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	004	0	1	01	01	H0028_004_0	3	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H0028	004	0	1	01	01	H0028_004_0	3	002	MyOption Enhanced Dental HMO	40.40	1	2000.00	3	2	2				16a;16b;
H0028	004	0	1	01	01	H0028_004_0	3	003	MyOption Total Dental HMO	46.50	1	2000.00	3	2	2				16a;16b;
H0028	011	0	1	01	01	H0028_011_0	4	001	MyOption Enhanced Dental HMO	25.20	1	2000.00	3	2	2				16a;16b;
H0028	013	0	1	01	01	H0028_013_0	2	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H0028	013	0	1	01	01	H0028_013_0	2	002	MyOption Platinum Dental	24.30	1	2000.00	3	2	2			16a;16b;	
H0028	016	0	1	01	01	H0028_016_0	3	001	MyOption Dental High PPO	17.00	1	2000.00	3	2	2			16a;16b;	
H0028	016	0	1	01	01	H0028_016_0	3	002	MyOption Platinum Dental	22.70	1	2000.00	3	2	2				16a;16b;
H0028	017	0	1	01	01	H0028_017_0	3	001	MyOption Enhanced Dental HMO	20.60	1	2000.00	3	2	2				16a;16b;
H0028	017	0	1	01	01	H0028_017_0	3	002	MyOption Total Dental HMO	25.10	1	2000.00	3	2	2				16a;16b;
H0028	019	0	1	01	01	H0028_019_0	2	001	MyOption Dental High PPO	19.60	1	2000.00	3	2	2			16a;16b;	
H0028	020	0	1	01	01	H0028_020_0	2	001	MyOption Dental High PPO	24.80	1	2000.00	3	2	2			16a;16b;	
H0028	022	0	1	01	01	H0028_022_0	2	001	MyOption Vision	15.30	2			2	2				17a;17b;
H0028	022	0	1	01	01	H0028_022_0	2	002	MyOption Enhanced Dental HMO	28.90	1	2000.00	3	2	2				16a;16b;
H0028	023	0	1	01	01	H0028_023_0	2	001	MyOption Dental High PPO	24.80	1	2000.00	3	2	2			16a;16b;	
H0028	023	0	1	01	01	H0028_023_0	2	002	MyOption Vision	15.30	2			2	2				17a;17b;
H0028	023	0	1	01	01	H0028_023_0	2	003	MyOption Plus	23.60	2			2	1	50.00	16b;		16a;16b;17a;17b;
H0028	024	0	1	01	01	H0028_024_0	2	001	MyOption Enhanced Dental HMO	28.90	1	2000.00	3	2	2				16a;16b;
H0028	025	1	1	01	01	H0028_025_1	2	001	MyOption Dental High PPO	21.20	1	2000.00	3	2	2			16a;16b;	
H0028	025	2	1	01	01	H0028_025_2	2	001	MyOption Dental High PPO	21.20	1	2000.00	3	2	2			16a;16b;	
H0028	026	1	1	01	01	H0028_026_1	2	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H0028	026	2	1	01	01	H0028_026_2	2	001	MyOption Total Dental HMO	29.50	1	2000.00	3	2	2				16a;16b;
H0028	027	0	1	01	01	H0028_027_0	2	001	MyOption Enhanced Dental HMO	28.90	1	2000.00	3	2	2				16a;16b;
H0028	028	0	1	01	01	H0028_028_0	2	001	MyOption Dental Enriched HMO	28.90	1	2000.00	3	2	2				16a;16b;
H0028	041	0	1	01	01	H0028_041_0	3	001	MyOption Dental High PPO	15.10	1	2000.00	3	2	2			16a;16b;	
H0028	041	0	1	01	01	H0028_041_0	3	002	MyOption Fitness	15.00	2			2	2			14c;	
H0028	043	2	1	01	01	H0028_043_2	3	001	MyOption Dental High PPO	15.10	1	2000.00	3	2	2			16a;16b;	
H0107	003	0	1	04	01	H0107_003_0	5	001	Optional Supplemental	31.40	1	2150.00	6	2	2			16a;16b;17b;18a;18b;	
H0292	001	0	1	01	01	H0292_001_0	3	001	MyOption Enhanced Dental HMO	20.70	1	2000.00	3	2	2				16a;16b;
H0292	001	0	1	01	01	H0292_001_0	3	002	MyOption Total Dental HMO	25.90	1	2000.00	3	2	2				16a;16b;
H0292	002	0	1	01	01	H0292_002_0	3	001	MyOption Enhanced Dental Plus HMO	28.70	1	2000.00	3	2	2				16a;16b;
H0292	002	0	1	01	01	H0292_002_0	3	002	MyOption Total Dental Plus HMO	36.00	1	2000.00	3	2	2				16a;16b;
H0294	004	0	1	04	01	H0294_004_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0294	010	0	1	04	01	H0294_010_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0294	011	0	1	04	01	H0294_011_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0294	012	0	1	04	01	H0294_012_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H0294	016	0	1	04	01	H0294_016_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H0332	001	0	1	01	01	H0332_001_0	8	001	Dental 3000	38.80	1	3000.00	3	2	1	25.00	16b;	16a;16b;	
H0332	002	0	1	01	01	H0332_002_0	10	001	Dental 3000	38.80	1	3000.00	3	2	1	25.00	16b;	16a;16b;	
H0332	003	0	1	02	01	H0332_003_0	8	001	Dental 3000	38.80	1	3000.00	3	2	1	25.00	16b;	16a;16b;	
H0332	004	0	1	02	01	H0332_004_0	10	001	Dental 3000	38.80	1	3000.00	3	2	1	25.00	16b;	16a;16b;	
H0332	007	0	1	02	01	H0332_007_0	8	001	Dental 3000	38.80	1	3000.00	3	2	1	25.00	16b;	16a;16b;	
H0332	008	0	1	02	01	H0332_008_0	10	001	Dental 3000	38.80	1	3000.00	3	2	1	25.00	16b;	16a;16b;	
H0351	038	0	1	01	01	H0351_038_0	6	001	Allwell Total	27.00	2			2	2			7b;13a;16a;16b;	
H0351	044	1	1	01	01	H0351_044_1	6	001	Allwell Totalplus	32.00	2			2	2			7b;13a;16a;16b;17a;17b;	
H0351	044	2	1	01	01	H0351_044_2	6	001	Allwell Totalplus	32.00	2			2	2			7b;13a;16a;16b;17a;17b;	
H0351	050	0	1	01	01	H0351_050_0	6	001	Allwell Totalplus	32.00	2			2	2			7b;13a;16a;16b;17a;17b;	
H0351	051	0	1	01	01	H0351_051_0	6	001	Allwell Total	27.00	2			2	2			7b;13a;16a;16b;	
H0354	001	0	1	01	01	H0354_001_0	5	001	Cigna Dental Care Plan	13.50	2			2	2			16b;	
H0354	024	0	1	01	01	H0354_024_0	5	001	Cigna Dental Care Plan	13.50	2			2	2			16b;	
H0354	027	0	1	01	01	H0354_027_0	4	001	Cigna Dental Care Plan	13.50	2			2	2			16b;	
H0354	028	0	1	01	01	H0354_028_0	5	001	Cigna Dental Care Plan	13.50	2			2	2			16b;	
H0432	001	0	1	01	01	H0432_001_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0432	005	0	1	01	01	H0432_005_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0432	007	0	1	01	01	H0432_007_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H0504	015	0	1	01	01	H0504_015_0	8	001	Dental HMO	11.60	2			2	2				16a;16b;
H0504	015	0	1	01	01	H0504_015_0	8	002	Dental PPO	37.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	017	0	1	01	01	H0504_017_0	7	001	Dental HMO	11.60	2			2	2			16a;16b;	
H0504	017	0	1	01	01	H0504_017_0	7	002	Dental PPO	37.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	021	0	1	01	01	H0504_021_0	7	001	Dental HMO	11.60	2			2	2				16a;16b;
H0504	021	0	1	01	01	H0504_021_0	7	002	Dental PPO	37.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	026	0	1	01	01	H0504_026_0	7	001	Dental HMO	11.60	2			2	2			16a;16b;	
H0504	026	0	1	01	01	H0504_026_0	7	002	Dental PPO	37.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	028	0	1	01	01	H0504_028_0	7	001	Dental HMO	11.60	2			2	2				16a;16b;
H0504	028	0	1	01	01	H0504_028_0	7	002	Dental PPO	37.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	029	0	1	01	01	H0504_029_0	7	001	Dental HMO	11.60	2			2	2			16a;16b;	
H0504	029	0	1	01	01	H0504_029_0	7	002	Dental PPO	37.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	031	0	1	01	01	H0504_031_0	8	001	Dental HMO	11.60	2			2	2			16a;16b;	
H0504	031	0	1	01	01	H0504_031_0	8	002	Dental PPO	37.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	037	0	1	01	01	H0504_037_0	7	001	Dental HMO	11.60	2			2	2			16a;16b;	
H0504	037	0	1	01	01	H0504_037_0	7	002	Dental PPO	37.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	038	0	1	01	01	H0504_038_0	7	001	Dental HMO	11.60	2			2	2			16a;16b;	
H0504	038	0	1	01	01	H0504_038_0	7	002	Dental PPO	37.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	039	0	1	01	01	H0504_039_0	7	001	Dental PPO	37.90	1	1500.00	6	2	1	50.00	16b;	16a;16b;	
H0504	040	0	1	01	01	H0504_040_0	7	001	Dental HMO	11.60	2			2	2				16a;16b;
H0504	040	0	1	01	01	H0504_040_0	7	002	Dental PPO	37.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	041	0	1	01	01	H0504_041_0	6	001	Dental HMO	11.60	2			2	2			16a;16b;	
H0504	041	0	1	01	01	H0504_041_0	6	002	Dental PPO	37.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	042	0	1	01	01	H0504_042_0	6	001	Dental HMO	11.60	2			2	2			16a;16b;	
H0504	042	0	1	01	01	H0504_042_0	6	002	Dental PPO	37.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	043	0	1	01	01	H0504_043_0	8	001	Dental HMO	11.60	2			2	2				16a;16b;
H0504	043	0	1	01	01	H0504_043_0	8	002	Dental PPO	37.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	044	0	1	01	01	H0504_044_0	8	001	Dental HMO	11.60	2			2	2				16a;16b;
H0504	044	0	1	01	01	H0504_044_0	8	002	Dental PPO	37.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0504	045	0	1	01	01	H0504_045_0	7	001	Dental HMO	11.60	2			2	2				16a;16b;
H0504	045	0	1	01	01	H0504_045_0	7	002	Dental PPO	37.90	1	1500.00	6	2	1	50.00	16b;		16a;16b;
H0524	002	0	2	01	01	H0524_002_0	9	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	003	0	1	01	01	H0524_003_0	9	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	008	0	1	01	01	H0524_008_0	9	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	010	0	2	01	01	H0524_010_0	9	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	013	0	1	01	01	H0524_013_0	9	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	015	0	1	01	01	H0524_015_0	9	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	031	0	1	01	01	H0524_031_0	9	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	032	0	1	01	01	H0524_032_0	9	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	033	0	1	01	01	H0524_033_0	9	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	034	0	1	01	01	H0524_034_0	9	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	035	0	1	01	01	H0524_035_0	10	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	036	0	1	01	01	H0524_036_0	10	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	037	0	1	01	01	H0524_037_0	9	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	038	0	1	01	01	H0524_038_0	9	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	039	0	1	01	01	H0524_039_0	9	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	040	0	1	01	01	H0524_040_0	9	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	041	0	1	01	01	H0524_041_0	9	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	042	0	1	01	01	H0524_042_0	10	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	043	0	1	01	01	H0524_043_0	9	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	046	0	1	01	01	H0524_046_0	9	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	051	0	1	01	01	H0524_051_0	10	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0524	054	0	1	01	01	H0524_054_0	9	001	Advantage Plus	20.00	2			2	2			14c;16a;16b;18a;18b;	17b;
H0543	001	0	1	01	01	H0543_001_0	4	001	High Option Dental Rider	12.50	2			2	2				16a;16b;
H0543	001	0	1	01	01	H0543_001_0	4	002	Optional Dental Rider	2.50	2			2	2				16a;16b;
H0543	001	0	1	01	01	H0543_001_0	4	003	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	013	0	1	01	01	H0543_013_0	4	001	High Option Dental Rider	12.50	2			2	2				16a;16b;
H0543	013	0	1	01	01	H0543_013_0	4	002	Optional Dental Rider	2.50	2			2	2				16a;16b;
H0543	013	0	1	01	01	H0543_013_0	4	003	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	019	0	1	01	01	H0543_019_0	4	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	022	0	1	01	01	H0543_022_0	4	001	High Option Dental Rider	12.50	2			2	2				16a;16b;
H0543	022	0	1	01	01	H0543_022_0	4	002	Optional Dental Rider	2.50	2			2	2				16a;16b;
H0543	022	0	1	01	01	H0543_022_0	4	003	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	028	0	1	01	01	H0543_028_0	4	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	029	0	1	01	01	H0543_029_0	4	001	High Option Dental Rider	12.50	2			2	2				16a;16b;
H0543	029	0	1	01	01	H0543_029_0	4	002	Optional Dental Rider	2.50	2			2	2				16a;16b;
H0543	029	0	1	01	01	H0543_029_0	4	003	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	032	0	1	01	01	H0543_032_0	4	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	035	0	1	01	01	H0543_035_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	036	0	1	01	01	H0543_036_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	060	0	1	01	01	H0543_060_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0543	070	0	1	01	01	H0543_070_0	4	001	High Option Dental Rider	12.50	2			2	2				16a;16b;
H0543	070	0	1	01	01	H0543_070_0	4	002	Optional Dental Rider	2.50	2			2	2				16a;16b;
H0543	070	0	1	01	01	H0543_070_0	4	003	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	086	0	1	01	01	H0543_086_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	089	0	1	01	01	H0543_089_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	121	0	1	01	01	H0543_121_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	138	0	1	01	01	H0543_138_0	4	001	High Option Dental Rider	12.50	2			2	2				16a;16b;
H0543	138	0	1	01	01	H0543_138_0	4	002	Optional Dental Rider	2.50	2			2	2				16a;16b;
H0543	138	0	1	01	01	H0543_138_0	4	003	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	140	0	1	01	01	H0543_140_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	144	0	1	01	01	H0543_144_0	4	001	High Option Dental Rider	12.50	2			2	2				16a;16b;
H0543	144	0	1	01	01	H0543_144_0	4	002	Optional Dental Rider	2.50	2			2	2				16a;16b;
H0543	144	0	1	01	01	H0543_144_0	4	003	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	145	0	1	01	01	H0543_145_0	4	001	High Option Dental Rider	12.50	2			2	2				16a;16b;
H0543	145	0	1	01	01	H0543_145_0	4	002	Optional Dental Rider	2.50	2			2	2				16a;16b;
H0543	145	0	1	01	01	H0543_145_0	4	003	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	146	0	1	01	01	H0543_146_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	147	0	1	01	01	H0543_147_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	148	0	1	01	01	H0543_148_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	151	0	1	01	01	H0543_151_0	4	001	High Option Dental Rider	12.50	2			2	2				16a;16b;
H0543	151	0	1	01	01	H0543_151_0	4	002	Optional Dental Rider	2.50	2			2	2				16a;16b;
H0543	151	0	1	01	01	H0543_151_0	4	003	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	152	0	1	01	01	H0543_152_0	4	001	High Option Dental Rider	12.50	2			2	2				16a;16b;
H0543	152	0	1	01	01	H0543_152_0	4	002	Optional Dental Rider	2.50	2			2	2				16a;16b;
H0543	152	0	1	01	01	H0543_152_0	4	003	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	158	0	1	01	01	H0543_158_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	163	0	1	01	01	H0543_163_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	164	0	1	01	01	H0543_164_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0543	165	0	1	01	01	H0543_165_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0543	166	0	1	01	01	H0543_166_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0543	167	0	1	01	01	H0543_167_0	4	001	Dental Platinum Rider	43.00	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	175	0	1	01	01	H0543_175_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	176	0	1	01	01	H0543_176_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	177	0	1	01	01	H0543_177_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	178	0	1	01	01	H0543_178_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	179	0	1	01	01	H0543_179_0	4	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	188	0	1	01	01	H0543_188_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	189	0	1	01	01	H0543_189_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	191	0	1	01	01	H0543_191_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	193	0	1	01	01	H0543_193_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	194	0	1	01	01	H0543_194_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	195	0	1	01	01	H0543_195_0	4	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	196	0	1	01	01	H0543_196_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0543	204	0	1	01	01	H0543_204_0	4	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0544	002	0	1	01	01	H0544_002_0	10	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	002	0	1	01	01	H0544_002_0	10	002	Optional Dental 2	9.00	2			2	2				16a;16b;
H0544	004	0	1	01	01	H0544_004_0	10	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	004	0	1	01	01	H0544_004_0	10	002	Optional Dental 2	9.00	2			2	2				16a;16b;
H0544	005	0	1	01	01	H0544_005_0	10	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	005	0	1	01	01	H0544_005_0	10	002	Optional Dental 2	9.00	2			2	2				16a;16b;
H0544	007	0	1	01	01	H0544_007_0	10	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	007	0	1	01	01	H0544_007_0	10	002	Optional Dental 2	9.00	2			2	2				16a;16b;
H0544	008	0	1	01	01	H0544_008_0	10	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	008	0	1	01	01	H0544_008_0	10	002	Optional Dental 2	9.00	2			2	2				16a;16b;
H0544	010	0	1	01	01	H0544_010_0	10	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	010	0	1	01	01	H0544_010_0	10	002	Optional Dental 2	9.00	2			2	2				16a;16b;
H0544	012	0	1	01	01	H0544_012_0	9	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	012	0	1	01	01	H0544_012_0	9	002	Optional Dental 2	9.00	2			2	2				16a;16b;
