1000.00	3	2	2				16a;16b;
R3887	001	0	1	31	11	R3887_001_0	5	001	MyOption Dental Enriched PPO	22.70	1	1000.00	3	2	2				16a;16b;
R3887	002	0	1	31	11	R3887_002_0	4	002	MyOption Total Dental Plus PPO	46.30	1	1000.00	3	2	2				16a;16b;
R3887	002	0	1	31	11	R3887_002_0	4	001	MyOption Enhanced Dental Plus PPO	32.50	1	1000.00	3	2	2				16a;16b;
R4182	003	0	1	31	11	R4182_003_0	3	001	MyOption Fitness	15.00	2			2	2			14c;	
R4182	004	0	1	31	11	R4182_004_0	3	001	MyOption Fitness	15.00	2			2	2			14c;	
R4487	001	0	1	31	11	R4487_001_0	10	003	Enhanced Dental and Vision Package	56.00	2			2	2				16a;16b;17b;
R4487	001	0	1	31	11	R4487_001_0	10	001	Preventive Dental Package	25.00	2			2	2				16a;
R4487	001	0	1	31	11	R4487_001_0	10	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
R4845	002	0	1	31	11	R4845_002_0	3	001	MyOption Platinum Dental	25.00	1	2000.00	3	2	2			16a;16b;	
R5329	001	0	1	31	11	R5329_001_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
R5342	001	0	1	31	11	R5342_001_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
R5342	002	0	1	31	11	R5342_002_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
R5342	005	0	1	31	11	R5342_005_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
R5342	006	0	1	31	11	R5342_006_0	3	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
R5361	002	0	1	31	11	R5361_002_0	3	001	MyOption DEN206	59.00	1	2000.00	3	2	2			16a;16b;	
R5361	002	0	1	31	11	R5361_002_0	3	002	MyOption DEN207	71.30	1	2000.00	3	2	2				16a;16b;
R5495	001	0	1	31	11	R5495_001_0	4	001	MyOption Enhanced Dental PPO	23.80	1	1000.00	3	2	2				16a;16b;
R5495	001	0	1	31	11	R5495_001_0	4	002	MyOption Total Dental PPO	34.10	1	1000.00	3	2	2				16a;16b;
R5495	002	0	1	31	11	R5495_002_0	3	002	MyOption Vision	15.30	2			2	2			17a;17b;	
R5495	002	0	1	31	11	R5495_002_0	3	001	MyOption Dental High PPO	22.50	1	2000.00	3	2	2			16a;16b;	
R5495	002	0	1	31	11	R5495_002_0	3	003	MyOption Platinum Dental	24.70	1	2000.00	3	2	2				16a;16b;
R5941	013	0	1	31	11	R5941_013_0	8	001	Preventive Dental Package	20.00	2			2	2				16a;
R5941	013	0	1	31	11	R5941_013_0	8	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
R5941	013	0	1	31	11	R5941_013_0	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
R5941	014	0	1	31	11	R5941_014_0	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
R5941	014	0	1	31	11	R5941_014_0	8	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
R5941	014	0	1	31	11	R5941_014_0	8	001	Preventive Dental Package	20.00	2			2	2				16a;
R6694	006	0	1	31	11	R6694_006_0	3	001	Deluxe Comprehensive Dental Package	7.00	1	2000.00	3	2	1	50.00	16b;	16b;	
R6801	009	0	1	31	11	R6801_009_0	3	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
R6801	012	0	1	31	11	R6801_012_0	4	001	Dental Platinum Rider	45.00	2			2	2				16a;16b;
R7220	002	0	1	31	11	R7220_002_0	3	001	MyOption Dental High PPO	25.00	1	2000.00	3	2	2			16a;16b;	
R7220	002	0	1	31	11	R7220_002_0	3	002	MyOption Vision	15.30	2			2	2				17a;17b;
R7220	002	0	1	31	11	R7220_002_0	3	003	MyOption Plus	26.10	2			2	1	50.00	16b;		17a;17b;16a;16b;
R7315	002	0	1	31	11	R7315_002_0	4	001	MyOption Dental High PPO	16.80	1	2000.00	3	2	2			16a;16b;	
R7315	002	0	1	31	11	R7315_002_0	4	002	MyOption Platinum Dental	24.10	1	2000.00	3	2	2				16a;16b;
R7444	001	0	1	31	11	R7444_001_0	2	001	Dental Platinum Rider	40.00	2			2	2				16a;16b;