H0544	013	0	1	01	01	H0544_013_0	10	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	013	0	1	01	01	H0544_013_0	10	002	Optional Dental 2	9.00	2			2	2				16a;16b;
H0544	014	0	1	01	01	H0544_014_0	10	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	014	0	1	01	01	H0544_014_0	10	002	Optional Dental 2	9.00	2			2	2				16a;16b;
H0544	015	0	1	01	01	H0544_015_0	9	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	019	0	1	01	01	H0544_019_0	10	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	019	0	1	01	01	H0544_019_0	10	002	Optional Dental 2	9.00	2			2	2				16a;16b;
H0544	020	0	1	01	01	H0544_020_0	9	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	021	0	1	01	01	H0544_021_0	11	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	021	0	1	01	01	H0544_021_0	11	002	Optional Dental 2	9.00	2			2	2				16a;16b;
H0544	024	0	1	01	01	H0544_024_0	9	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	024	0	1	01	01	H0544_024_0	9	002	Optional Dental 2	9.00	2			2	2				16a;16b;
H0544	025	0	1	01	01	H0544_025_0	10	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	025	0	1	01	01	H0544_025_0	10	002	Optional Dental 2	9.00	2			2	2				16a;16b;
H0544	027	0	1	01	01	H0544_027_0	10	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	027	0	1	01	01	H0544_027_0	10	002	Optional Dental 2	9.00	2			2	2				16a;16b;
H0544	031	0	1	01	01	H0544_031_0	11	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	031	0	1	01	01	H0544_031_0	11	002	Optional Dental 2	9.00	2			2	2				16a;16b;
H0544	032	0	1	01	01	H0544_032_0	10	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	032	0	1	01	01	H0544_032_0	10	002	Optional Dental 2	9.00	2			2	2				16a;16b;
H0544	036	0	1	01	01	H0544_036_0	10	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	036	0	1	01	01	H0544_036_0	10	002	Optional Dental 2	9.00	2			2	2				16a;16b;
H0544	037	0	1	01	01	H0544_037_0	9	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	037	0	1	01	01	H0544_037_0	9	002	Optional Dental 2	9.00	2			2	2				16a;16b;
H0544	038	0	1	01	01	H0544_038_0	11	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	038	0	1	01	01	H0544_038_0	11	002	Optional Dental 2	9.00	2			2	2				16a;16b;
H0544	049	0	1	01	01	H0544_049_0	13	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	050	0	1	01	01	H0544_050_0	11	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H0544	050	0	1	01	01	H0544_050_0	11	002	Optional Dental 2	9.00	2			2	2				16a;16b;
H0544	056	0	1	01	01	H0544_056_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	056	0	1	01	01	H0544_056_0	8	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	056	0	1	01	01	H0544_056_0	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H0544	057	0	1	01	01	H0544_057_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	057	0	1	01	01	H0544_057_0	8	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	057	0	1	01	01	H0544_057_0	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H0544	058	0	1	01	01	H0544_058_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	058	0	1	01	01	H0544_058_0	8	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	058	0	1	01	01	H0544_058_0	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H0544	059	0	1	01	01	H0544_059_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	059	0	1	01	01	H0544_059_0	8	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	059	0	1	01	01	H0544_059_0	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H0544	060	3	1	01	01	H0544_060_3	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	060	3	1	01	01	H0544_060_3	8	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	060	3	1	01	01	H0544_060_3	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H0544	060	4	1	01	01	H0544_060_4	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	060	4	1	01	01	H0544_060_4	8	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	060	4	1	01	01	H0544_060_4	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H0544	061	0	1	01	01	H0544_061_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	061	0	1	01	01	H0544_061_0	8	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	061	0	1	01	01	H0544_061_0	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H0544	062	0	1	01	01	H0544_062_0	7	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	062	0	1	01	01	H0544_062_0	7	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	062	0	1	01	01	H0544_062_0	7	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H0544	063	0	1	01	01	H0544_063_0	7	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	063	0	1	01	01	H0544_063_0	7	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	063	0	1	01	01	H0544_063_0	7	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H0544	064	0	1	01	01	H0544_064_0	7	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	064	0	1	01	01	H0544_064_0	7	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	064	0	1	01	01	H0544_064_0	7	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H0544	065	0	1	01	01	H0544_065_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	065	0	1	01	01	H0544_065_0	8	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	065	0	1	01	01	H0544_065_0	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H0544	066	0	1	01	01	H0544_066_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	066	0	1	01	01	H0544_066_0	8	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	066	0	1	01	01	H0544_066_0	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H0544	067	0	1	01	01	H0544_067_0	9	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	067	0	1	01	01	H0544_067_0	9	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	067	0	1	01	01	H0544_067_0	9	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H0544	069	0	1	01	01	H0544_069_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	069	0	1	01	01	H0544_069_0	8	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	069	0	1	01	01	H0544_069_0	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H0544	074	0	1	01	01	H0544_074_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	074	0	1	01	01	H0544_074_0	8	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	074	0	1	01	01	H0544_074_0	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H0544	093	0	1	01	01	H0544_093_0	9	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	093	0	1	01	01	H0544_093_0	9	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	093	0	1	01	01	H0544_093_0	9	003	Enhanced Dental and Vision Package	52.00	2			2	2				16a;16b;17b;
H0544	094	0	1	01	01	H0544_094_0	9	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	094	0	1	01	01	H0544_094_0	9	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	094	0	1	01	01	H0544_094_0	9	003	Enhanced Dental and Vision Package	52.00	2			2	2				16a;16b;17b;
H0544	095	0	1	01	01	H0544_095_0	9	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	095	0	1	01	01	H0544_095_0	9	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	095	0	1	01	01	H0544_095_0	9	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H0544	096	0	1	01	01	H0544_096_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	096	0	1	01	01	H0544_096_0	8	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	096	0	1	01	01	H0544_096_0	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H0544	097	0	1	01	01	H0544_097_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	097	0	1	01	01	H0544_097_0	8	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	097	0	1	01	01	H0544_097_0	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H0544	098	0	1	01	01	H0544_098_0	8	001	Preventive Dental Package	12.00	2			2	2				16a;
H0544	098	0	1	01	01	H0544_098_0	8	002	Dental and Vision Package	31.00	2			2	2				16a;16b;17b;
H0544	098	0	1	01	01	H0544_098_0	8	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H0545	001	0	1	01	01	H0545_001_0	8	001	Enhanced Dental	12.00	1	2000.00	3	2	2				16a;16b;
H0545	015	0	1	01	01	H0545_015_0	4	001	Enhanced Dental	12.00	1	2000.00	3	2	2				16a;16b;
H0562	009	0	1	01	01	H0562_009_0	4	001	HealthNet Fit plus	32.00	2			2	2			7b;13a;14c;16b;17b;	
H0562	012	0	1	01	01	H0562_012_0	4	001	HealthNet Total	11.00	2			2	2			7b;13a;16a;16b;	
H0562	012	0	1	01	01	H0562_012_0	4	002	HealthNet Total FLEX	28.00	2			2	2			7b;13a;	16a;16b;
H0562	039	0	1	01	01	H0562_039_0	4	001	HealthNet Essentials	9.00	2			2	2			7b;13a;17b;	
H0562	045	0	1	01	01	H0562_045_0	2	001	HealthNet Total Fit plus	20.00	2			2	2			7b;13a;14c;16a;16b;17b;	
H0562	045	0	1	01	01	H0562_045_0	2	002	HealthNet Total Fitness FLEX	35.00	2			2	2			7b;13a;14c;17b;	16a;16b;
H0562	068	0	1	01	01	H0562_068_0	4	001	HealthNet Total Fit plus	20.00	2			2	2			7b;13a;14c;16a;16b;17b;	
H0562	068	0	1	01	01	H0562_068_0	4	002	HealthNet Total Fitness FLEX	35.00	2			2	2			7b;13a;14c;17b;	16a;16b;
H0562	079	0	1	01	01	H0562_079_0	4	001	HealthNet TotalFit	14.00	2			2	2			7b;13a;14c;16a;16b;	
H0562	079	0	1	01	01	H0562_079_0	4	002	HealthNet FLEX Total-Fit	30.00	2			2	2			7b;13a;14c;	16a;16b;
H0562	084	0	1	01	01	H0562_084_0	4	001	HealthNet Fit	12.00	2			2	2			7b;13a;14c;17b;	
H0562	090	0	1	01	01	H0562_090_0	4	001	HealthNet Total Fit plus	20.00	2			2	2			7b;13a;14c;16a;16b;17b;	
H0562	090	0	1	01	01	H0562_090_0	4	002	HealthNet Total Fitness FLEX	35.00	2			2	2			7b;13a;14c;17b;	16a;16b;
H0562	097	0	1	01	01	H0562_097_0	5	001	HealthNet Total	11.00	2			2	2			7b;13a;16a;16b;	
H0562	097	0	1	01	01	H0562_097_0	5	002	HealthNet Total FLEX	28.00	2			2	2			7b;13a;	16a;16b;
H0562	100	1	1	01	01	H0562_100_1	5	001	HealthNet Total Fit plus	20.00	2			2	2			7b;13a;14c;16a;16b;17b;	
H0562	100	1	1	01	01	H0562_100_1	5	002	HealthNet Total Fitness FLEX	35.00	2			2	2			7b;13a;14c;17b;	16a;16b;
H0562	100	2	1	01	01	H0562_100_2	4	001	HealthNet Total Fit plus	20.00	2			2	2			7b;13a;14c;16a;16b;17b;	
H0562	100	2	1	01	01	H0562_100_2	4	002	HealthNet Total Fitness FLEX	35.00	2			2	2			7b;13a;14c;17b;	16a;16b;
H0562	103	0	1	01	01	H0562_103_0	4	001	HealthNet TotalFit	14.00	2			2	2			7b;13a;14c;16a;16b;	
H0562	103	0	1	01	01	H0562_103_0	4	002	HealthNet FLEX Total-Fit	30.00	2			2	2			7b;13a;14c;	16a;16b;
H0562	114	0	1	01	01	H0562_114_0	4	001	HealthNet Total	11.00	2			2	2			7b;13a;16a;16b;	
H0562	114	0	1	01	01	H0562_114_0	4	002	HealthNet Total FLEX	28.00	2			2	2			7b;13a;	16a;16b;
H0562	117	0	1	01	01	H0562_117_0	3	001	HealthNet Enhanced Dental	8.00	2			2	2			16a;16b;	
H0562	119	0	1	01	01	H0562_119_0	3	001	HealthNet Total	11.00	2			2	2			7b;13a;16a;16b;	
H0562	120	0	1	01	01	H0562_120_0	3	001	HealthNet Enhanced Dental	8.00	2			2	2			16a;16b;	
H0571	001	0	1	01	01	H0571_001_0	4	001	Dental Plan	20.00	2			2	2			16a;16b;	
H0602	001	0	1	18	06	H0602_001_0	1	001	Dental Services	45.00	2			2	1	100.00	16b;		16a;16b;
H0602	001	0	1	18	06	H0602_001_0	1	002	Vision Services	12.00	2			2	2				17a;17b;
H0602	003	0	1	18	06	H0602_003_0	1	001	Dental Services	45.00	2			2	1	100.00	16b;		16a;16b;
H0602	003	0	1	18	06	H0602_003_0	1	002	Vision Services	12.00	2			2	2				17a;17b;
H0602	027	0	1	18	06	H0602_027_0	1	001	Dental Services	45.00	2			2	1	100.00	16b;		16a;16b;
H0602	027	0	1	18	06	H0602_027_0	1	002	Vision Services	12.00	2			2	2				17a;17b;
H0602	042	0	1	18	06	H0602_042_0	1	001	Dental Services	45.00	2			2	1	100.00	16b;		16a;16b;
H0602	042	0	1	18	06	H0602_042_0	1	002	Vision Services	12.00	2			2	2				17a;17b;
H0609	012	0	1	01	01	H0609_012_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H0609	018	0	1	01	01	H0609_018_0	2	001	Dental Platinum Rider	36.00	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	38.00	2			2	2				16a;16b;
H0609	027	0	1	01	01	H0609_027_0	3	001	Dental Platinum Rider	38.00	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	033	0	1	01	01	H0609_033_0	3	001	Dental Platinum Rider	43.00	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	034	2	1	01	01	H0609_034_2	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0609	035	1	1	01	01	H0609_035_1	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0609	035	2	1	01	01	H0609_035_2	2	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0609	036	1	1	01	01	H0609_036_1	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0609	036	2	1	01	01	H0609_036_2	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0609	037	0	1	01	01	H0609_037_0	4	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H0609	039	0	1	01	01	H0609_039_0	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0630	013	0	1	01	01	H0630_013_0	11	001	Advantage Plus - Option 1	35.00	2			2	2			16a;16b;18b;	17b;
H0630	013	0	1	01	01	H0630_013_0	11	002	Advantage Plus - Option 2	14.00	2			2	2			10b;13a;18b;	
H0630	015	0	1	01	01	H0630_015_0	11	001	Advantage Plus - Option 1	35.00	2			2	2			16b;18b;	16a;17b;
H0630	015	0	1	01	01	H0630_015_0	11	002	Advantage Plus - Option 2	14.00	2			2	2			10b;13a;18b;	
H0630	016	0	1	01	01	H0630_016_0	11	001	Advantage Plus - Option 1	35.00	2			2	2			16b;18b;	16a;17b;
H0630	016	0	1	01	01	H0630_016_0	11	002	Advantage Plus - Option 2	14.00	2			2	2			13a;18b;	10b;
H0630	017	0	1	01	01	H0630_017_0	13	001	Advantage Plus - Option 1	35.00	2			2	2			16a;16b;17b;18b;	
H0630	017	0	1	01	01	H0630_017_0	13	002	Advantage Plus - Option 2	14.00	2			2	2			10b;13a;18b;	
H0630	020	0	1	01	01	H0630_020_0	11	001	Advantage Plus - Option 1	35.00	2			2	2			16a;16b;18b;	17b;
H0630	020	0	1	01	01	H0630_020_0	11	002	Advantage Plus - Option 2	14.00	2			2	2			10b;13a;18b;	
H0630	021	0	1	01	01	H0630_021_0	11	001	Advantage Plus - Option 1	35.00	2			2	2			16b;18b;	16a;17b;
H0630	021	0	1	01	01	H0630_021_0	11	002	Advantage Plus - Option 2	14.00	2			2	2			10b;13a;18b;	
H0755	030	0	1	01	01	H0755_030_0	7	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0755	031	0	1	01	01	H0755_031_0	6	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0755	032	0	1	01	01	H0755_032_0	2	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0755	033	0	1	01	01	H0755_033_0	6	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H0755	037	0	1	01	01	H0755_037_0	2	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H0755	038	0	1	01	01	H0755_038_0	8	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0755	040	1	1	01	01	H0755_040_1	6	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0755	040	2	1	01	01	H0755_040_2	6	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H0755	041	1	1	01	01	H0755_041_1	6	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H0755	041	2	1	01	01	H0755_041_2	6	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H0755	042	1	1	01	01	H0755_042_1	6	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H0755	042	2	1	01	01	H0755_042_2	6	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H1035	002	0	1	02	01	H1035_002_0	4	001	Optional Point of Service Benefit	70.00	2			2	2			POS;	
H1036	137	0	1	01	01	H1036_137_0	3	001	MyOption Enhanced Dental HMO	23.50	1	2000.00	3	2	2				16a;16b;
H1036	137	0	1	01	01	H1036_137_0	3	002	MyOption Total Dental HMO	28.40	1	2000.00	3	2	2				16a;16b;
H1036	151	0	1	01	01	H1036_151_0	5	001	MyOption Total Dental HMO	20.20	1	2000.00	3	2	2				16a;16b;
H1036	153	0	1	01	01	H1036_153_0	5	001	MyOption Enhanced Dental HMO	27.70	1	2000.00	3	2	2				16a;16b;
H1036	171	0	1	01	01	H1036_171_0	5	001	MyOption Total Dental HMO	20.20	1	2000.00	3	2	2				16a;16b;
H1036	219	0	1	01	01	H1036_219_0	4	001	MyOption Total Dental HMO	32.90	1	2000.00	3	2	2				16a;16b;
H1036	223	0	1	01	01	H1036_223_0	5	001	MyOption Total Dental HMO	20.20	1	2000.00	3	2	2				16a;16b;
H1036	233	0	1	01	01	H1036_233_0	3	001	MyOption Enhanced Dental HMO	23.50	1	2000.00	3	2	2				16a;16b;
H1036	233	0	1	01	01	H1036_233_0	3	002	MyOption Total Dental HMO	28.40	1	2000.00	3	2	2				16a;16b;
H1036	234	0	1	01	01	H1036_234_0	3	001	MyOption Enhanced Dental Plus HMO	28.70	1	2000.00	3	2	2				16a;16b;
H1036	234	0	1	01	01	H1036_234_0	3	002	MyOption Total Dental Plus HMO	36.00	1	2000.00	3	2	2				16a;16b;
H1036	236	0	1	01	01	H1036_236_0	3	001	MyOption Enhanced Dental HMO	20.70	1	2000.00	3	2	2				16a;16b;
H1036	236	0	1	01	01	H1036_236_0	3	002	MyOption Total Dental HMO	25.90	1	2000.00	3	2	2				16a;16b;
H1036	263	0	1	01	01	H1036_263_0	3	001	MyOption Dental High PPO	20.30	1	2000.00	3	2	2			16a;16b;	
H1036	263	0	1	01	01	H1036_263_0	3	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H1036	263	0	1	01	01	H1036_263_0	3	003	MyOption Plus	22.30	2			2	1	50.00	16b;		16a;16b;17a;17b;
H1036	275	1	1	01	01	H1036_275_1	3	001	MyOption Enhanced Dental HMO	23.50	1	2000.00	3	2	2				16a;16b;
H1036	275	1	1	01	01	H1036_275_1	3	002	MyOption Total Dental HMO	28.40	1	2000.00	3	2	2				16a;16b;
H1036	275	2	1	01	01	H1036_275_2	3	001	MyOption Enhanced Dental HMO	23.50	1	2000.00	3	2	2				16a;16b;
H1036	275	2	1	01	01	H1036_275_2	3	002	MyOption Total Dental HMO	28.40	1	2000.00	3	2	2				16a;16b;
H1111	009	1	1	01	01	H1111_009_1	8	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H1111	009	2	1	01	01	H1111_009_2	8	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1111	010	1	1	01	01	H1111_010_1	8	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1111	010	2	1	01	01	H1111_010_2	8	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H1142	001	0	1	01	01	H1142_001_0	8	001	Comprehensive Dental 001	15.00	1	1500.00	3	2	2			16b;	
H1142	002	0	1	01	01	H1142_002_0	6	001	Comprehensive Dental 001	15.00	1	1500.00	3	2	2			16b;	
H1142	006	0	1	01	01	H1142_006_0	6	001	Comprehensive Dental 001	15.00	1	1500.00	3	2	2			16b;	
H1170	002	0	1	01	01	H1170_002_0	7	001	Advantage Plus	15.00	2			2	2			16a;16b;17b;18a;18b;	
H1170	008	0	1	01	01	H1170_008_0	6	001	Advantage Plus	15.00	2			2	2			16a;16b;18a;18b;	17b;
H1170	009	0	1	01	01	H1170_009_0	6	001	Advantage Plus	15.00	2			2	2			16a;16b;17b;18a;18b;	
H1181	001	0		07	02	H1181_001_0	6	001	Dental	37.00	1	1000.00	3		1	100.00	16b;		16a;16b;
H1225	001	0	1	01	01	H1225_001_0	9	001	Dental and Fitness	30.00	1	1200.00	3	2	2			14c;	16b;
H1225	002	0	1	01	01	H1225_002_0	9	001	Dental and Fitness	30.00	1	1200.00	3	2	2			14c;	16b;
H1230	001	0	1	01	01	H1230_001_0	10	001	Advantage Plus	20.00	2			2	2			16a;16b;17b;18b;	
H1230	001	0	1	01	01	H1230_001_0	10	002	Advantage Plus Complete	46.00	2			2	2			17b;	16a;16b;18b;
H1230	003	0	1	01	01	H1230_003_0	12	001	Advantage Plus	20.00	2			2	2			16a;16b;17b;18b;	
H1230	003	0	1	01	01	H1230_003_0	12	002	Advantage Plus Complete	46.00	2			2	2			17b;	16a;16b;18b;
H1230	013	0	1	01	01	H1230_013_0	10	001	Advantage Plus	20.00	2			2	2			16a;16b;17b;18b;	
H1230	013	0	1	01	01	H1230_013_0	10	002	Advantage Plus Complete	46.00	2			2	2			17b;	16a;16b;18b;
H1230	014	0	1	01	01	H1230_014_0	11	001	Advantage Plus	20.00	2			2	2			16a;16b;17b;18b;	
H1230	014	0	1	01	01	H1230_014_0	11	002	Advantage Plus Complete	46.00	2			2	2			17b;	16a;16b;18b;
H1278	003	0	1	04	01	H1278_003_0	4	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H1278	004	0	1	04	01	H1278_004_0	5	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1278	005	0	1	04	01	H1278_005_0	5	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	36.00	2			2	2				16a;16b;
H1278	010	0	1	04	01	H1278_010_0	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1286	002	0	1	01	01	H1286_002_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1286	009	0	1	01	01	H1286_009_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1302	004	0	1	04	01	H1302_004_0	2	001	Healthy Smiles Basic	9.40	1	750.00	3	2	1	50.00	16b;		16b;
H1304	001	0	1	04	01	H1304_001_0	10	001	Dental Option	25.00	2			2	2			16b;	
H1304	011	1	1	04	01	H1304_011_1	11	001	Dental and Vision Option	20.00	2			2	2			16a;17a;17b;	
H1304	011	2	1	04	01	H1304_011_2	11	001	Dental and Vision Option	20.00	2			2	2			16a;17a;17b;	
H1304	012	1	1	04	01	H1304_012_1	12	001	Dental Option	25.00	2			2	2			16b;	
H1304	012	2	1	04	01	H1304_012_2	12	001	Dental Option	25.00	2			2	2			16b;	
H1350	006	0	1	01	01	H1350_006_0	2	001	Healthy Smiles Basic	9.40	1	750.00	3	2	1	50.00	16b;		16b;
H1350	015	1	1	01	01	H1350_015_1	3	001	Healthy Smiles Plus Dental	23.40	1	1000.00	3	2	2				16a;16b;
H1350	015	2	1	01	01	H1350_015_2	3	001	Healthy Smiles Plus Dental	23.40	1	1000.00	3	2	2				16a;16b;
H1350	016	1	1	01	01	H1350_016_1	3	001	Healthy Smiles Plus Dental	23.40	1	1000.00	3	2	2				16a;16b;
H1350	016	2	1	01	01	H1350_016_2	3	001	Healthy Smiles Plus Dental	23.40	1	1000.00	3	2	2				16a;16b;
H1350	019	1	1	01	01	H1350_019_1	3	001	Healthy Smiles Basic	9.40	1	750.00	3	2	1	50.00	16b;		16b;
H1350	019	2	1	01	01	H1350_019_2	3	001	Healthy Smiles Basic	9.40	1	750.00	3	2	1	50.00	16b;		16b;
H1350	021	0	1	01	01	H1350_021_0	3	001	Healthy Smiles Basic	9.40	1	750.00	3	2	1	50.00	16b;		16b;
H1350	022	1	1	01	01	H1350_022_1	3	001	Healthy Smiles Basic	9.40	1	750.00	3	2	1	50.00	16b;		16b;
H1350	022	2	1	01	01	H1350_022_2	3	001	Healthy Smiles Basic	9.40	1	750.00	3	2	1	50.00	16b;		16b;
H1350	023	1	1	01	01	H1350_023_1	3	001	Healthy Smiles Basic	9.40	1	750.00	3	2	1	50.00	16b;		16b;
H1350	023	2	1	01	01	H1350_023_2	3	001	Healthy Smiles Basic	9.40	1	750.00	3	2	1	50.00	16b;		16b;
H1393	001	0	1	04	01	H1393_001_0	7	001	Comprehensive Dental 002	20.00	1	1500.00	3	2	2			16b;	
H1393	001	0	1	04	01	H1393_001_0	7	002	Comprehensive Vision 002	4.00	1	130.00	2	2	2			17b;	
H1393	003	0	1	04	01	H1393_003_0	7	001	Comprehensive Dental 002	20.00	1	1500.00	3	2	2			16b;	
H1393	003	0	1	04	01	H1393_003_0	7	002	Comprehensive Vision 002	4.00	1	130.00	2	2	2			17b;	
H1468	014	0	1	01	01	H1468_014_0	3	001	MyOption Enhanced Dental HMO	22.90	1	2000.00	3	2	2				16a;16b;
H1468	014	0	1	01	01	H1468_014_0	3	002	MyOption Dental Enriched HMO	22.90	1	2000.00	3	2	2				16a;16b;
H1468	014	0	1	01	01	H1468_014_0	3	003	MyOption Total Dental HMO	28.10	1	2000.00	3	2	2				16a;16b;
H1537	004	0	1	04	01	H1537_004_0	4	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H1607	012	0	1	04	01	H1607_012_0	6	001	Preventive Dental Package	20.00	2			2	2				16a;
H1607	012	0	1	04	01	H1607_012_0	6	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H1607	012	0	1	04	01	H1607_012_0	6	003	Enhanced Dental and Vision Package	54.00	2			2	2				16a;16b;17b;
H1607	014	0	1	04	01	H1607_014_0	8	001	Preventive Dental Package	20.00	2			2	2				16a;
H1607	014	0	1	04	01	H1607_014_0	8	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H1607	014	0	1	04	01	H1607_014_0	8	003	Enhanced Dental and Vision Package	54.00	2			2	2				16a;16b;17b;
H1608	016	0	1	04	01	H1608_016_0	4	001	Deluxe Comprehensive Dental Package	21.00	1	2000.00	3	2	1	50.00	16b;	16b;	
H1608	017	0	1	04	01	H1608_017_0	4	001	Deluxe Comprehensive Dental Package	21.00	1	2000.00	3	2	1	50.00	16b;	16b;	
H1651	008	0	1	18	06	H1651_008_0	5	001	Out of Network Benefit	30.00	2			2	2				13d;
H1651	009	0	1	18	06	H1651_009_0	5	001	Out of Network Benefit	30.00	2			2	2				13d;
H1846	004	0	1	04	01	H1846_004_0	5	001	Dental	24.00	1	1000.00	3	2	2			16a;16b;	
H1894	001	0	1	01	01	H1894_001_0	10	001	Preventive Dental Package	8.00	2			2	2				16a;
H1894	001	0	1	01	01	H1894_001_0	10	002	Dental and Vision Package	39.00	2			2	2				16a;16b;17b;
H1894	001	0	1	01	01	H1894_001_0	10	003	Enhanced Dental and Vision Package	47.00	2			2	2				16a;16b;17b;
H1944	001	0	1	01	01	H1944_001_0	4	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H1944	004	0	1	01	01	H1944_004_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H1944	005	0	1	01	01	H1944_005_0	4	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H1944	006	0	1	01	01	H1944_006_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H1944	009	0	1	01	01	H1944_009_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1944	010	0	1	01	01	H1944_010_0	5	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H1944	017	0	1	01	01	H1944_017_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H1944	018	0	1	01	01	H1944_018_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H1944	019	0	1	01	01	H1944_019_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1944	021	0	1	01	01	H1944_021_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1944	022	0	1	01	01	H1944_022_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1944	024	0	1	01	01	H1944_024_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H1944	028	0	1	01	01	H1944_028_0	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H1951	013	0	1	01	01	H1951_013_0	4	001	MyOption Enhanced Dental HMO	29.70	1	2000.00	3	2	2				16a;16b;
H1951	013	0	1	01	01	H1951_013_0	4	002	MyOption Total Dental HMO	34.60	1	2000.00	3	2	2				16a;16b;
H1951	024	0	1	01	01	H1951_024_0	4	001	MyOption Enhanced Dental HMO	29.70	1	2000.00	3	2	2				16a;16b;
H1951	024	0	1	01	01	H1951_024_0	4	002	MyOption Total Dental HMO	34.60	1	2000.00	3	2	2				16a;16b;
H1951	028	0	1	01	01	H1951_028_0	4	001	MyOption Enhanced Dental HMO	29.70	1	2000.00	3	2	2				16a;16b;
H1951	028	0	1	01	01	H1951_028_0	4	002	MyOption Total Dental HMO	34.60	1	2000.00	3	2	2				16a;16b;
H1951	047	1	1	01	01	H1951_047_1	4	001	MyOption Enhanced Dental HMO	29.70	1	2000.00	3	2	2				16a;16b;
H1951	047	1	1	01	01	H1951_047_1	4	002	MyOption Total Dental HMO	34.60	1	2000.00	3	2	2				16a;16b;
H1951	047	2	1	01	01	H1951_047_2	4	001	MyOption Enhanced Dental HMO	29.70	1	2000.00	3	2	2				16a;16b;
H1951	047	2	1	01	01	H1951_047_2	4	002	MyOption Total Dental HMO	34.60	1	2000.00	3	2	2				16a;16b;
H1951	048	1	1	01	01	H1951_048_1	4	001	MyOption Enhanced Dental HMO	29.70	1	2000.00	3	2	2				16a;16b;
H1951	048	1	1	01	01	H1951_048_1	4	002	MyOption Total Dental HMO	34.60	1	2000.00	3	2	2				16a;16b;
H1951	048	2	1	01	01	H1951_048_2	4	001	MyOption Enhanced Dental HMO	29.70	1	2000.00	3	2	2				16a;16b;
H1951	048	2	1	01	01	H1951_048_2	4	002	MyOption Total Dental HMO	34.60	1	2000.00	3	2	2				16a;16b;
H1951	049	1	1	01	01	H1951_049_1	4	001	MyOption Enhanced Dental HMO	29.70	1	2000.00	3	2	2				16a;16b;
H1951	049	1	1	01	01	H1951_049_1	4	002	MyOption Total Dental HMO	34.60	1	2000.00	3	2	2				16a;16b;
H1951	049	2	1	01	01	H1951_049_2	4	001	MyOption Enhanced Dental HMO	29.70	1	2000.00	3	2	2				16a;16b;
H1951	049	2	1	01	01	H1951_049_2	4	002	MyOption Total Dental HMO	34.60	1	2000.00	3	2	2				16a;16b;
H1951	049	3	1	01	01	H1951_049_3	4	001	MyOption Enhanced Dental HMO	29.70	1	2000.00	3	2	2				16a;16b;
H1951	049	3	1	01	01	H1951_049_3	4	002	MyOption Total Dental HMO	34.60	1	2000.00	3	2	2				16a;16b;
H1969	002	0	1	01	01	H1969_002_0	10	001	Dental and Vision Option	20.00	2			2	2			16a;17a;17b;	
H1969	004	0	1	01	01	H1969_004_0	10	001	Dental Option	25.00	2			2	2			16b;	
H1969	006	0	1	01	01	H1969_006_0	9	001	Dental Option	25.00	2			2	2			16b;	
H1969	007	3	1	01	01	H1969_007_3	10	001	Dental and Vision Option	20.00	2			2	2			16a;17a;17b;	
H1969	007	4	1	01	01	H1969_007_4	11	001	Dental and Vision Option	20.00	2			2	2			16a;17a;17b;	
H1969	008	1	1	01	01	H1969_008_1	10	001	Dental Option	25.00	2			2	2			16b;	
H1969	008	2	1	01	01	H1969_008_2	10	001	Dental Option	25.00	2			2	2			16b;	
H1994	001	0	1	01	01	H1994_001_0	4	001	SelectHealth Dental Comprehensive Benefit	28.00	1	1000.00	3	2	2			16b;	
H1994	002	0	1	01	01	H1994_002_0	4	001	SelectHealth Dental Comprehensive Benefit	28.00	1	1000.00	3	2	2			16b;	
H1994	003	0	1	01	01	H1994_003_0	4	001	Idaho Delta Dental Advantage	40.00	1	1000.00	3	2	1	50.00	16b;	16a;16b;	
H1994	003	0	1	01	01	H1994_003_0	4	002	Idaho Delta Dental Advantage Plus Eyewear	45.00	1	1200.00	3	2	1	50.00	16b;	16a;16b;17b;	
H1994	004	0	1	01	01	H1994_004_0	4	001	Idaho Delta Dental Advantage	40.00	1	1000.00	3	2	1	50.00	16b;	16a;16b;	
H1994	004	0	1	01	01	H1994_004_0	4	002	Idaho Delta Dental Advantage Plus Eyewear	45.00	1	1200.00	3	2	1	50.00	16b;	16a;16b;17b;	
H1994	008	0	1	01	01	H1994_008_0	4	001	Idaho Delta Dental Advantage	32.50	1	1000.00	3	2	1	50.00	16b;	16b;	
H1994	008	0	1	01	01	H1994_008_0	4	002	Idaho Delta Dental Advantage Plus Eyewear	37.50	1	1200.00	3	2	1	50.00	16b;	16b;17b;	
H1994	009	0	1	01	01	H1994_009_0	4	001	Delta Dental Comprehensive Benefit	22.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H1994	010	0	1	01	01	H1994_010_0	4	001	Delta Dental Comprehensive Benefit	25.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H1994	011	0	1	01	01	H1994_011_0	4	001	Delta Dental Comprehensive Benefit	25.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H1997	002	0	1	01	01	H1997_002_0	11	001	Dental Option	25.00	2			2	2			16b;	
H1997	008	0	1	01	01	H1997_008_0	10	001	Dental Option	25.00	2			2	2			16b;	5;
H1997	009	0	1	01	01	H1997_009_0	11	001	Dental and Vision Option	20.00	2			2	2			16a;17a;17b;	
H1997	010	0	1	01	01	H1997_010_0	11	001	Dental and Vision Option	20.00	2			2	2			16a;17a;17b;	
H1997	011	0	1	01	01	H1997_011_0	11	001	Dental Option	25.00	2			2	2			16b;	
H2001	001	0	1	04	01	H2001_001_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H2001	010	0	1	04	01	H2001_010_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2011	001	0	1	01	01	H2011_001_0	6	001	Comprehensive Dental 001	17.00	1	1500.00	3	2	2			16b;	
H2011	003	0	1	01	01	H2011_003_0	6	001	Comprehensive Dental 001	17.00	1	1500.00	3	2	2			16b;	
H2011	003	0	1	01	01	H2011_003_0	6	002	Comprehensive Vision 001	4.00	1	130.00	3	2	2			17b;	
H2032	001	0	1	04	01	H2032_001_0	5	001	Dental Services	20.00	1	2000.00	3	2	2				16a;16b;
H2032	002	0	1	04	01	H2032_002_0	5	001	Dental Services	20.00	1	2000.00	3	2	2				16a;16b;
H2108	029	0	1	01	01	H2108_029_0	5	001	Enhanced Dental - Comprehensive	22.30	1	1000.00	3	2	2			16b;	
H2150	002	0	1	18	06	H2150_002_0	16	001	Advantage Plus	25.00	2			2	2			18a;18b;	16a;16b;17b;
H2150	009	0	1	18	06	H2150_009_0	18	001	Advantage Plus	25.00	2			2	2			18a;18b;	16a;16b;17b;
H2150	021	0	1	18	06	H2150_021_0	8	001	Advantage Plus	25.00	2			2	2			18a;18b;	16a;16b;17b;
H2150	022	0	1	18	06	H2150_022_0	8	001	Advantage Plus	25.00	2			2	2			18a;18b;	16a;16b;17b;
H2150	029	0	2	18	06	H2150_029_0	14	001	Advantage Plus	25.00	2			2	2			18a;18b;	16a;16b;17b;
H2171	001	0	1	01	01	H2171_001_0	3	001	Dental Rider	18.00	2			2	2			16b;	
H2172	001	0	1	01	01	H2172_001_0	8	001	Advantage Plus	25.00	2			2	2			18a;18b;	16a;16b;17b;
H2172	002	0	1	01	01	H2172_002_0	11	001	Advantage Plus	25.00	2			2	2			18a;18b;	16a;16b;17b;
H2172	003	0	1	01	01	H2172_003_0	8	001	Advantage Plus	25.00	2			2	2			18a;18b;	16a;16b;17b;
H2172	004	0	1	01	01	H2172_004_0	8	001	Advantage Plus	25.00	2			2	2			18a;18b;	16a;16b;17b;
H2172	005	0	1	01	01	H2172_005_0	7	001	Advantage Plus	25.00	2			2	2			18a;18b;	16a;16b;17b;
H2172	006	0	1	01	01	H2172_006_0	8	001	Advantage Plus	25.00	2			2	2			18a;18b;	16a;16b;17b;
H2172	008	0	1	01	01	H2172_008_0	8	001	Advantage Plus	25.00	2			2	2			18a;18b;	16a;16b;17b;
H2172	009	0	1	01	01	H2172_009_0	9	001	Advantage Plus	25.00	2			2	2			18a;18b;	16a;16b;17b;
H2172	010	0	1	01	01	H2172_010_0	8	001	Advantage Plus	25.00	2			2	2			18a;18b;	16a;16b;17b;
H2228	023	0	1	04	01	H2228_023_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H2228	024	0	1	04	01	H2228_024_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H2228	025	0	1	04	01	H2228_025_0	2	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H2228	029	0	1	04	01	H2228_029_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2228	035	0	1	04	01	H2228_035_0	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2228	037	0	1	04	01	H2228_037_0	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2228	047	0	1	04	01	H2228_047_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H2228	049	0	1	04	01	H2228_049_0	3	001	Dental Platinum Rider	43.00	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	36.00	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	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	43.00	2			2	2				16a;16b;
H2228	079	0	1	04	01	H2228_079_0	4	001	Dental Platinum Rider	38.00	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	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2256	001	1	1	01	01	H2256_001_1	8	001	Tufts Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2			;	16a;16b;
H2256	001	2	1	01	01	H2256_001_2	8	001	Tufts Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2			;	16a;16b;
H2256	001	6	1	01	01	H2256_001_6	8	001	Tufts 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 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 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 Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	016	1	1	01	01	H2256_016_1	6	001	Tufts 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 Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	018	1	1	01	01	H2256_018_1	7	001	Tufts Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	018	7	1	01	01	H2256_018_7	7	001	Tufts Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	018	8	1	01	01	H2256_018_8	7	001	Tufts Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	019	1	1	01	01	H2256_019_1	6	001	Tufts Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	019	7	1	01	01	H2256_019_7	6	001	Tufts Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	026	1	1	01	01	H2256_026_1	7	001	Tufts Medicare Preferred Dental Option	17.00	1	1000.00	3	2	2				16b;
H2256	026	2	1	01	01	H2256_026_2	7	001	Tufts Medicare Preferred Dental Option	17.00	1	1000.00	3	2	2				16b;
H2256	026	3	1	01	01	H2256_026_3	7	001	Tufts Medicare Preferred Dental Option	17.00	1	1000.00	3	2	2				16b;
H2256	028	0	1	01	01	H2256_028_0	7	001	Tufts Medicare Preferred Dental Option	17.00	1	1000.00	3	2	2				16b;
H2256	033	0	1	01	01	H2256_033_0	7	001	Tufts Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	034	0	1	01	01	H2256_034_0	7	001	Tufts Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	036	0	1	01	01	H2256_036_0	7	001	Tufts Medicare Preferred Dental Option	17.00	1	1000.00	3	2	2				16b;
H2256	039	0	1	01	01	H2256_039_0	6	001	Tufts Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	040	0	1	01	01	H2256_040_0	6	001	Tufts Medicare Preferred Dental Option	30.00	1	1000.00	3	2	2				16a;16b;
H2256	041	0	1	01	01	H2256_041_0	6	001	Tufts Medicare Preferred Dental Option	17.00	1	1000.00	3	2	2				16b;
H2256	042	0	1	01	01	H2256_042_0	6	001	Tufts Medicare Preferred Dental Option	17.00	1	1000.00	3	2	2				16b;
H2288	001	0	1	01	01	H2288_001_0	7	001	Comprehensive Dental 001	13.00	1	1500.00	3	2	2			16b;	
H2288	008	0	1	01	01	H2288_008_0	8	001	Comprehensive Dental 001	13.00	1	1500.00	3	2	2			16b;	
H2288	008	0	1	01	01	H2288_008_0	8	002	Comprehensive Vision 001	4.00	1	130.00	3	2	2			17b;	
H2320	022	1	1	02	01	H2320_022_1	9	001	Enhanced Vision and Dental	33.00	1	1650.00	6	2	2			16b;	
H2320	022	2	1	02	01	H2320_022_2	9	001	Enhanced Vision and Dental	33.00	1	1650.00	6	2	2			16b;	
H2320	022	3	1	02	01	H2320_022_3	9	001	Enhanced Vision and Dental	33.00	1	1650.00	6	2	2			16b;	
H2320	022	4	1	02	01	H2320_022_4	9	001	Enhanced Vision and Dental	33.00	1	1650.00	6	2	2			16b;	
H2320	022	5	1	02	01	H2320_022_5	9	001	Enhanced Vision and Dental	33.00	1	1650.00	6	2	2			16b;	
H2320	028	1	1	02	01	H2320_028_1	8	001	Enhanced Vision and Dental	29.00	1	1650.00	6	2	2			16b;	
H2320	028	2	1	02	01	H2320_028_2	8	001	Enhanced Vision and Dental	29.00	1	1650.00	6	2	2			16b;	
H2320	028	3	1	02	01	H2320_028_3	9	001	Enhanced Vision and Dental	29.00	1	1650.00	6	2	2			16b;	
H2320	028	4	1	02	01	H2320_028_4	8	001	Enhanced Vision and Dental	29.00	1	1650.00	6	2	2			16b;	
H2320	028	5	1	02	01	H2320_028_5	9	001	Enhanced Vision and Dental	29.00	1	1650.00	6	2	2			16b;	
H2320	029	1	1	02	01	H2320_029_1	9	001	Enhanced Vision and Dental	29.00	1	1650.00	6	1	2			16b;	
H2320	029	2	1	02	01	H2320_029_2	9	001	Enhanced Vision and Dental	29.00	1	1650.00	6	1	2			16b;	
H2320	029	3	1	02	01	H2320_029_3	8	001	Enhanced Vision and Dental	29.00	1	1650.00	6	1	2			16b;	
H2320	029	4	1	02	01	H2320_029_4	8	001	Enhanced Vision and Dental	29.00	1	1650.00	6	1	2			16b;	
H2320	029	5	1	02	01	H2320_029_5	8	001	Enhanced Vision and Dental	29.00	1	1650.00	6	1	2			16b;	
H2322	004	0	1	04	01	H2322_004_0	8	001	Delta Dental Option 1	21.40	1	800.00	3	2	2				16a;16b;
H2322	004	0	1	04	01	H2322_004_0	8	002	Delta Dental Option 2	41.30	1	1500.00	3	2	2				16a;16b;
H2322	008	0	1	04	01	H2322_008_0	7	001	Delta Dental Option 1	21.40	1	800.00	3	2	2				16a;16b;
H2322	008	0	1	04	01	H2322_008_0	7	002	Delta Dental Option 2	41.30	1	1500.00	3	2	2				16a;16b;
H2322	011	0	1	04	01	H2322_011_0	7	001	Delta Dental Option 1	21.40	1	800.00	3	2	2				16a;16b;
H2322	011	0	1	04	01	H2322_011_0	7	002	Delta Dental Option 2	41.30	1	1500.00	3	2	2				16a;16b;
H2322	012	0	1	04	01	H2322_012_0	7	001	Delta Dental Option 1	21.40	1	800.00	3	2	2				16a;16b;
H2322	012	0	1	04	01	H2322_012_0	7	002	Delta Dental Option 2	41.30	1	1500.00	3	2	2				16a;16b;
H2354	015	0	1	01	01	H2354_015_0	7	001	Delta Dental Option 1	21.40	1	800.00	3	2	2				16a;16b;
H2354	015	0	1	01	01	H2354_015_0	7	002	Delta Dental Option 2	41.30	1	1500.00	3	2	2				16a;16b;
H2354	018	0	1	01	01	H2354_018_0	6	001	Delta Dental Option 1	21.40	1	800.00	3	2	2				16a;16b;
H2354	018	0	1	01	01	H2354_018_0	6	002	Delta Dental Option 2	41.30	1	1500.00	3	2	2				16a;16b;
H2354	019	0	1	01	01	H2354_019_0	5	001	Delta Dental Option 1	21.40	1	800.00	3	2	2				16a;16b;
H2354	019	0	1	01	01	H2354_019_0	5	002	Delta Dental Option 2	41.30	1	1500.00	3	2	2				16a;16b;
H2354	021	0	1	02	01	H2354_021_0	6	001	Delta Dental Option 1	21.40	1	800.00	3	2	2				16a;16b;
H2354	021	0	1	02	01	H2354_021_0	6	002	Delta Dental Option 2	41.30	1	1500.00	3	2	2				16a;16b;
H2354	022	0	1	02	01	H2354_022_0	6	001	Delta Dental Option 1	21.40	1	800.00	3	2	2				16a;16b;
H2354	022	0	1	02	01	H2354_022_0	6	002	Delta Dental Option 2	41.30	1	1500.00	3	2	2				16a;16b;
H2354	024	0	1	01	01	H2354_024_0	6	001	Delta Dental Option 1	21.40	1	800.00	3	2	2				16a;16b;
H2354	024	0	1	01	01	H2354_024_0	6	002	Delta Dental Option 2	41.30	1	1500.00	3	2	2				16a;16b;
H2354	026	0	1	01	01	H2354_026_0	6	001	Delta Dental Option 1	21.40	1	800.00	3	2	2				16a;16b;
H2354	026	0	1	01	01	H2354_026_0	6	002	Delta Dental Option 2	41.30	1	1500.00	3	2	2				16a;16b;
H2354	027	0	1	01	01	H2354_027_0	6	001	Delta Dental Option 1	21.40	1	800.00	3	2	2				16a;16b;
H2354	027	0	1	01	01	H2354_027_0	6	002	Delta Dental Option 2	41.30	1	1500.00	3	2	2				16a;16b;
H2450	040	0	1	18	06	H2450_040_0	3	002	Wisconsin Rider	34.00	2			2	2				2;6;
H2450	041	0	1	18	06	H2450_041_0	7	002	Wisconsin Rider	34.00	2			2	2				2;6;
H2459	001	0	1	02	01	H2459_001_0	3	001	Choice Dental	22.00	1	1000.00	3	2	1	75.00	16b;		16a;16b;
H2459	021	1	1	02	01	H2459_021_1	5	001	Classic Choice Dental	22.00	1	1200.00	3	2	1	50.00	16b;		16b;
H2459	021	2	1	02	01	H2459_021_2	4	001	Classic Choice Dental	22.00	1	1200.00	3	2	1	50.00	16b;		16b;
H2459	021	3	1	02	01	H2459_021_3	5	001	Classic Choice Dental	22.00	1	1200.00	3	2	1	50.00	16b;		16b;
H2459	023	1	1	02	01	H2459_023_1	4	001	Choice Dental	22.00	1	1000.00	3	2	1	75.00	16b;		16a;16b;
H2459	023	2	1	02	01	H2459_023_2	4	001	Choice Dental	22.00	1	1000.00	3	2	1	75.00	16b;		16a;16b;
H2459	024	0	1	02	01	H2459_024_0	3	001	Choice Dental	22.00	1	1000.00	3	2	1	75.00	16b;		16a;16b;
H2462	010	0	1	18	06	H2462_010_0	8	001	Freedom Comprehensive Dental Benefit	41.50	1	1100.00	3	2	1	50.00	16b;		16a;16b;
H2462	016	0	1	18	06	H2462_016_0	6	001	Wisconsin Rider	42.00	2			2	2			2;	6;7b;
H2462	016	0	1	18	06	H2462_016_0	6	002	Freedom Comprehensive Dental Benefit	43.10	1	1100.00	3	2	1	50.00	16b;		16a;16b;
H2462	018	0	1	18	06	H2462_018_0	5	001	Freedom Comprehensive Dental Benefit	43.10	1	1100.00	3	2	1	50.00	16b;		16a;16b;
H2463	001	0	1	01	01	H2463_001_0	3	001	MyOption Enhanced Dental HMO	28.90	1	2000.00	3	2	2				16a;16b;
H2463	002	0	1	01	01	H2463_002_0	3	001	MyOption Enhanced Dental HMO	28.90	1	2000.00	3	2	2				16a;16b;
H2486	003	0	1	01	01	H2486_003_0	5	001	MyOption Platinum Dental	31.20	1	2000.00	3	2	2			16a;16b;	
H2563	003	0	1	01	01	H2563_003_0	11	001	PPO Buy-Up	13.50	1	1000.00	3	2	2			16b;	
H2563	003	0	1	01	01	H2563_003_0	11	002	Voluntary Buy-Up	27.00	1	1000.00	3	2	1	50.00	16b;		16b;
H2563	005	1	1	01	01	H2563_005_1	11	001	PPO Buy-Up	13.50	1	1000.00	3	2	2			16b;	
H2563	005	1	1	01	01	H2563_005_1	11	002	Voluntary Buy-Up	27.00	1	1000.00	3	2	1	50.00	16b;		16b;
H2563	005	2	1	01	01	H2563_005_2	11	001	PPO Buy-Up	13.50	1	1000.00	3	2	2			16b;	
H2563	005	2	1	01	01	H2563_005_2	11	002	Voluntary Buy-Up	27.00	1	1000.00	3	2	1	50.00	16b;		16b;
H2563	008	0	1	01	01	H2563_008_0	9	001	PPO Buy-Up	13.50	1	1000.00	3	2	2			16b;	
H2563	008	0	1	01	01	H2563_008_0	9	002	Voluntary Buy-Up	27.00	1	1000.00	3	2	1	50.00	16b;		16b;
H2563	009	0	1	01	01	H2563_009_0	9	001	PPO Buy-Up	13.50	1	1000.00	3	2	2			16b;	
H2563	009	0	1	01	01	H2563_009_0	9	002	Voluntary Buy-Up	27.00	1	1000.00	3	2	1	50.00	16b;		16b;
H2563	012	0	1	01	01	H2563_012_0	8	001	PPO Buy-Up	13.50	1	1000.00	3	2	2			16b;	
H2563	012	0	1	01	01	H2563_012_0	8	002	Voluntary Buy-Up	27.00	1	1000.00	3	2	1	50.00	16b;		16b;
H2563	013	0	1	01	01	H2563_013_0	8	001	PPO Buy-Up	13.50	1	1000.00	3	2	2			16b;	
H2563	013	0	1	01	01	H2563_013_0	8	002	Voluntary Buy-Up	27.00	1	1000.00	3	2	1	50.00	16b;		16b;
H2563	014	0	1	01	01	H2563_014_0	8	001	PPO Buy-Up	13.50	1	1000.00	3	2	2			16b;	
H2563	014	0	1	01	01	H2563_014_0	8	002	Voluntary Buy-Up	27.00	1	1000.00	3	2	1	50.00	16b;		16b;
H2577	001	1	1	04	01	H2577_001_1	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2577	001	2	1	04	01	H2577_001_2	3	001	Dental Platinum Rider	38.00	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	43.00	2			2	2				16a;16b;
H2577	003	2	1	04	01	H2577_003_2	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H2577	004	0	1	04	01	H2577_004_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2577	005	0	1	04	01	H2577_005_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H2577	006	0	1	04	01	H2577_006_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H2593	001	0	1	01	01	H2593_001_0	10	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H2593	003	0	1	01	01	H2593_003_0	9	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H2593	005	0	1	01	01	H2593_005_0	9	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H2593	006	0	1	01	01	H2593_006_0	9	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H2593	013	0	1	01	01	H2593_013_0	9	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H2593	018	0	1	01	01	H2593_018_0	9	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H2593	019	0	1	01	01	H2593_019_0	9	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H2593	020	0	1	01	01	H2593_020_0	11	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H2593	022	0	1	01	01	H2593_022_0	7	001	Preventive Dental Package	10.00	2			2	2				16a;
H2593	022	0	1	01	01	H2593_022_0	7	002	Dental and Vision Package	40.00	2			2	2				16a;16b;17b;
H2593	022	0	1	01	01	H2593_022_0	7	003	Enhanced Dental and Vision Package	53.00	2			2	2				16a;16b;17b;
H2593	023	0	1	01	01	H2593_023_0	6	001	Preventive Dental Package	10.00	2			2	2				16a;
H2593	023	0	1	01	01	H2593_023_0	6	002	Dental and Vision Package	40.00	2			2	2				16a;16b;17b;
H2593	023	0	1	01	01	H2593_023_0	6	003	Enhanced Dental and Vision Package	53.00	2			2	2				16a;16b;17b;
H2593	024	0	1	01	01	H2593_024_0	10	001	Preventive Dental Package	10.00	2			2	2				16a;
H2593	024	0	1	01	01	H2593_024_0	10	002	Dental and Vision Package	40.00	2			2	2				16a;16b;17b;
H2593	024	0	1	01	01	H2593_024_0	10	003	Enhanced Dental and Vision Package	53.00	2			2	2				16a;16b;17b;
H2593	025	0	1	01	01	H2593_025_0	7	001	Preventive Dental Package	10.00	2			2	2				16a;
H2593	025	0	1	01	01	H2593_025_0	7	002	Dental and Vision Package	40.00	2			2	2				16a;16b;17b;
H2593	025	0	1	01	01	H2593_025_0	7	003	Enhanced Dental and Vision Package	53.00	2			2	2				16a;16b;17b;
H2593	040	0	1	01	01	H2593_040_0	12	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H2624	001	0	1	01	01	H2624_001_0	7	001	Dental Rider	25.00	2			2	2			16b;	
H2663	026	0	1	01	01	H2663_026_0	4	001	Deluxe Comprehensive Dental Package	21.00	1	2000.00	3	2	1	50.00	16b;	16b;	
H2802	007	0	1	02	01	H2802_007_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2802	008	0	1	02	01	H2802_008_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H2802	010	0	1	02	01	H2802_010_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H2802	012	0	1	02	01	H2802_012_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H2802	016	0	1	02	01	H2802_016_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H2802	018	0	1	02	01	H2802_018_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H2802	020	0	1	02	01	H2802_020_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2802	024	0	1	01	01	H2802_024_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H2802	025	0	1	01	01	H2802_025_0	4	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H2802	029	0	1	02	01	H2802_029_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2802	032	0	1	02	01	H2802_032_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H2802	033	0	1	02	01	H2802_033_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H2802	048	0	1	01	01	H2802_048_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H2944	013	0	1	09	04	H2944_013_0	5	001	MyOption Dental High PPO	18.40	1	2000.00	3	2	2			16a;16b;	
H2944	013	0	1	09	04	H2944_013_0	5	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H2944	013	0	1	09	04	H2944_013_0	5	003	MyOption Plus	22.20	2			2	1	50.00	16b;		16a;16b;17a;17b;
H2944	013	0	1	09	04	H2944_013_0	5	004	MyOption Fitness	15.00	2			2	2			14c;	
H2944	114	0	1	09	04	H2944_114_0	4	001	MyOption Dental High PPO	15.70	1	2000.00	3	2	2			16a;16b;	
H2944	114	0	1	09	04	H2944_114_0	4	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H2944	114	0	1	09	04	H2944_114_0	4	003	MyOption Plus	20.80	2			2	1	50.00	16b;		16a;16b;17a;17b;
H2944	127	0	1	09	04	H2944_127_0	3	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H2944	127	0	1	09	04	H2944_127_0	3	002	MyOption Platinum Dental	25.10	1	2000.00	3	2	2			16a;16b;	
H2944	197	0	1	09	04	H2944_197_0	4	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H2944	197	0	1	09	04	H2944_197_0	4	002	MyOption Fitness	15.00	2			2	2			14c;	
H2960	019	0	1	01	01	H2960_019_0	4	001	Comprehensive Dental	30.00	1	1000.00	3	2	1	100.00	16b;	16b;	
H2986	001	0	1	01	01	H2986_001_0	17	001	Dental and Vision	20.00	2			2	2			16a;16b;17a;17b;	
H2986	002	0	1	01	01	H2986_002_0	17	001	Dental and Vision	20.00	2			2	2			16a;16b;17a;17b;	
H2986	004	0	1	01	01	H2986_004_0	16	001	Dental and Vision	20.00	2			2	2			16a;16b;17a;17b;	
H2986	005	0	1	01	01	H2986_005_0	17	001	Dental and Vision	20.00	2			2	2			16a;16b;17a;17b;	
H2986	006	0	1	01	01	H2986_006_0	17	001	Dental and Vision	20.00	2			2	2			16a;16b;17a;17b;	
H2986	007	0	1	01	01	H2986_007_0	17	001	Dental and Vision	20.00	2			2	2			16a;16b;17a;17b;	
H3152	022	0	1	01	01	H3152_022_0	4	001	Basic Plus Dental Package	11.00	1	1000.00	3	2	2			16a;16b;	
H3152	045	0	1	01	01	H3152_045_0	2	001	Basic Plus Dental Package	13.00	1	1000.00	3	2	2			16a;16b;	
H3152	045	0	1	01	01	H3152_045_0	2	002	Basic Plus Dental, Hearing and Vision Package	20.00	1	1425.00	3	2	2			16a;16b;17b;18b;	
H3251	002	0	1	01	01	H3251_002_0	4	001	Optional Supplemental	32.00	1	2150.00	6	2	2			16a;16b;17b;18a;18b;	
H3281	001	0	1	04	01	H3281_001_0	6	001	Comprehensive Dental 002	19.00	1	1500.00	3	2	2			16b;	
H3281	003	0	1	04	01	H3281_003_0	6	001	Comprehensive Dental 002	19.00	1	1500.00	3	2	2			16b;	
H3281	005	0	1	04	01	H3281_005_0	6	001	Comprehensive Dental 002	19.00	1	1500.00	3	2	2			16b;	
H3281	005	0	1	04	01	H3281_005_0	6	002	Comprehensive Vision 002	4.00	1	130.00	2	2	2			17b;	
H3307	002	0	1	01	01	H3307_002_0	5	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H3307	012	0	1	01	01	H3307_012_0	6	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H3307	015	0	1	01	01	H3307_015_0	6	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H3307	018	0	1	01	01	H3307_018_0	2	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H3307	023	0	1	01	01	H3307_023_0	5	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H3307	025	0	1	01	01	H3307_025_0	6	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H3312	002	0	1	01	01	H3312_002_0	3	001	Basic Plus Dental Package	19.00	1	2000.00	3	2	2			16a;16b;	
H3312	002	0	1	01	01	H3312_002_0	3	002	Basic Plus Dental, Hearing and Vision Package	32.00	1	3200.00	3	2	2			16a;16b;17b;18b;	
H3312	018	0	1	01	01	H3312_018_0	3	001	Basic Plus Dental Package	17.00	1	2000.00	3	2	2			16a;16b;	
H3312	018	0	1	01	01	H3312_018_0	3	002	Basic Plus Dental, Hearing and Vision Package	30.00	1	3200.00	3	2	2			16a;16b;17b;18b;	
H3312	064	0	1	01	01	H3312_064_0	3	001	Basic Plus Dental Package	17.00	1	2000.00	3	2	2			16a;16b;	
H3312	064	0	1	01	01	H3312_064_0	3	002	Basic Plus Dental, Hearing and Vision Package	30.00	1	3200.00	3	2	2			16a;16b;17b;18b;	
H3312	065	0	1	01	01	H3312_065_0	3	001	Basic Plus Dental Package	10.00	1	2000.00	3	2	2			16a;16b;	
H3312	065	0	1	01	01	H3312_065_0	3	002	Basic Plus Dental, Hearing and Vision Package	23.00	1	3200.00	3	2	2			16a;16b;17b;18b;	
H3312	068	0	1	01	01	H3312_068_0	3	001	Basic Plus Dental Package	21.00	1	2000.00	3	2	2			16a;16b;	
H3312	068	0	1	01	01	H3312_068_0	3	002	Basic Plus Dental, Hearing and Vision Package	34.00	1	3200.00	3	2	2			16a;16b;17b;18b;	
H3330	036	0	1	01	01	H3330_036_0	5	001	Comprehensive Dental	12.50	2			2	2				16b;
H3330	036	0	1	01	01	H3330_036_0	5	002	Fitness Benefit	15.00	2			2	2				14c;
H3330	040	0	1	01	01	H3330_040_0	3	001	Comprehensive Dental	12.50	2			2	2				16b;
H3330	040	0	1	01	01	H3330_040_0	3	002	Fitness Benefit	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	8	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	8	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	8	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	8	001	Full Comprehensive Dental (Class 1 - 3)	39.00	1	1000.00	3	2	1	100.00	16b;	16a;16b;	
H3342	019	0	1	04	01	H3342_019_0	7	001	Preventive Dental Package	19.00	2			2	2				16a;
H3342	019	0	1	04	01	H3342_019_0	7	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H3342	019	0	1	04	01	H3342_019_0	7	003	Enhanced Dental and Vision Package	53.00	2			2	2				16a;16b;17b;
H3344	005	0	1	04	01	H3344_005_0	8	001	Comprehensive Dental 2,000 Maximum limit	30.00	1	2000.00	6	2	2				16b;
H3351	001	0	1	02	01	H3351_001_0	7	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	8	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	8	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	6	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	6	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	8	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	7	001	Full Comprehensive Dental (Class 1 - 3)	39.00	1	1000.00	3	2	1	100.00	16b;	16a;16b;	
H3351	017	0	1	01	01	H3351_017_0	7	001	Full Comprehensive Dental (Class 1 - 3)	39.00	1	1000.00	3	2	1	100.00	16b;	16a;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;	
H3362	016	0	1	01	01	H3362_016_0	5	001	Comprehensive Dental 2,000 maximum limit	30.00	1	2000.00	6	2	2				16b;
H3362	017	0	1	01	01	H3362_017_0	8	001	Comprehensive Dental 2,000 maximum limit	30.00	1	2000.00	3	2	2				16b;
H3362	033	0	1	01	01	H3362_033_0	8	001	Comprehensive Dental 2,000 maximum limit	30.00	1	2000.00	6	2	2				16b;
H3379	001	0	1	01	01	H3379_001_0	5	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H3379	039	0	1	01	01	H3379_039_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H3379	040	0	1	01	01	H3379_040_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H3379	041	0	1	01	01	H3379_041_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H3384	013	0	1	01	01	H3384_013_0	4	001	Optional Supplemental Dental Basic	13.00	1	500.00	3	2	2				16b;
H3384	013	0	1	01	01	H3384_013_0	4	002	Optional Supplemental Dental Enhanced	24.00	1	1000.00	3	2	2				16b;
H3384	019	0	1	01	01	H3384_019_0	4	001	Optional Supplemental Dental Basic	11.00	1	500.00	3	2	2				16b;
H3384	019	0	1	01	01	H3384_019_0	4	002	Optional Supplemental Dental Enhanced	25.00	1	1000.00	3	2	2				16b;
H3384	022	0	1	01	01	H3384_022_0	3	001	Optional Supplemental Dental Basic	11.00	1	500.00	3	2	2				16b;
H3384	022	0	1	01	01	H3384_022_0	3	002	Optional Supplemental Dental Enhanced	25.00	1	1000.00	3	2	2				16b;
H3384	058	0	1	01	01	H3384_058_0	4	001	Optional Supplemental Dental Basic	11.00	1	500.00	3	2	2				16b;
H3384	058	0	1	01	01	H3384_058_0	4	002	Optional Supplemental Dental Enhanced	25.00	1	1000.00	3	2	2				16b;
H3384	059	0	1	01	01	H3384_059_0	4	001	Optional Supplemental Dental Basic	13.00	1	500.00	3	2	2				16b;
H3384	059	0	1	01	01	H3384_059_0	4	002	Optional Supplemental Dental Enhanced	24.00	1	1000.00	3	2	2				16b;
H3384	062	0	1	01	01	H3384_062_0	4	001	Optional Supplemental Dental Basic	11.00	1	500.00	3	2	2				16b;
H3384	062	0	1	01	01	H3384_062_0	4	002	Optional Supplemental Dental Enhanced	25.00	1	1000.00	3	2	2				16b;
H3384	063	0	1	01	01	H3384_063_0	4	001	Optional Supplemental Dental Basic	13.00	1	500.00	3	2	2				16b;
H3384	063	0	1	01	01	H3384_063_0	4	002	Optional Supplemental Dental Enhanced	24.00	1	1000.00	3	2	2				16b;
H3384	064	0	1	01	01	H3384_064_0	4	001	Optional Supplemental Dental Basic	13.00	1	500.00	3	2	2				16b;
H3384	064	0	1	01	01	H3384_064_0	4	002	Optional Supplemental Dental Enhanced	24.00	1	1000.00	3	2	2				16b;
H3418	001	0	1	04	01	H3418_001_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H3447	001	0	1	01	01	H3447_001_0	9	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H3447	003	0	1	01	01	H3447_003_0	9	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H3447	004	0	1	01	01	H3447_004_0	9	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H3447	005	0	1	01	01	H3447_005_0	8	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H3447	010	0	1	01	01	H3447_010_0	10	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H3447	013	0	1	01	01	H3447_013_0	7	001	Preventive Dental Package	17.00	2			2	2				16a;
H3447	013	0	1	01	01	H3447_013_0	7	002	Dental and Vision Package	24.00	2			2	2				16a;16b;17b;
H3447	013	0	1	01	01	H3447_013_0	7	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H3447	014	0	1	01	01	H3447_014_0	8	001	Preventive Dental Package	17.00	2			2	2				16a;
H3447	014	0	1	01	01	H3447_014_0	8	002	Dental and Vision Package	24.00	2			2	2				16a;16b;17b;
H3447	014	0	1	01	01	H3447_014_0	8	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H3447	019	0	1	01	01	H3447_019_0	7	001	Preventive Dental Package	17.00	2			2	2				16a;
H3447	019	0	1	01	01	H3447_019_0	7	002	Dental and Vision Package	24.00	2			2	2				16a;16b;17b;
H3447	019	0	1	01	01	H3447_019_0	7	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H3447	021	0	1	01	01	H3447_021_0	6	001	Preventive Dental Package	14.00	2			2	2				16a;
H3447	021	0	1	01	01	H3447_021_0	6	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H3447	021	0	1	01	01	H3447_021_0	6	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H3447	022	0	1	01	01	H3447_022_0	6	001	Preventive Dental Package	14.00	2			2	2				16a;
H3447	022	0	1	01	01	H3447_022_0	6	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H3447	022	0	1	01	01	H3447_022_0	6	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H3447	023	0	1	01	01	H3447_023_0	6	001	Preventive Dental Package	14.00	2			2	2				16a;
H3447	023	0	1	01	01	H3447_023_0	6	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H3447	023	0	1	01	01	H3447_023_0	6	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H3447	024	0	1	01	01	H3447_024_0	6	001	Preventive Dental Package	14.00	2			2	2				16a;
H3447	024	0	1	01	01	H3447_024_0	6	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H3447	024	0	1	01	01	H3447_024_0	6	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H3447	025	0	1	01	01	H3447_025_0	6	001	Preventive Dental Package	17.00	2			2	2				16a;
H3447	025	0	1	01	01	H3447_025_0	6	002	Dental and Vision Package	24.00	2			2	2				16a;16b;17b;
H3447	025	0	1	01	01	H3447_025_0	6	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H3499	001	0	1	01	01	H3499_001_0	4	001	Allwell Dental Option	12.80	2			2	2			16b;	
H3499	002	0	1	01	01	H3499_002_0	5	001	Allwell Dental Option	12.80	2			2	2			16b;	
H3528	003	0	1	01	01	H3528_003_0	7	001	Dental	29.00	1	2000.00	3	2	1	100.00	16b;	16b;	
H3528	006	0	1	02	01	H3528_006_0	8	001	Dental	39.00	1	2000.00	3	2	1	100.00	16b;	16a;16b;	
H3528	010	0	1	01	01	H3528_010_0	10	001	Dental	29.00	1	2000.00	3	2	1	100.00	16b;	16b;	
H3528	011	1	1	02	01	H3528_011_1	9	001	Dental	29.00	1	2000.00	3	2	1	100.00	16b;	16b;	
H3528	011	2	1	02	01	H3528_011_2	10	001	Dental	29.00	1	2000.00	3	2	1	100.00	16b;	16b;	
H3528	014	0	1	01	01	H3528_014_0	8	001	Dental	29.00	1	2000.00	3	2	1	100.00	16b;	16b;	
H3528	015	0	1	02	01	H3528_015_0	8	001	Dental	39.00	1	2000.00	3	2	1	100.00	16b;	16a;16b;	
H3528	016	0	1	01	01	H3528_016_0	9	001	Dental	39.00	1	2000.00	3	2	1	100.00	16b;	16a;16b;	
H3533	001	0	1	01	01	H3533_001_0	3	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H3533	001	0	1	01	01	H3533_001_0	3	002	MyOption Fitness	15.00	2			2	2			14c;	
H3533	001	0	1	01	01	H3533_001_0	3	003	MyOption Platinum Dental	25.70	1	2000.00	3	2	2			16a;16b;	
H3533	006	0	1	01	01	H3533_006_0	3	001	MyOption Total Dental HMO	27.90	1	2000.00	3	2	2				16a;16b;
H3533	010	0	1	01	01	H3533_010_0	3	001	MyOption Enhanced Dental HMO	22.50	1	2000.00	3	2	2				16a;16b;
H3533	010	0	1	01	01	H3533_010_0	3	002	MyOption Total Dental HMO	27.90	1	2000.00	3	2	2				16a;16b;
H3533	020	0	1	01	01	H3533_020_0	3	001	MyOption Platinum Dental	25.70	1	2000.00	3	2	2			16a;16b;	
H3533	027	0	1	01	01	H3533_027_0	3	001	MyOption Platinum Dental	25.70	1	2000.00	3	2	2			16a;16b;	
H3536	002	0	1	01	01	H3536_002_0	8	001	Preventive Dental Package	16.00	2			2	2				16a;
H3536	002	0	1	01	01	H3536_002_0	8	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
H3536	002	0	1	01	01	H3536_002_0	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H3536	005	0	1	01	01	H3536_005_0	8	001	Preventive Dental Package	16.00	2			2	2				16a;
H3536	005	0	1	01	01	H3536_005_0	8	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
H3536	005	0	1	01	01	H3536_005_0	8	003	Enhanced Dental and Vision Package	50.00	2			2	2				16a;16b;17b;
H3653	004	0	1	01	01	H3653_004_0	5	001	OPTIONAL DENTAL COMPREHENSIVE PACKAGE	27.60	1	1000.00	3	2	1	25.00	16b;	16a;16b;	
H3653	015	0	1	01	01	H3653_015_0	5	001	OPTIONAL DENTAL COMPREHENSIVE PACKAGE	27.60	1	1000.00	3	2	1	25.00	16b;	16a;16b;	
H3653	018	0	1	01	01	H3653_018_0	4	001	OPTIONAL DENTAL COMPREHENSIVE PACKAGE	27.60	1	1000.00	3	2	1	25.00	16b;	16a;16b;	
H3653	022	0	1	01	01	H3653_022_0	5	001	OPTIONAL DENTAL COMPREHENSIVE PACKAGE	27.60	1	1000.00	3	2	1	25.00	16b;	16a;16b;	
H3653	023	0	1	01	01	H3653_023_0	5	001	OPTIONAL DENTAL COMPREHENSIVE PACKAGE	27.60	1	1000.00	3	2	1	25.00	16b;	16a;16b;	
H3653	024	0	1	01	01	H3653_024_0	5	001	OPTIONAL DENTAL COMPREHENSIVE PACKAGE	27.60	1	1000.00	3	2	1	25.00	16b;	16a;16b;	
H3655	032	0	1	01	01	H3655_032_0	6	001	Preventive Dental Package	14.00	2			2	2				16a;
H3655	032	0	1	01	01	H3655_032_0	6	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H3655	032	0	1	01	01	H3655_032_0	6	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H3655	034	0	1	01	01	H3655_034_0	5	001	Preventive Dental Package	14.00	2			2	2				16a;
H3655	034	0	1	01	01	H3655_034_0	5	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H3655	034	0	1	01	01	H3655_034_0	5	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H3655	038	0	1	01	01	H3655_038_0	6	001	Preventive Dental Package	14.00	2			2	2				16a;
H3655	038	0	1	01	01	H3655_038_0	6	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H3655	038	0	1	01	01	H3655_038_0	6	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H3655	040	0	1	01	01	H3655_040_0	6	001	Preventive Dental Package	14.00	2			2	2				16a;
H3655	040	0	1	01	01	H3655_040_0	6	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H3655	040	0	1	01	01	H3655_040_0	6	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H3655	041	0	1	01	01	H3655_041_0	6	001	Preventive Dental Package	14.00	2			2	2				16a;
H3655	041	0	1	01	01	H3655_041_0	6	002	Dental and Vision Package	25.00	2			2	2				16a;16b;17b;
H3655	041	0	1	01	01	H3655_041_0	6	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H3660	028	0	1	02	01	H3660_028_0	6	001	Optional Supplemental Dental	25.00	1	1000.00	3	2	2				16a;16b;
H3660	029	0	1	02	01	H3660_029_0	5	001	Optional Supplemental Dental	25.00	1	1000.00	3	2	2				16a;16b;
H3660	044	0	1	01	01	H3660_044_0	5	001	Optional Supplemental Dental	25.00	1	1000.00	3	2	2				16a;16b;
H3660	047	0	1	01	01	H3660_047_0	5	001	Optional Supplemental Dental	25.00	1	1000.00	3	2	2				16a;16b;
H3660	048	0	1	02	01	H3660_048_0	5	001	Optional Supplemental Dental	25.00	1	1000.00	3	2	2				16a;16b;
H3660	050	0	1	01	01	H3660_050_0	5	001	Optional Supplemental Dental	25.00	1	1000.00	3	2	2				16a;16b;
H3660	052	1	1	01	01	H3660_052_1	4	001	Optional Supplemental Dental	25.00	1	1000.00	3	2	2				16a;16b;
H3660	052	2	1	01	01	H3660_052_2	4	001	Optional Supplemental Dental	25.00	1	1000.00	3	2	2				16a;16b;
H3660	053	1	1	01	01	H3660_053_1	5	001	Optional Supplemental Dental	25.00	1	750.00	3	2	2				16b;
H3660	053	2	1	01	01	H3660_053_2	5	001	Optional Supplemental Dental	25.00	1	1000.00	3	2	2				16a;16b;
H3668	013	0	1	01	01	H3668_013_0	3	001	Dental	18.00	1	1000.00	3	2	2			16b;	
H3668	014	0	1	01	01	H3668_014_0	5	001	Dental	18.00	1	1000.00	3	2	2			16b;	
H3668	015	0	1	01	01	H3668_015_0	5	001	Dental	18.00	1	1000.00	3	2	2			16b;	
H3668	016	0	1	01	01	H3668_016_0	6	001	Dental	18.00	1	1000.00	3	2	2			16b;	
H3668	017	0	1	01	01	H3668_017_0	6	001	Dental	18.00	1	1000.00	3	2	2			16b;	
H3668	018	1	1	01	01	H3668_018_1	6	001	Dental	18.00	1	1000.00	3	2	2			16b;	
H3668	018	2	1	01	01	H3668_018_2	6	001	Dental	18.00	1	1000.00	3	2	2			16b;	
H3668	018	3	1	01	01	H3668_018_3	6	001	Dental	18.00	1	1000.00	3	2	2			16b;	
H3668	019	1	1	01	01	H3668_019_1	6	001	Dental	18.00	1	1000.00	3	2	2			16b;	
H3668	019	2	1	01	01	H3668_019_2	6	001	Dental	18.00	1	1000.00	3	2	2			16b;	
H3668	019	3	1	01	01	H3668_019_3	6	001	Dental	18.00	1	1000.00	3	2	2			16b;	
H3668	020	0	1	01	01	H3668_020_0	6	001	Dental	18.00	1	1000.00	3	2	2			16b;	
H3668	021	0	1	01	01	H3668_021_0	6	001	Dental	18.00	1	1000.00	3	2	2			16b;	
H3668	022	0	1	01	01	H3668_022_0	6	001	Dental	18.00	1	1000.00	3	2	2			16b;	
H3668	023	0	1	01	01	H3668_023_0	6	001	Dental	18.00	1	1000.00	3	2	2			16b;	
H3668	024	0	1	01	01	H3668_024_0	6	001	Dental	18.00	1	1000.00	3	2	2			16b;	
H3672	013	0	1	01	01	H3672_013_0	5	001	Comprehensive Dental	23.20	1	1500.00	3	2	2			16b;	
H3672	014	0	1	01	01	H3672_014_0	4	001	Comprehensive Dental	23.20	1	1500.00	3	2	2			16b;	
H3672	018	0	1	01	01	H3672_018_0	6	001	Comprehensive Dental	23.20	1	1500.00	3	2	2			16b;	
H3672	020	0	1	01	01	H3672_020_0	5	001	Comprehensive Dental	23.20	1	1500.00	3	2	2			16b;	
H3672	021	0	1	01	01	H3672_021_0	3	001	Comprehensive Dental	23.20	1	1500.00	3	2	2			16b;	
H3672	023	0	1	01	01	H3672_023_0	5	001	Comprehensive Dental	23.20	1	1500.00	3	2	2			16b;	
H3672	024	0	1	01	01	H3672_024_0	4	001	Comprehensive Dental	23.20	1	1500.00	3	2	2			16b;	
H3672	025	0	1	01	01	H3672_025_0	7	001	Comprehensive Dental	23.20	1	1500.00	3	2	2			16b;	
H3749	018	0	1	02	01	H3749_018_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H3805	001	0	1	01	01	H3805_001_0	3	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	38.00	2			2	2				16a;16b;
H3805	015	0	1	01	01	H3805_015_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H3805	016	0	1	01	01	H3805_016_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H3805	017	0	1	01	01	H3805_017_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H3805	019	0	1	01	01	H3805_019_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H3805	020	0	1	01	01	H3805_020_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H3805	021	0	1	01	01	H3805_021_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H3805	022	1	1	01	01	H3805_022_1	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H3805	022	2	1	01	01	H3805_022_2	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H3805	023	1	1	01	01	H3805_023_1	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H3805	023	2	1	01	01	H3805_023_2	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H3805	024	1	1	01	01	H3805_024_1	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H3805	024	2	1	01	01	H3805_024_2	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H3805	024	3	1	01	01	H3805_024_3	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H3805	025	1	1	01	01	H3805_025_1	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H3805	025	2	1	01	01	H3805_025_2	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H3805	029	0	1	01	01	H3805_029_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H3805	030	0	1	01	01	H3805_030_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H3805	032	0	1	01	01	H3805_032_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H3810	001	0	1	01	01	H3810_001_0	6	001	Dental Benefit	24.00	2			2	2			16a;16b;	
H3810	003	0	1	01	01	H3810_003_0	7	001	Dental Benefit	24.00	2			2	2			16a;16b;	
H3810	020	0	1	01	01	H3810_020_0	7	001	Dental	24.00	2			2	2			16a;16b;	
H3810	021	0	1	01	01	H3810_021_0	6	001	Dental Benefit	24.00	2			2	2			16a;16b;	
H3810	022	0	1	01	01	H3810_022_0	7	001	Dental Benefit	24.00	2			2	2			16a;16b;	
H3813	001	0	1	04	01	H3813_001_0	4	001	Moda Health Extra Care	6.00	1	500.00	3	2	2			13a;14c;	7b;
H3813	006	0	1	04	01	H3813_006_0	6	001	Moda Health Extra Care	6.00	1	500.00	3	2	2			13a;14c;	7b;
H3813	007	0	1	04	01	H3813_007_0	6	001	Moda Health Extra Care	6.00	1	500.00	3	2	2			13a;14c;	7b;
H3813	009	0	1	04	01	H3813_009_0	6	001	Moda Health Extra Care	6.00	1	500.00	3	2	2			13a;14c;	7b;
H3813	010	0	1	04	01	H3813_010_0	6	001	Moda Health Extra Care	6.00	1	500.00	3	2	2			13a;14c;	7b;
H3813	011	0	1	04	01	H3813_011_0	6	001	Moda Health Extra Care	6.00	1	500.00	3	2	2			13a;14c;	7b;
H3813	012	0	1	04	01	H3813_012_0	6	001	Moda Health Extra Care	6.00	1	500.00	3	2	2			13a;14c;	7b;
H3813	013	0	1	04	01	H3813_013_0	6	001	Moda Health Extra Care	6.00	1	500.00	3	2	2			13a;14c;	7b;
H3817	008	1	1	04	01	H3817_008_1	11	001	Dental Option	25.00	2			2	2			16b;	
H3817	008	2	1	04	01	H3817_008_2	12	001	Dental Option	25.00	2			2	2			16b;	
H3817	011	1	1	04	01	H3817_011_1	11	001	Dental and Vision Option	20.00	2			2	2			16a;17a;17b;	
H3817	011	2	1	04	01	H3817_011_2	11	001	Dental and Vision Option	20.00	2			2	2			16a;17a;17b;	
H3822	007	0	1	02	01	H3822_007_0	5	001	Optional Supplemental	27.10	1	2150.00	6	2	2			16a;16b;17b;18a;18b;	
H3864	002	0	1	01	01	H3864_002_0	3	001	Preventive Dental	29.00	2			2	2			;	16a;
H3864	002	0	1	01	01	H3864_002_0	3	002	Comprehensive Dental	47.00	1	1000.00	3	2	1	100.00	16b;	;	16b;
H3864	006	0	1	01	01	H3864_006_0	7	001	Preventive Dental	29.00	2			2	2				16a;
H3864	006	0	1	01	01	H3864_006_0	7	002	Comprehensive Dental	47.00	1	1000.00	3	2	1	100.00	16b;		16b;
H3864	014	0	1	02	01	H3864_014_0	6	001	Preventive Dental	29.00	2			2	2			;	16a;
H3864	014	0	1	02	01	H3864_014_0	6	002	Comprehensive Dental	47.00	1	1000.00	3	2	1	100.00	16b;		16b;
H3864	021	0	1	01	01	H3864_021_0	5	001	Preventive Dental	22.00	2			2	2			;	16a;
H3864	021	0	1	01	01	H3864_021_0	5	002	Comprehensive Dental	41.00	1	1000.00	3	2	1	100.00	16b;		16b;
H3864	024	0	1	02	01	H3864_024_0	5	001	Preventive Dental	22.00	2			2	2			;	16a;
H3864	024	0	1	02	01	H3864_024_0	5	002	Comprehensive Dental	41.00	1	1000.00	3	2	1	100.00	16b;		16b;
H3864	027	0	1	01	01	H3864_027_0	6	001	Preventive Dental	29.00	2			2	2			;	16a;
H3864	027	0	1	01	01	H3864_027_0	6	002	Comprehensive Dental	47.00	1	1000.00	3	2	1	100.00	16b;		16b;
H3864	029	0	1	02	01	H3864_029_0	8	001	Preventive Dental	21.00	2			2	2			;	16a;
H3864	029	0	1	02	01	H3864_029_0	8	002	Comprehensive Dental	45.00	1	1000.00	3	2	1	100.00	16b;		16b;
H3864	030	0	1	01	01	H3864_030_0	4	001	Preventive Dental	21.00	2			2	2			;	16a;
H3864	030	0	1	01	01	H3864_030_0	4	002	Comprehensive Dental	45.00	1	1000.00	3	2	1	100.00	16b;		16b;
H3864	032	0	1	01	01	H3864_032_0	6	001	Preventive Dental	22.00	2			2	2			;	16a;
H3864	032	0	1	01	01	H3864_032_0	6	002	Comprehensive Dental	41.00	1	1000.00	3	2	1	100.00	16b;		16b;
H3864	033	0	1	01	01	H3864_033_0	6	001	Preventive Dental	29.00	2			2	2			;	16a;
H3864	033	0	1	01	01	H3864_033_0	6	002	Comprehensive Dental	52.00	1	1000.00	3	2	1	100.00	16b;		16b;
H3864	034	0	1	01	01	H3864_034_0	6	001	Preventive Dental	29.00	2			2	2			;	16a;
H3864	034	0	1	01	01	H3864_034_0	6	002	Comprehensive Dental	52.00	1	1000.00	3	2	1	100.00	16b;		16b;
H3864	035	0	1	01	01	H3864_035_0	3	001	Preventive Dental	29.00	2			2	2			;	16a;
H3864	035	0	1	01	01	H3864_035_0	3	002	Comprehensive Dental	52.00	1	1000.00	3	2	1	100.00	16b;		16b;
H3864	036	0	1	01	01	H3864_036_0	6	001	Preventive Dental	29.00	2			2	2			;	16a;
H3864	036	0	1	01	01	H3864_036_0	6	002	Comprehensive Dental	47.00	1	1000.00	3	2	1	100.00	16b;		16b;
H3864	037	0	1	01	01	H3864_037_0	6	001	Preventive Dental	29.00	2			2	2			;	16a;
H3864	037	0	1	01	01	H3864_037_0	6	002	Comprehensive Dental	52.00	1	1000.00	3	2	1	100.00	16b;		16b;
H3864	038	0	1	01	01	H3864_038_0	6	001	Preventive Dental	29.00	2			2	2			;	16a;
H3864	038	0	1	01	01	H3864_038_0	6	002	Comprehensive Dental	52.00	1	1000.00	3	2	1	100.00	16b;		16b;
H3864	039	0	1	01	01	H3864_039_0	6	001	Preventive Dental	29.00	2			2	2			;	16a;
H3864	039	0	1	01	01	H3864_039_0	6	002	Comprehensive Dental	47.00	1	1000.00	3	2	1	100.00	16b;		16b;
H3864	040	0	1	01	01	H3864_040_0	6	001	Preventive Dental	29.00	2			2	2			;	16a;
H3864	040	0	1	01	01	H3864_040_0	6	002	Comprehensive Dental	47.00	1	1000.00	3	2	1	100.00	16b;		16b;
H3864	041	0	1	01	01	H3864_041_0	6	001	Preventive Dental	29.00	2			2	2			;	16a;
H3864	041	0	1	01	01	H3864_041_0	6	002	Comprehensive Dental	47.00	1	1000.00	3	2	1	100.00	16b;		16b;
H3890	001	0	1	04	01	H3890_001_0	10	001	Dental and Fitness	30.00	1	1200.00	3	2	2			14c;	16b;
H3890	002	0	1	04	01	H3890_002_0	10	001	Dental	28.00	1	1200.00	3	2	2				16b;
H3909	001	0	1	04	01	H3909_001_0	5	001	Choice Plus Program	25.00	2			2	2			16a;16b;17a;17b;18a;18b;	
H3909	001	0	1	04	01	H3909_001_0	5	002	Choice Program	12.00	2			2	2				16a;16b;17a;17b;18a;18b;
H3909	007	0	1	04	01	H3909_007_0	4	001	Choice Plus Program	25.00	2			2	2			16a;16b;17a;17b;18a;18b;	
H3909	007	0	1	04	01	H3909_007_0	4	002	Choice Program	12.00	2			2	2				16a;16b;17a;17b;18a;18b;
H3909	009	0	1	04	01	H3909_009_0	5	001	Choice Plus Program	25.00	2			2	2			16a;16b;17a;17b;18a;18b;	
H3909	009	0	1	04	01	H3909_009_0	5	002	Choice Program	12.00	2			2	2				16a;16b;17a;17b;18a;18b;
H3909	014	0	1	04	01	H3909_014_0	8	001	Choice Plus Program	25.00	2			2	2			16a;16b;17a;17b;18a;18b;	
H3909	014	0	1	04	01	H3909_014_0	8	002	Choice Program	12.00	2			2	2				16a;16b;17a;17b;18a;18b;
H3909	015	0	1	04	01	H3909_015_0	6	001	Choice Plus Program	25.00	2			2	2			16a;16b;17a;17b;18a;18b;	
H3909	015	0	1	04	01	H3909_015_0	6	002	Choice Program	12.00	2			2	2				16a;16b;17a;17b;18a;18b;
H3924	059	13	1	04	01	H3924_059_13	5	001	Geisinger Gold Health+	38.00	2			2	2			14c;16a;16b;17a;17b;18a;18b;	
H3924	059	14	1	04	01	H3924_059_14	5	001	Geisinger Gold Health+	38.00	2			2	2			14c;16a;16b;17a;17b;18a;18b;	
H3924	059	15	1	04	01	H3924_059_15	5	001	Geisinger Gold Health+	38.00	2			2	2			14c;16a;16b;17a;17b;18a;18b;	
H3924	059	16	1	04	01	H3924_059_16	5	001	Geisinger Gold Health+	38.00	2			2	2			14c;16a;16b;17a;17b;18a;18b;	
H3924	059	17	1	04	01	H3924_059_17	5	001	Geisinger Gold Health+	38.00	2			2	2			14c;16a;16b;17a;17b;18a;18b;	
H3924	059	18	1	04	01	H3924_059_18	5	001	Geisinger Gold Health+	38.00	2			2	2			14c;16a;16b;17a;17b;18a;18b;	
H3924	060	13	1	04	01	H3924_060_13	7	001	Geisinger Gold Health+	38.00	2			2	2			14c;16a;16b;17a;17b;18a;18b;	
H3924	060	14	1	04	01	H3924_060_14	7	001	Geisinger Gold Health+	38.00	2			2	2			14c;16a;16b;17a;17b;18a;18b;	
H3924	060	15	1	04	01	H3924_060_15	6	001	Geisinger Gold Health+	38.00	2			2	2			14c;16a;16b;17a;17b;18a;18b;	
H3924	060	16	1	04	01	H3924_060_16	7	001	Geisinger Gold Health+	38.00	2			2	2			14c;16a;16b;17a;17b;18a;18b;	
H3924	060	17	1	04	01	H3924_060_17	6	001	Geisinger Gold Health+	38.00	2			2	2			14c;16a;16b;17a;17b;18a;18b;	
H3924	060	18	1	04	01	H3924_060_18	6	001	Geisinger Gold Health+	38.00	2			2	2			14c;16a;16b;17a;17b;18a;18b;	
H3931	095	0	1	01	01	H3931_095_0	4	001	Basic Dental Package	10.00	1	1000.00	3	2	2			16a;16b;	
H3931	095	0	1	01	01	H3931_095_0	4	002	Basic Dental, Hearing and Vision Package	17.00	1	1425.00	3	2	2			16a;16b;17b;18b;	
H3931	107	0	1	01	01	H3931_107_0	4	001	Basic Dental Package	8.00	1	1000.00	3	2	2			16a;16b;	
H3931	107	0	1	01	01	H3931_107_0	4	002	Basic Dental and Vision Package	13.00	1	1125.00	3	2	2			16a;16b;17b;	
H3931	110	0	1	01	01	H3931_110_0	4	001	Basic Dental Package	7.00	1	1000.00	3	2	2			16a;16b;	
H3931	110	0	1	01	01	H3931_110_0	4	002	Basic Dental and Vision Package	12.00	1	1125.00	3	2	2			16a;16b;17b;	
H3931	118	0	1	01	01	H3931_118_0	4	001	Basic Dental Package	7.00	1	1000.00	3	2	2			16a;16b;	
H3931	118	0	1	01	01	H3931_118_0	4	002	Basic Dental and Vision Package	12.00	1	1125.00	3	2	2			16a;16b;17b;	
H3931	133	0	1	01	01	H3931_133_0	4	001	Basic Dental Package	7.00	1	1000.00	3	2	2			16a;16b;	
H3931	133	0	1	01	01	H3931_133_0	4	002	Basic Dental and Vision Package	12.00	1	1125.00	3	2	2			16a;16b;17b;	
H3931	140	0	1	01	01	H3931_140_0	4	001	Basic Dental Package	7.00	1	1000.00	3	2	2			16a;16b;	
H3931	140	0	1	01	01	H3931_140_0	4	002	Basic Dental and Vision Package	12.00	1	1125.00	3	2	2			16a;16b;17b;	
H3931	141	0	1	01	01	H3931_141_0	4	001	Basic Dental Package	7.00	1	1000.00	3	2	2			16a;16b;	
H3931	141	0	1	01	01	H3931_141_0	4	002	Basic Dental and Vision Package	12.00	1	1125.00	3	2	2			16a;16b;17b;	
H3952	048	0	1	01	01	H3952_048_0	10	001	Choice Plus Program	25.00	2			2	2			16a;16b;17a;17b;18a;18b;	
H3952	048	0	1	01	01	H3952_048_0	10	002	Choice Program	12.00	2			2	2				16a;16b;17a;17b;18a;18b;
H3952	049	0	1	01	01	H3952_049_0	8	001	Choice Plus Program	25.00	2			2	2			16a;16b;17a;17b;18a;18b;	
H3952	049	0	1	01	01	H3952_049_0	8	002	Choice Program	12.00	2			2	2				16a;16b;17a;17b;18a;18b;
H3952	050	0	1	01	01	H3952_050_0	7	001	Choice Plus Program	25.00	2			2	2			16a;16b;17a;17b;18a;18b;	
H3952	050	0	1	01	01	H3952_050_0	7	002	Choice Program	12.00	2			2	2				16a;16b;17a;17b;18a;18b;
H3952	051	0	1	01	01	H3952_051_0	7	001	Choice Plus Program	25.00	2			2	2			16a;16b;17a;17b;18a;18b;	
H3952	051	0	1	01	01	H3952_051_0	7	002	Choice Program	12.00	2			2	2				16a;16b;17a;17b;18a;18b;
H3952	053	0	1	02	01	H3952_053_0	6	001	Choice Plus Program	25.00	2			2	2			16a;16b;17a;17b;18a;18b;	
H3952	053	0	1	02	01	H3952_053_0	6	002	Choice Program	12.00	2			2	2				16a;16b;17a;17b;18a;18b;
H3952	054	0	1	02	01	H3952_054_0	7	001	Choice Plus Program	25.00	2			2	2			16a;16b;17a;17b;18a;18b;	
H3952	054	0	1	02	01	H3952_054_0	7	002	Choice Program	12.00	2			2	2				16a;16b;17a;17b;18a;18b;
H3952	055	0	1	01	01	H3952_055_0	7	001	Choice Plus Program	25.00	2			2	2			16a;16b;17a;17b;18a;18b;	
H3952	055	0	1	01	01	H3952_055_0	7	002	Choice Program	12.00	2			2	2				16a;16b;17a;17b;18a;18b;
H3952	056	0	1	01	01	H3952_056_0	7	001	Choice Plus Program	25.00	2			2	2			16a;16b;17a;17b;18a;18b;	
H3952	056	0	1	01	01	H3952_056_0	7	002	Choice Program	12.00	2			2	2				16a;16b;17a;17b;18a;18b;
H3979	001	0	1	01	01	H3979_001_0	6	001	Optional Supplemental	30.50	1	2150.00	6	2	2			16a;16b;17b;18a;18b;	
H4036	008	0	1	04	01	H4036_008_0	6	001	Preventive Dental Package	15.00	2			2	2				16a;
H4036	008	0	1	04	01	H4036_008_0	6	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
H4036	008	0	1	04	01	H4036_008_0	6	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H4036	009	0	1	04	01	H4036_009_0	7	001	Preventive Dental Package	15.00	2			2	2				16a;
H4036	009	0	1	04	01	H4036_009_0	7	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
H4036	009	0	1	04	01	H4036_009_0	7	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H4036	010	1	1	04	01	H4036_010_1	6	001	Preventive Dental Package	20.00	2			2	2				16a;
H4036	010	1	1	04	01	H4036_010_1	6	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H4036	010	1	1	04	01	H4036_010_1	6	003	Enhanced Dental and Vision Package	46.00	2			2	2				16a;16b;17b;
H4036	010	2	1	04	01	H4036_010_2	6	001	Preventive Dental Package	20.00	2			2	2				16a;
H4036	010	2	1	04	01	H4036_010_2	6	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H4036	010	2	1	04	01	H4036_010_2	6	003	Enhanced Dental and Vision Package	46.00	2			2	2				16a;16b;17b;
H4036	016	0	1	04	01	H4036_016_0	3	001	Preventive Dental Package	15.00	2			2	2				16a;
H4036	016	0	1	04	01	H4036_016_0	3	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
H4036	016	0	1	04	01	H4036_016_0	3	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H4036	017	0	1	04	01	H4036_017_0	6	001	Preventive Dental Package	20.00	2			2	2				16a;
H4036	017	0	1	04	01	H4036_017_0	6	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
H4036	017	0	1	04	01	H4036_017_0	6	003	Enhanced Dental and Vision Package	46.00	2			2	2				16a;16b;17b;
H4152	004	0	1	01	01	H4152_004_0	6	001	Dental Rider	21.60	1	1000.00	3	2	2			16a;16b;	
H4152	017	0	1	01	01	H4152_017_0	7	001	Dental Rider	21.60	1	1000.00	3	2	2			16a;16b;	
H4346	001	0	1	01	01	H4346_001_0	9	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H4346	005	0	1	01	01	H4346_005_0	9	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H4346	006	0	1	01	01	H4346_006_0	11	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H4346	008	0	1	01	01	H4346_008_0	9	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H4346	009	0	1	01	01	H4346_009_0	8	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H4346	010	0	1	01	01	H4346_010_0	10	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H4346	011	0	1	01	01	H4346_011_0	8	001	Optional Dental 1	35.00	1	1500.00	3	2	2				16a;16b;
H4346	012	0	1	01	01	H4346_012_0	9	001	Preventive Dental Package	12.00	2			2	2				16a;
H4346	012	0	1	01	01	H4346_012_0	9	002	Dental and Vision Package	41.00	2			2	2				16a;16b;17b;
H4346	012	0	1	01	01	H4346_012_0	9	003	Enhanced Dental and Vision Package	56.00	2			2	2				16a;16b;17b;
H4346	013	0	1	01	01	H4346_013_0	9	001	Preventive Dental Package	12.00	2			2	2				16a;
H4346	013	0	1	01	01	H4346_013_0	9	002	Dental and Vision Package	41.00	2			2	2				16a;16b;17b;
H4346	013	0	1	01	01	H4346_013_0	9	003	Enhanced Dental and Vision Package	56.00	2			2	2				16a;16b;17b;
H4346	017	0	1	01	01	H4346_017_0	9	001	Preventive Dental Package	13.00	2			2	2				16a;
H4346	017	0	1	01	01	H4346_017_0	9	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H4346	017	0	1	01	01	H4346_017_0	9	003	Enhanced Dental and Vision Package	44.00	2			2	2				16a;16b;17b;
H4346	019	0	1	01	01	H4346_019_0	7	001	Preventive Dental Package	13.00	2			2	2				16a;
H4346	019	0	1	01	01	H4346_019_0	7	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H4346	019	0	1	01	01	H4346_019_0	7	003	Enhanced Dental and Vision Package	44.00	2			2	2				16a;16b;17b;
H4346	022	0	1	01	01	H4346_022_0	10	001	Preventive Dental Package	13.00	2			2	2				16a;
H4346	022	0	1	01	01	H4346_022_0	10	002	Dental and Vision Package	47.00	2			2	2				16a;16b;17b;
H4346	022	0	1	01	01	H4346_022_0	10	003	Enhanced Dental and Vision Package	64.00	2			2	2				16a;16b;17b;
H4346	023	0	1	01	01	H4346_023_0	10	001	Preventive Dental Package	8.00	2			2	2				16a;
H4346	023	0	1	01	01	H4346_023_0	10	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H4346	023	0	1	01	01	H4346_023_0	10	003	Enhanced Dental and Vision Package	38.00	2			2	2				16a;16b;17b;
H4461	031	1	1	01	01	H4461_031_1	2	001	MyOption Enhanced Dental HMO	23.50	1	2000.00	3	2	2				16a;16b;
H4461	031	2	1	01	01	H4461_031_2	2	001	MyOption Enhanced Dental HMO	23.50	1	2000.00	3	2	2				16a;16b;
H4461	031	3	1	01	01	H4461_031_3	2	001	MyOption Enhanced Dental HMO	23.50	1	2000.00	3	2	2				16a;16b;
H4461	034	0	1	01	01	H4461_034_0	3	001	MyOption Enhanced Dental HMO	23.50	1	2000.00	3	2	2				16a;16b;
H4461	035	0	1	01	01	H4461_035_0	3	001	MyOption Enhanced Dental HMO	23.50	1	2000.00	3	2	2				16a;16b;
H4461	036	0	1	01	01	H4461_036_0	3	001	MyOption Enhanced Dental HMO	23.50	1	2000.00	3	2	2				16a;16b;
H4497	001	1	1	04	01	H4497_001_1	13	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	16a;17b;
H4497	001	2	1	04	01	H4497_001_2	11	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	16a;17b;
H4497	002	1	1	04	01	H4497_002_1	11	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	16a;17b;
H4497	002	2	1	04	01	H4497_002_2	11	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	16a;17b;
H4514	007	0	1	01	01	H4514_007_0	4	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H4527	002	0	1	01	01	H4527_002_0	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H4527	024	0	1	02	01	H4527_024_0	2	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H4527	037	0	1	02	01	H4527_037_0	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H4527	038	0	1	02	01	H4527_038_0	4	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H4590	012	0	1	02	01	H4590_012_0	5	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H4590	025	0	1	01	01	H4590_025_0	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H4590	027	0	1	02	01	H4590_027_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H4590	029	0	1	01	01	H4590_029_0	2	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H4590	042	0	1	02	01	H4590_042_0	5	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H4604	003	0	1	01	01	H4604_003_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H4604	005	0	1	01	01	H4604_005_0	2	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H4604	011	0	1	01	01	H4604_011_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H4604	013	0	1	01	01	H4604_013_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H4604	014	0	1	01	01	H4604_014_0	3	001	Dental Platinum Rider	36.00	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	017	0	1	01	01	H4604_017_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H4605	001	0	1	04	01	H4605_001_0	9	001	Dental Option	25.00	2			2	2			16b;	
H4605	002	0	1	04	01	H4605_002_0	11	001	Dental Option	25.00	2			2	2			16b;	
H4605	007	0	1	04	01	H4605_007_0	11	001	Dental and Vision Option	20.00	2			2	2			16a;17a;17b;	
H4623	001	0	1	01	01	H4623_001_0	3	001	MyOption Dental Enriched HMO	20.00	1	2000.00	3	2	2				16a;16b;
H4623	001	0	1	01	01	H4623_001_0	3	002	MyOption Total Dental HMO	23.80	1	2000.00	3	2	2				16a;16b;
H4623	002	0	1	01	01	H4623_002_0	3	001	MyOption Enhanced Dental HMO	20.00	1	2000.00	3	2	2				16a;16b;
H4623	002	0	1	01	01	H4623_002_0	3	002	MyOption Dental Enriched HMO	20.00	1	2000.00	3	2	2				16a;16b;
H4709	001	0	1	01	01	H4709_001_0	6	001	Comprehensive Dental 001	14.00	1	1500.00	3	2	2			16b;	
H4709	005	0	1	01	01	H4709_005_0	7	001	Comprehensive Dental 001	14.00	1	1500.00	3	2	2			16b;	
H4754	004	0	1	04	01	H4754_004_0	5	001	Preventive Dental	29.00	2			2	2			;	16a;
H4754	004	0	1	04	01	H4754_004_0	5	002	Comprehensive Dental	47.00	1	1000.00	3	2	1	100.00	16b;		16b;
H4754	006	0	1	04	01	H4754_006_0	3	001	Preventive Dental	22.00	2			2	2			;	16a;
H4754	006	0	1	04	01	H4754_006_0	3	002	Comprehensive Dental	41.00	1	1000.00	3	2	1	100.00	16b;		16b;
H4754	007	0	1	04	01	H4754_007_0	6	001	Preventive Dental	29.00	2			2	2			;	16a;
H4754	007	0	1	04	01	H4754_007_0	6	002	Comprehensive Dental	47.00	1	1000.00	3	2	1	100.00	16b;		16b;
H4754	008	0	1	04	01	H4754_008_0	3	001	Preventive Dental	29.00	2			2	2			;	16a;
H4754	008	0	1	04	01	H4754_008_0	3	002	Comprehensive Dental	47.00	1	1000.00	3	2	1	100.00	16b;		16b;
H4754	009	0	1	04	01	H4754_009_0	6	001	Preventive Dental	22.00	2			2	2			;	16a;
H4754	009	0	1	04	01	H4754_009_0	6	002	Comprehensive Dental	41.00	1	1000.00	3	2	1	100.00	16b;		16b;
H4754	011	0	1	04	01	H4754_011_0	5	001	Preventive Dental	22.00	2			2	2			;	16a;
H4754	011	0	1	04	01	H4754_011_0	5	002	Comprehensive Dental	41.00	1	1000.00	3	2	1	100.00	16b;		16b;
H4754	012	0	1	04	01	H4754_012_0	3	001	Preventive Dental	22.00	2			2	2			;	16a;
H4754	012	0	1	04	01	H4754_012_0	3	002	Comprehensive Dental	41.00	1	1000.00	3	2	1	100.00	16b;		16b;
H4853	001	0	1	01	01	H4853_001_0	7	001	Comprehensive Dental 003	17.00	2			2	2			16b;	
H4853	003	0	1	02	01	H4853_003_0	6	001	Comprehensive Dental 003	17.00	2			2	2			16b;	
H4875	016	1	1	04	01	H4875_016_1	9	001	Enhanced Vision and Dental	29.00	1	1650.00	3	2	2			16b;	17b;
H4875	016	2	1	04	01	H4875_016_2	8	001	Enhanced Vision and Dental	29.00	1	1650.00	3	2	2			16b;	17b;
H4875	016	3	1	04	01	H4875_016_3	8	001	Enhanced Vision and Dental	29.00	1	1650.00	3	2	2			16b;	17b;
H4875	016	4	1	04	01	H4875_016_4	8	001	Enhanced Vision and Dental	29.00	1	1650.00	3	2	2			16b;	17b;
H4875	016	5	1	04	01	H4875_016_5	8	001	Enhanced Vision and Dental	29.00	1	1650.00	3	2	2			16b;	17b;
H4875	017	1	1	04	01	H4875_017_1	8	001	Enhanced Vision and Dental	29.00	1	1650.00	6	2	2			16b;	17b;
H4875	017	2	1	04	01	H4875_017_2	8	001	Enhanced Vision and Dental	29.00	1	1650.00	6	2	2			16b;	17b;
H4875	017	3	1	04	01	H4875_017_3	8	001	Enhanced Vision and Dental	29.00	1	1650.00	6	2	2			16b;	17b;
H4875	017	4	1	04	01	H4875_017_4	8	001	Enhanced Vision and Dental	29.00	1	1650.00	6	2	2			16b;	17b;
H4875	017	5	1	04	01	H4875_017_5	8	001	Enhanced Vision and Dental	29.00	1	1650.00	6	2	2			16b;	17b;
H4875	018	1	1	04	01	H4875_018_1	9	001	Enhanced Vision and Dental	33.00	1	1650.00	6	2	2			16b;	17b;
H4875	018	2	1	04	01	H4875_018_2	9	001	Enhanced Vision and Dental	33.00	1	1650.00	6	2	2			16b;	17b;
H4875	018	3	1	04	01	H4875_018_3	9	001	Enhanced Vision and Dental	33.00	1	1650.00	6	2	2			16b;	17b;
H4875	018	4	1	04	01	H4875_018_4	9	001	Enhanced Vision and Dental	33.00	1	1650.00	6	2	2			16b;	17b;
H4875	018	5	1	04	01	H4875_018_5	9	001	Enhanced Vision and Dental	33.00	1	1650.00	6	2	2			16b;	17b;
H4875	019	0	1	04	01	H4875_019_0	9	001	Enhanced Vision and Dental	33.00	1	1650.00	6	2	2			16b;	17b;
H4882	001	0	1	04	01	H4882_001_0	5	001	Journey Comprehensive Dental Benefit	43.10	1	1100.00	3	2	1	50.00	16b;		16a;16b;
H4882	002	0	1	04	01	H4882_002_0	5	001	Journey Comprehensive Dental Benefit	43.10	1	1100.00	3	2	1	50.00	16b;		16a;16b;
H4882	003	0	1	04	01	H4882_003_0	6	001	Journey Comprehensive Dental Benefit	34.50	1	1100.00	3	2	1	50.00	16b;		16a;16b;
H4882	006	0	1	04	01	H4882_006_0	5	001	Journey Comprehensive Dental Benefit	43.10	1	1100.00	3	2	1	50.00	16b;		16a;16b;
H4909	014	0	1	04	01	H4909_014_0	7	001	Preventive Dental Package	22.00	2			2	2				16a;
H4909	014	0	1	04	01	H4909_014_0	7	002	Dental and Vision Package	30.00	2			2	2				16a;16b;17b;
H4909	014	0	1	04	01	H4909_014_0	7	003	Enhanced Dental and Vision Package	53.00	2			2	2				16a;16b;17b;
H4909	015	0	1	04	01	H4909_015_0	7	001	Preventive Dental Package	19.00	2			2	2				16a;
H4909	015	0	1	04	01	H4909_015_0	7	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
H4909	015	0	1	04	01	H4909_015_0	7	003	Enhanced Dental and Vision Package	57.00	2			2	2				16a;16b;17b;
H4909	016	0	1	04	01	H4909_016_0	6	001	Preventive Dental Package	19.00	2			2	2				16a;
H4909	016	0	1	04	01	H4909_016_0	6	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
H4909	016	0	1	04	01	H4909_016_0	6	003	Enhanced Dental and Vision Package	57.00	2			2	2				16a;16b;17b;
H4922	011	0	1	01	01	H4922_011_0	7	001	Preventive and Comprehensive Dental	16.00	2			1	2			16a;16b;	
H4922	011	0	1	01	01	H4922_011_0	7	002	Eye Wear	9.00	1	275.00	3	2	2			17b;	
H4937	001	0	1	04	01	H4937_001_0	14	001	Dental PPO	37.90	1	1500.00	6	2	1	50.00	16b;	16a;16b;	
H5009	001	0	1	04	01	H5009_001_0	10	001	Dental Option	25.00	2			2	2			16b;	
H5009	008	0	1	04	01	H5009_008_0	11	001	Dental Option	25.00	2			2	2			16b;	
H5009	009	0	1	04	01	H5009_009_0	11	001	Dental and Vision Option	20.00	2			2	2			16a;17a;17b;	
H5010	001	0	1	04	01	H5010_001_0	9	001	Dental Option	25.00	2			2	2			16b;	
H5010	002	0	1	04	01	H5010_002_0	11	001	Dental Option	25.00	2			2	2			16b;	
H5010	007	0	1	04	01	H5010_007_0	11	001	Dental and Vision Option	20.00	2			2	2			16a;17a;17b;	
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	9	001	Dental HMO	54.00	1	1500.00	3	2	2			16a;16b;	
H5050	009	0	1	01	01	H5050_009_0	9	001	Dental HMO	54.00	1	1500.00	3	2	2			16a;16b;	
H5050	013	0	1	01	01	H5050_013_0	9	001	Dental HMO	54.00	1	1500.00	3	2	2			16a;16b;	
H5050	017	0	1	01	01	H5050_017_0	8	001	Dental HMO	54.00	1	1500.00	3	2	2			16a;16b;	
H5050	019	0	1	01	01	H5050_019_0	8	001	Dental HMO	54.00	1	1500.00	3	2	2			16a;16b;	
H5050	021	0	1	01	01	H5050_021_0	9	001	Dental HMO	54.00	1	1500.00	3	2	2				16a;16b;
H5050	022	0	1	01	01	H5050_022_0	9	001	Dental HMO	54.00	1	1500.00	3	2	2			16a;16b;	
H5211	001	0	1	02	01	H5211_001_0	10	001	Comprehensive Dental	34.00	1	1000.00	3	2	1	100.00	16b;	16b;	16a;
H5211	002	0	1	02	01	H5211_002_0	11	001	Comprehensive Dental	34.00	1	1000.00	3	2	1	100.00	16b;	16b;	16a;
H5211	003	0	1	02	01	H5211_003_0	7	001	Comprehensive Dental	34.00	1	1000.00	3	2	1	100.00	16b;	16b;	16a;
H5211	004	0	1	02	01	H5211_004_0	8	001	Comprehensive Dental	34.00	1	1000.00	3	2	1	100.00	16b;	16b;	16a;
H5211	007	0	1	02	01	H5211_007_0	8	001	Comprehensive Dental	34.00	1	1000.00	3	2	1	100.00	16b;	16b;	16a;
H5211	008	0	1	02	01	H5211_008_0	8	001	Comprehensive Dental	34.00	1	1000.00	3	2	1	100.00	16b;	16b;	16a;
H5211	009	0	1	02	01	H5211_009_0	6	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	8	001	Comprehensive Dental	34.00	1	1000.00	3	2	1	100.00	16b;	16b;	16a;
H5215	001	0	1	04	01	H5215_001_0	7	001	Dental	37.00	1	1000.00	3	2	1	100.00	16b;		16a;16b;
H5215	002	0	1	04	01	H5215_002_0	8	001	Dental	37.00	1	1000.00	3	2	1	100.00	16b;		16a;16b;
H5215	005	0	1	04	01	H5215_005_0	8	001	Dental	37.00	1	1000.00	3	2	1	100.00	16b;		16a;16b;
H5215	006	0	1	04	01	H5215_006_0	6	001	Dental	37.00	1	1000.00	3	2	1	100.00	16b;		16a;16b;
H5215	008	0	1	04	01	H5215_008_0	8	001	Dental	37.00	1	1000.00	3	2	1	100.00	16b;		16a;16b;
H5215	009	0	1	04	01	H5215_009_0	8	001	Dental	37.00	1	1000.00	3	2	1	100.00	16b;		16a;16b;
H5215	010	0	1	04	01	H5215_010_0	8	001	Dental	37.00	1	1000.00	3	2	1	100.00	16b;		16a;16b;
H5215	011	0	1	04	01	H5215_011_0	8	001	Dental	37.00	1	1000.00	3	2	1	100.00	16b;		16a;16b;
H5216	001	0	1	04	01	H5216_001_0	3	001	MyOption Vision	15.30	2			2	2				17a;17b;
H5216	001	0	1	04	01	H5216_001_0	3	002	MyOption Enhanced Dental PPO	32.90	1	2000.00	3	2	2				16a;16b;
H5216	006	0	1	04	01	H5216_006_0	3	001	MyOption Vision	15.30	2			2	2				17a;17b;
H5216	006	0	1	04	01	H5216_006_0	3	002	MyOption Dental Enriched PPO	32.90	1	2000.00	3	2	2				16a;16b;
H5216	009	0	1	04	01	H5216_009_0	4	001	MyOption Enhanced Dental PPO	23.60	1	2000.00	3	2	2				16a;16b;
H5216	009	0	1	04	01	H5216_009_0	4	002	MyOption Total Dental PPO	30.00	1	2000.00	3	2	2				16a;16b;
H5216	011	0	1	04	01	H5216_011_0	5	001	MyOption Enhanced Dental PPO	23.60	1	2000.00	3	2	2				16a;16b;
H5216	011	0	1	04	01	H5216_011_0	5	002	MyOption Total Dental PPO	30.00	1	2000.00	3	2	2				16a;16b;
H5216	013	0	1	04	01	H5216_013_0	3	001	MyOption Enhanced Dental PPO	22.90	1	2000.00	3	2	2				16a;16b;
H5216	014	0	1	04	01	H5216_014_0	4	001	MyOption Dental High PPO	15.30	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	21.40	2			2	1	50.00	16b;		16a;16b;17a;17b;
H5216	017	0	1	04	01	H5216_017_0	3	001	MyOption Dental High PPO	20.30	1	2000.00	3	2	2			16a;16b;	
H5216	017	0	1	04	01	H5216_017_0	3	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5216	017	0	1	04	01	H5216_017_0	3	003	MyOption Plus	22.30	2			2	1	50.00	16b;		16a;16b;17a;17b;
H5216	018	0	1	04	01	H5216_018_0	3	001	MyOption Enhanced Dental PPO	22.60	1	2000.00	3	2	2				16a;16b;
H5216	018	0	1	04	01	H5216_018_0	3	002	MyOption Total Dental PPO	28.10	1	2000.00	3	2	2				16a;16b;
H5216	019	0	1	04	01	H5216_019_0	3	001	MyOption Enhanced Dental PPO	20.70	1	2000.00	3	2	2				16a;16b;
H5216	019	0	1	04	01	H5216_019_0	3	002	MyOption Total Dental PPO	25.90	1	2000.00	3	2	2				16a;16b;
H5216	020	0	1	04	01	H5216_020_0	3	001	MyOption Enhanced Dental PPO	20.70	1	2000.00	3	2	2				16a;16b;
H5216	020	0	1	04	01	H5216_020_0	3	002	MyOption Total Dental PPO	25.90	1	2000.00	3	2	2				16a;16b;
H5216	021	0	1	04	01	H5216_021_0	5	001	MyOption Enhanced Dental PPO	20.80	1	2000.00	3	2	2				16a;16b;
H5216	021	0	1	04	01	H5216_021_0	5	002	MyOption Total Dental PPO	24.70	1	2000.00	3	2	2				16a;16b;
H5216	022	0	1	04	01	H5216_022_0	5	001	MyOption Enhanced Dental PPO	20.80	1	2000.00	3	2	2				16a;16b;
H5216	022	0	1	04	01	H5216_022_0	5	002	MyOption Total Dental PPO	24.70	1	2000.00	3	2	2				16a;16b;
H5216	023	0	1	04	01	H5216_023_0	3	001	MyOption Enhanced Dental PPO	22.60	1	2000.00	3	2	2				16a;16b;
H5216	023	0	1	04	01	H5216_023_0	3	002	MyOption Total Dental PPO	28.10	1	2000.00	3	2	2				16a;16b;
H5216	024	0	1	04	01	H5216_024_0	3	001	MyOption Dental High PPO	18.60	1	2000.00	3	2	2			16a;16b;	
H5216	024	0	1	04	01	H5216_024_0	3	002	MyOption Platinum Dental	26.70	1	2000.00	3	2	2				16a;16b;
H5216	027	0	1	04	01	H5216_027_0	3	001	MyOption Plus	22.60	2			2	1	50.00	16b;	16a;16b;17a;17b;	
H5216	027	0	1	04	01	H5216_027_0	3	002	MyOption Platinum Dental	27.00	1	2000.00	3	2	2				16a;16b;
H5216	028	0	1	04	01	H5216_028_0	3	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H5216	028	0	1	04	01	H5216_028_0	3	002	MyOption Plus	27.20	2			2	1	50.00	16b;	16a;16b;	17a;17b;
H5216	028	0	1	04	01	H5216_028_0	3	003	MyOption Platinum Dental	35.30	1	2000.00	3	2	2				16a;16b;
H5216	029	0	1	04	01	H5216_029_0	3	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H5216	029	0	1	04	01	H5216_029_0	3	002	MyOption Enhanced Dental PPO	23.90	1	2000.00	3	2	2				16a;16b;
H5216	029	0	1	04	01	H5216_029_0	3	003	MyOption Total Dental PPO	29.30	1	2000.00	3	2	2				16a;16b;
H5216	032	0	1	04	01	H5216_032_0	2	001	MyOption Enhanced Dental PPO	22.90	1	2000.00	3	2	2				16a;16b;
H5216	032	0	1	04	01	H5216_032_0	2	002	MyOption Total Dental PPO	28.10	1	2000.00	3	2	2				16a;16b;
H5216	034	0	1	04	01	H5216_034_0	4	001	MyOption Enhanced Dental PPO	28.90	1	2000.00	3	2	2				16a;16b;
H5216	035	0	1	04	01	H5216_035_0	3	001	MyOption Vision	15.30	2			2	2				17a;17b;
H5216	035	0	1	04	01	H5216_035_0	3	002	MyOption Dental Enriched PPO	28.90	1	2000.00	3	2	2				16a;16b;
H5216	036	0	1	04	01	H5216_036_0	3	001	MyOption Vision	15.30	2			2	2				17a;17b;
H5216	036	0	1	04	01	H5216_036_0	3	002	MyOption Dental Enriched PPO	35.10	1	2000.00	3	2	2				16a;16b;
H5216	036	0	1	04	01	H5216_036_0	3	003	MyOption Total Dental PPO	40.50	1	2000.00	3	2	2				16a;16b;
H5216	037	0	1	04	01	H5216_037_0	4	001	MyOption Vision	15.30	2			2	2				17a;17b;
H5216	037	0	1	04	01	H5216_037_0	4	002	MyOption Plus	25.70	2			2	1	50.00	16b;	16a;16b;	17a;17b;
H5216	037	0	1	04	01	H5216_037_0	4	003	MyOption Platinum Dental	38.80	1	2000.00	3	2	2				16a;16b;
H5216	039	0	1	04	01	H5216_039_0	3	001	MyOption Dental High PPO	30.10	1	2000.00	3	2	2			16a;16b;	
H5216	039	0	1	04	01	H5216_039_0	3	002	MyOption Vision	15.30	2			2	2				17a;17b;
H5216	039	0	1	04	01	H5216_039_0	3	003	MyOption Plus	25.70	2			2	1	50.00	16b;		16a;16b;17a;17b;
H5216	040	0	1	04	01	H5216_040_0	2	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H5216	040	0	1	04	01	H5216_040_0	2	002	MyOption Enhanced Dental PPO	40.40	1	2000.00	3	2	2				16a;16b;
H5216	040	0	1	04	01	H5216_040_0	2	003	MyOption Total Dental PPO	46.50	1	2000.00	3	2	2				16a;16b;
H5216	041	0	1	04	01	H5216_041_0	2	001	MyOption Vision	15.30	2			2	2				17a;17b;
H5216	041	0	1	04	01	H5216_041_0	2	002	MyOption Plus	28.90	2			2	1	50.00	16b;	16a;16b;	17a;17b;
H5216	041	0	1	04	01	H5216_041_0	2	003	MyOption Platinum Dental	44.30	1	2000.00	3	2	2				16a;16b;
H5216	044	0	1	04	01	H5216_044_0	5	001	MyOption Platinum Dental	33.90	1	2000.00	3	2	2			16a;16b;	
H5216	045	0	1	04	01	H5216_045_0	3	001	MyOption Enhanced Dental PPO	21.70	1	2000.00	3	2	2				16a;16b;
H5216	045	0	1	04	01	H5216_045_0	3	002	MyOption Total Dental PPO	27.80	1	2000.00	3	2	2				16a;16b;
H5216	047	0	1	04	01	H5216_047_0	5	001	MyOption Dental High PPO	37.90	1	2000.00	3	2	2			16a;16b;	
H5216	048	0	1	04	01	H5216_048_0	3	001	MyOption Vision	15.30	2			2	2				17a;17b;
H5216	048	0	1	04	01	H5216_048_0	3	002	MyOption Total Dental Plus PPO	69.10	1	2000.00	3	2	2				16a;16b;
H5216	050	0	1	04	01	H5216_050_0	3	001	MyOption Enhanced Dental PPO	21.70	1	2000.00	3	2	2				16a;16b;
H5216	050	0	1	04	01	H5216_050_0	3	002	MyOption Total Dental PPO	27.80	1	2000.00	3	2	2				16a;16b;
H5216	051	0	1	04	01	H5216_051_0	3	001	MyOption Enhanced Dental PPO	21.70	1	2000.00	3	2	2				16a;16b;
H5216	051	0	1	04	01	H5216_051_0	3	002	MyOption Total Dental PPO	27.80	1	2000.00	3	2	2				16a;16b;
H5216	052	1	1	04	01	H5216_052_1	3	001	MyOption Enhanced Dental PPO	21.70	1	2000.00	3	2	2				16a;16b;
H5216	052	1	1	04	01	H5216_052_1	3	002	MyOption Total Dental PPO	27.80	1	2000.00	3	2	2				16a;16b;
H5216	052	2	1	04	01	H5216_052_2	3	001	MyOption Enhanced Dental PPO	20.80	1	2000.00	3	2	2				16a;16b;
H5216	052	2	1	04	01	H5216_052_2	3	002	MyOption Total Dental PPO	24.70	1	2000.00	3	2	2				16a;16b;
H5216	053	0	1	04	01	H5216_053_0	3	001	MyOption Enhanced Dental PPO	22.60	1	2000.00	3	2	2				16a;16b;
H5216	053	0	1	04	01	H5216_053_0	3	002	MyOption Total Dental PPO	28.10	1	2000.00	3	2	2				16a;16b;
H5216	054	0	1	04	01	H5216_054_0	3	001	MyOption Enhanced Dental PPO	22.60	1	2000.00	3	2	2				16a;16b;
H5216	054	0	1	04	01	H5216_054_0	3	002	MyOption Total Dental PPO	28.10	1	2000.00	3	2	2				16a;16b;
H5216	055	0	1	04	01	H5216_055_0	3	001	MyOption Enhanced Dental PPO	22.60	1	2000.00	3	2	2				16a;16b;
H5216	055	0	1	04	01	H5216_055_0	3	002	MyOption Total Dental PPO	28.10	1	2000.00	3	2	2				16a;16b;
H5216	057	0	1	04	01	H5216_057_0	3	001	MyOption Enhanced Dental PPO	32.10	1	2000.00	3	2	2				16a;16b;
H5216	057	0	1	04	01	H5216_057_0	3	002	MyOption Total Dental PPO	38.60	1	2000.00	3	2	2				16a;16b;
H5216	058	0	1	04	01	H5216_058_0	3	001	MyOption Platinum Dental	37.50	1	2000.00	3	2	2			16a;16b;	
H5216	059	0	1	04	01	H5216_059_0	2	001	MyOption Enhanced Dental PPO	32.10	1	2000.00	3	2	2				16a;16b;
H5216	059	0	1	04	01	H5216_059_0	2	002	MyOption Total Dental PPO	38.60	1	2000.00	3	2	2				16a;16b;
H5216	066	0	1	04	01	H5216_066_0	5	001	MyOption Total Dental PPO	20.20	1	2000.00	3	2	2				16a;16b;
H5216	067	0	1	04	01	H5216_067_0	5	001	MyOption Total Dental PPO	20.20	1	2000.00	3	2	2				16a;16b;
H5216	071	0	1	04	01	H5216_071_0	4	001	MyOption Dental Enriched PPO	18.70	1	2000.00	3	2	2				16a;16b;
H5216	073	0	1	04	01	H5216_073_0	3	001	MyOption Dental High PPO	15.70	1	2000.00	3	2	2			16a;16b;	
H5216	073	0	1	04	01	H5216_073_0	3	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5216	073	0	1	04	01	H5216_073_0	3	003	MyOption Plus	20.80	2			2	1	50.00	16b;		16a;16b;17a;17b;
H5216	075	0	1	04	01	H5216_075_0	3	001	MyOption Dental High PPO	16.40	1	2000.00	3	2	2			16a;16b;	
H5216	075	0	1	04	01	H5216_075_0	3	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5216	075	0	1	04	01	H5216_075_0	3	003	MyOption Plus	20.10	2			2	1	50.00	16b;		16a;16b;17a;17b;
H5216	076	0	1	04	01	H5216_076_0	3	001	MyOption Dental High PPO	16.40	1	2000.00	3	2	2			16a;16b;	
H5216	076	0	1	04	01	H5216_076_0	3	002	MyOption Platinum Dental	23.60	1	2000.00	3	2	2				16a;16b;
H5216	077	0	1	04	01	H5216_077_0	3	001	MyOption Enhanced Dental PPO	24.50	1	2000.00	3	2	2				16a;16b;
H5216	078	1	1	04	01	H5216_078_1	4	001	MyOption Dental High PPO	21.20	1	2000.00	3	2	2			16a;16b;	
H5216	078	2	1	04	01	H5216_078_2	3	001	MyOption Dental High PPO	21.20	1	2000.00	3	2	2			16a;16b;	
H5216	080	1	1	04	01	H5216_080_1	3	001	MyOption Total Dental PPO	43.10	1	2000.00	3	2	2				16a;16b;
H5216	080	2	1	04	01	H5216_080_2	3	001	MyOption Total Dental PPO	43.10	1	2000.00	3	2	2				16a;16b;
H5216	080	3	1	04	01	H5216_080_3	3	001	MyOption Total Dental PPO	43.10	1	2000.00	3	2	2				16a;16b;
H5216	081	0	1	04	01	H5216_081_0	3	001	MyOption Dental High PPO	18.40	1	2000.00	3	2	2			16a;16b;	
H5216	081	0	1	04	01	H5216_081_0	3	002	MyOption Platinum Dental	25.80	1	2000.00	3	2	2				16a;16b;
H5216	083	0	1	04	01	H5216_083_0	3	001	MyOption Enhanced Dental PPO	22.40	1	2000.00	3	2	2				16a;16b;
H5216	083	0	1	04	01	H5216_083_0	3	002	MyOption Total Dental PPO	28.50	1	2000.00	3	2	2				16a;16b;
H5216	085	0	1	04	01	H5216_085_0	4	001	MyOption Dental High PPO	20.50	1	2000.00	3	2	2			16a;16b;	
H5216	085	0	1	04	01	H5216_085_0	4	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5216	085	0	1	04	01	H5216_085_0	4	003	MyOption Plus	22.60	2			2	1	50.00	16b;		16a;16b;17a;17b;
H5216	086	0	1	04	01	H5216_086_0	2	001	MyOption Enhanced Dental Plus PPO	47.90	1	2000.00	3	2	2				16a;16b;
H5216	088	0	1	04	01	H5216_088_0	4	001	MyOption Dental Enriched PPO	22.30	1	2000.00	3	2	2				16a;16b;
H5216	089	0	1	04	01	H5216_089_0	4	001	MyOption Dental High PPO	19.80	1	2000.00	3	2	2			16a;16b;	
H5216	089	0	1	04	01	H5216_089_0	4	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5216	089	0	1	04	01	H5216_089_0	4	003	MyOption Plus	22.50	2			2	1	50.00	16b;		16a;16b;17a;17b;
H5216	091	0	1	04	01	H5216_091_0	4	001	MyOption Dental High PPO	15.30	1	2000.00	3	2	2			16a;16b;	
H5216	091	0	1	04	01	H5216_091_0	4	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5216	091	0	1	04	01	H5216_091_0	4	003	MyOption Plus	21.40	2			2	1	50.00	16b;		16a;16b;17a;17b;
H5216	092	0	1	04	01	H5216_092_0	3	001	MyOption Dental High PPO	30.10	1	2000.00	3	2	2			16a;16b;	
H5216	092	0	1	04	01	H5216_092_0	3	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5216	092	0	1	04	01	H5216_092_0	3	003	MyOption Plus	29.20	2			2	1	50.00	16b;		16a;16b;17a;17b;
H5216	093	0	1	04	01	H5216_093_0	4	001	MyOption Dental High PPO	18.80	1	2000.00	3	2	2			16a;16b;	
H5216	096	0	1	04	01	H5216_096_0	3	001	MyOption Dental High PPO	13.10	1	2000.00	3	2	2			16a;16b;	
H5216	096	0	1	04	01	H5216_096_0	3	002	MyOption Platinum Dental	17.90	1	2000.00	3	2	2				16a;16b;
H5216	097	0	1	04	01	H5216_097_0	3	001	MyOption Dental High PPO	18.80	1	2000.00	3	2	2			16a;16b;	
H5216	098	0	1	04	01	H5216_098_0	3	001	MyOption Dental High PPO	18.80	1	2000.00	3	2	2			16a;16b;	
H5216	100	0	1	04	01	H5216_100_0	3	001	MyOption Dental High PPO	20.20	1	2000.00	3	2	2			16a;16b;	
H5216	106	0	1	04	01	H5216_106_0	3	001	MyOption Dental High PPO	18.60	1	2000.00	3	2	2			16a;16b;	
H5216	106	0	1	04	01	H5216_106_0	3	002	MyOption Platinum Dental	26.70	1	2000.00	3	2	2				16a;16b;
H5216	107	0	1	04	01	H5216_107_0	4	001	MyOption Enhanced Dental PPO	22.60	1	2000.00	3	2	2				16a;16b;
H5216	107	0	1	04	01	H5216_107_0	4	002	MyOption Total Dental PPO	28.10	1	2000.00	3	2	2				16a;16b;
H5216	109	0	1	04	01	H5216_109_0	3	001	MyOption Dental High PPO	18.60	1	2000.00	3	2	2			16a;16b;	
H5216	109	0	1	04	01	H5216_109_0	3	002	MyOption Platinum Dental	26.70	1	2000.00	3	2	2				16a;16b;
H5216	111	0	1	04	01	H5216_111_0	3	001	MyOption Dental High PPO	18.50	1	2000.00	3	2	2			16a;16b;	
H5216	111	0	1	04	01	H5216_111_0	3	002	MyOption Platinum Dental	25.90	1	2000.00	3	2	2				16a;16b;
H5216	112	0	1	04	01	H5216_112_0	3	001	MyOption Dental High PPO	18.50	1	2000.00	3	2	2			16a;16b;	
H5216	112	0	1	04	01	H5216_112_0	3	002	MyOption Platinum Dental	25.90	1	2000.00	3	2	2				16a;16b;
H5216	114	0	1	04	01	H5216_114_0	3	001	MyOption Dental High PPO	18.50	1	2000.00	3	2	2			16a;16b;	
H5216	114	0	1	04	01	H5216_114_0	3	002	MyOption Platinum Dental	25.90	1	2000.00	3	2	2				16a;16b;
H5216	116	0	1	04	01	H5216_116_0	4	001	MyOption Enhanced Dental PPO	20.30	1	2000.00	3	2	2				16a;16b;
H5216	116	0	1	04	01	H5216_116_0	4	002	MyOption Total Dental PPO	24.70	1	2000.00	3	2	2				16a;16b;
H5216	119	0	1	04	01	H5216_119_0	6	001	MyOption Total Dental PPO	24.70	1	2000.00	3	2	2				16a;16b;
H5216	120	0	1	04	01	H5216_120_0	7	001	MyOption Total Dental PPO	24.70	1	2000.00	3	2	2				16a;16b;
H5216	122	0	1	04	01	H5216_122_0	6	001	MyOption Enhanced Dental PPO	20.30	1	2000.00	3	2	2				16a;16b;
H5216	122	0	1	04	01	H5216_122_0	6	002	MyOption Total Dental PPO	24.70	1	2000.00	3	2	2				16a;16b;
H5216	124	0	1	04	01	H5216_124_0	6	001	MyOption Total Dental PPO	24.70	1	2000.00	3	2	2				16a;16b;
H5216	131	0	1	04	01	H5216_131_0	5	001	MyOption Enhanced Dental PPO	26.80	1	2000.00	3	2	2				16a;16b;
H5216	132	0	1	04	01	H5216_132_0	4	001	MyOption Dental High PPO	25.70	1	2000.00	3	2	2			16a;16b;	
H5216	133	0	1	04	01	H5216_133_0	4	001	MyOption Enhanced Dental PPO	23.60	1	2000.00	3	2	2				16a;16b;
H5216	133	0	1	04	01	H5216_133_0	4	002	MyOption Total Dental PPO	30.00	1	2000.00	3	2	2				16a;16b;
H5216	136	0	1	04	01	H5216_136_0	5	001	MyOption Total Dental PPO	20.20	1	2000.00	3	2	2				16a;16b;
H5216	137	0	1	04	01	H5216_137_0	4	001	MyOption Dental High PPO	19.60	1	2000.00	3	2	2			16a;16b;	
H5216	138	0	1	04	01	H5216_138_0	3	001	MyOption Fitness	15.00	2			2	2			14c;	
H5216	138	0	1	04	01	H5216_138_0	3	002	MyOption Platinum Dental	37.50	1	2000.00	3	2	2			16a;16b;	
H5216	139	0	1	04	01	H5216_139_0	2	001	MyOption Platinum Dental	26.60	1	2000.00	3	2	2			16a;16b;	
H5216	140	0	1	04	01	H5216_140_0	2	001	MyOption Dental Enriched PPO	22.90	1	2000.00	3	2	2				16a;16b;
H5216	141	0	1	04	01	H5216_141_0	3	001	MyOption Dental Enriched PPO	35.10	1	2000.00	3	2	2				16a;16b;
H5216	141	0	1	04	01	H5216_141_0	3	002	MyOption Total Dental PPO	40.50	1	2000.00	3	2	2				16a;16b;
H5216	142	1	1	04	01	H5216_142_1	3	001	MyOption Dental High PPO	16.40	1	2000.00	3	2	2			16a;16b;	
H5216	142	1	1	04	01	H5216_142_1	3	002	MyOption Platinum Dental	23.60	1	2000.00	3	2	2				16a;16b;
H5216	142	2	1	04	01	H5216_142_2	3	001	MyOption Dental High PPO	16.40	1	2000.00	3	2	2			16a;16b;	
H5216	142	2	1	04	01	H5216_142_2	3	002	MyOption Platinum Dental	23.60	1	2000.00	3	2	2				16a;16b;
H5216	143	0	1	04	01	H5216_143_0	3	001	MyOption Enhanced Dental PPO	18.70	1	2000.00	3	2	2				16a;16b;
H5216	144	0	1	04	01	H5216_144_0	3	001	MyOption Plus	22.60	2			2	1	50.00	16b;	16a;16b;17a;17b;	
H5216	144	0	1	04	01	H5216_144_0	3	002	MyOption Platinum Dental	27.00	1	2000.00	3	2	2				16a;16b;
H5216	148	0	1	04	01	H5216_148_0	3	001	MyOption Platinum Dental	27.00	1	2000.00	3	2	2			16a;16b;	
H5216	152	0	1	04	01	H5216_152_0	3	001	MyOption Enhanced Dental PPO	23.40	1	2000.00	3	2	2				16a;16b;
H5216	152	0	1	04	01	H5216_152_0	3	002	MyOption Total Dental PPO	28.00	1	2000.00	3	2	2				16a;16b;
H5216	154	0	1	04	01	H5216_154_0	3	001	MyOption Dental High PPO	16.40	1	2000.00	3	2	2			16a;16b;	
H5216	156	0	1	04	01	H5216_156_0	3	001	MyOption Enhanced Dental Plus PPO	27.00	1	2000.00	3	2	2				16a;16b;
H5216	156	0	1	04	01	H5216_156_0	3	002	MyOption Total Dental Plus PPO	34.90	1	2000.00	3	2	2				16a;16b;
H5216	158	0	1	04	01	H5216_158_0	4	001	MyOption Total Dental PPO	20.20	1	2000.00	3	2	2				16a;16b;
H5216	159	0	1	04	01	H5216_159_0	5	001	MyOption Total Dental PPO	20.20	1	2000.00	3	2	2				16a;16b;
H5216	163	0	1	04	01	H5216_163_0	3	001	MyOption Dental High PPO	18.60	1	2000.00	3	2	2			16a;16b;	
H5216	163	0	1	04	01	H5216_163_0	3	002	MyOption Vision	15.30	2			2	2				17a;17b;
H5216	163	0	1	04	01	H5216_163_0	3	003	MyOption Plus	22.20	2			2	1	50.00	16b;		16a;16b;17a;17b;
H5216	169	0	1	04	01	H5216_169_0	3	001	MyOption Enhanced Dental PPO	30.60	1	2000.00	3	2	2				16a;16b;
H5216	169	0	1	04	01	H5216_169_0	3	002	MyOption Total Dental PPO	36.60	1	2000.00	3	2	2				16a;16b;
H5216	170	0	1	04	01	H5216_170_0	3	001	MyOption Enhanced Dental PPO	30.60	1	2000.00	3	2	2				16a;16b;
H5216	170	0	1	04	01	H5216_170_0	3	002	MyOption Total Dental PPO	36.60	1	2000.00	3	2	2				16a;16b;
H5216	172	0	1	04	01	H5216_172_0	4	001	MyOption Enhanced Dental PPO	30.60	1	2000.00	3	2	2				16a;16b;
H5216	172	0	1	04	01	H5216_172_0	4	002	MyOption Fitness	15.00	2			2	2			14c;	
H5216	172	0	1	04	01	H5216_172_0	4	003	MyOption Total Dental PPO	36.60	1	2000.00	3	2	2				16a;16b;
H5216	174	0	1	04	01	H5216_174_0	2	001	MyOption Total Dental PPO	36.60	1	2000.00	3	2	2				16a;16b;
H5216	175	0	1	04	01	H5216_175_0	3	001	MyOption Platinum Dental	30.50	1	2000.00	3	2	2			16a;16b;	
H5216	177	0	1	04	01	H5216_177_0	3	001	MyOption Enhanced Dental PPO	26.50	1	2000.00	3	2	2				16a;16b;
H5216	177	0	1	04	01	H5216_177_0	3	002	MyOption Total Dental PPO	32.00	1	2000.00	3	2	2				16a;16b;
H5216	178	1	1	04	01	H5216_178_1	2	001	MyOption Vision	15.30	2			2	2				17a;17b;
H5216	178	1	1	04	01	H5216_178_1	2	002	MyOption Enhanced Dental Plus PPO	44.70	1	2000.00	3	2	2				16a;16b;
H5216	178	2	1	04	01	H5216_178_2	2	001	MyOption Dental High PPO	20.00	1	2000.00	3	2	2			16a;16b;	
H5216	182	0	1	04	01	H5216_182_0	4	001	MyOption Platinum Dental	23.30	1	2000.00	3	2	2			16a;16b;	
H5216	184	0	1	04	01	H5216_184_0	3	001	MyOption Enhanced Dental PPO	30.60	1	2000.00	3	2	2				16a;16b;
H5216	184	0	1	04	01	H5216_184_0	3	002	MyOption Total Dental PPO	36.60	1	2000.00	3	2	2				16a;16b;
H5216	185	0	1	04	01	H5216_185_0	4	001	MyOption Platinum Dental	34.90	1	2000.00	3	2	2			16a;16b;	
H5216	186	0	1	04	01	H5216_186_0	3	001	MyOption Total Dental PPO	36.60	1	2000.00	3	2	2				16a;16b;
H5216	188	0	1	04	01	H5216_188_0	4	001	MyOption Enhanced Dental PPO	22.60	1	2000.00	3	2	2				16a;16b;
H5216	188	0	1	04	01	H5216_188_0	4	002	MyOption Total Dental PPO	28.10	1	2000.00	3	2	2				16a;16b;
H5216	189	0	1	04	01	H5216_189_0	4	001	MyOption Platinum Dental	31.20	1	2000.00	3	2	2			16a;16b;	
H5216	190	0	1	04	01	H5216_190_0	3	001	MyOption Enhanced Dental PPO	23.60	1	2000.00	3	2	2				16a;16b;
H5216	190	0	1	04	01	H5216_190_0	3	002	MyOption Total Dental PPO	30.00	1	2000.00	3	2	2				16a;16b;
H5216	192	0	1	04	01	H5216_192_0	4	001	MyOption Dental High PPO	18.50	1	2000.00	3	2	2			16a;16b;	
H5216	192	0	1	04	01	H5216_192_0	4	002	MyOption Fitness	15.00	2			2	2			14c;	
H5216	192	0	1	04	01	H5216_192_0	4	003	MyOption Platinum Dental	25.90	1	2000.00	3	2	2				16a;16b;
H5216	194	0	1	04	01	H5216_194_0	3	001	MyOption Enhanced Dental PPO	35.10	1	2000.00	3	2	2				16a;16b;
H5216	194	0	1	04	01	H5216_194_0	3	002	MyOption Total Dental PPO	40.50	1	2000.00	3	2	2				16a;16b;
H5216	196	1	1	04	01	H5216_196_1	2	001	MyOption Dental High PPO	19.60	1	2000.00	3	2	2			16a;16b;	
H5216	196	2	1	04	01	H5216_196_2	2	001	MyOption Dental High PPO	19.60	1	2000.00	3	2	2			16a;16b;	
H5216	198	0	1	04	01	H5216_198_0	2	001	MyOption Vision	15.30	2			2	2				17a;17b;
H5216	198	0	1	04	01	H5216_198_0	2	002	MyOption Enhanced Dental PPO	28.90	1	2000.00	3	2	2				16a;16b;
H5216	208	0	1	04	01	H5216_208_0	3	001	MyOption Dental High PPO	16.40	1	2000.00	3	2	2			16a;16b;	
H5216	211	0	1	04	01	H5216_211_0	3	001	MyOption Enhanced Dental PPO	23.50	1	2000.00	3	2	2				16a;16b;
H5216	211	0	1	04	01	H5216_211_0	3	002	MyOption Total Dental PPO	28.40	1	2000.00	3	2	2				16a;16b;
H5216	212	0	1	04	01	H5216_212_0	3	001	MyOption Enhanced Dental PPO	15.50	1	2000.00	3	2	2				16a;16b;
H5216	212	0	1	04	01	H5216_212_0	3	002	MyOption Total Dental PPO	18.80	1	2000.00	3	2	2				16a;16b;
H5216	214	1	1	04	01	H5216_214_1	4	001	MyOption Enhanced Dental PPO	15.50	1	2000.00	3	2	2				16a;16b;
H5216	214	2	1	04	01	H5216_214_2	4	001	MyOption Enhanced Dental PPO	15.50	1	2000.00	3	2	2				16a;16b;
H5216	214	3	1	04	01	H5216_214_3	4	001	MyOption Enhanced Dental PPO	15.50	1	2000.00	3	2	2				16a;16b;
H5216	215	0	1	04	01	H5216_215_0	3	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H5216	215	0	1	04	01	H5216_215_0	3	002	MyOption Enhanced Dental PPO	22.90	1	2000.00	3	2	2				16a;16b;
H5216	215	0	1	04	01	H5216_215_0	3	003	MyOption Total Dental PPO	28.10	1	2000.00	3	2	2				16a;16b;
H5216	216	0	1	04	01	H5216_216_0	1	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H5216	218	0	1	04	01	H5216_218_0	2	001	MyOption Enhanced Dental PPO	22.60	1	2000.00	3	2	2				16a;16b;
H5216	218	0	1	04	01	H5216_218_0	2	002	MyOption Total Dental PPO	28.10	1	2000.00	3	2	2				16a;16b;
H5216	222	0	1	04	01	H5216_222_0	3	001	MyOption Total Dental PPO	35.10	1	2000.00	3	2	2				16a;16b;
H5232	001	0	1	04	01	H5232_001_0	6	001	OPTIONAL DENTAL COMPREHENSIVE PACKAGE	27.60	1	1000.00	3	2	1	25.00	16b;	16a;16b;	
H5253	011	0	1	02	01	H5253_011_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H5253	030	0	1	02	01	H5253_030_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H5253	034	0	1	02	01	H5253_034_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H5253	035	0	1	02	01	H5253_035_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H5253	036	0	1	01	01	H5253_036_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H5253	052	0	1	01	01	H5253_052_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H5253	072	0	1	02	01	H5253_072_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H5253	073	0	1	02	01	H5253_073_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H5253	077	0	1	02	01	H5253_077_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H5253	079	0	1	02	01	H5253_079_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H5253	080	0	1	02	01	H5253_080_0	4	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H5253	081	0	1	01	01	H5253_081_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H5253	083	0	1	01	01	H5253_083_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H5253	091	0	1	01	01	H5253_091_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H5253	097	0	1	01	01	H5253_097_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H5253	099	0	1	01	01	H5253_099_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H5253	103	0	1	01	01	H5253_103_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H5253	104	0	1	02	01	H5253_104_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H5253	105	0	1	01	01	H5253_105_0	7	001	Dental Platinum Rider	43.00	1	1000.00	3	2	2				16a;16b;
H5253	106	2	1	02	01	H5253_106_2	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H5253	107	2	1	02	01	H5253_107_2	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H5253	108	1	1	02	01	H5253_108_1	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H5253	110	0	1	01	01	H5253_110_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H5253	111	1	1	01	01	H5253_111_1	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H5256	004	0	1	18	06	H5256_004_0	5	001	Out of Network Benefit	30.00	2			2	2				13d;
H5273	002	0	1	01	01	H5273_002_0	5	001	CarePartners of Connecticut Dental Option	16.00	1	1000.00	3	2	2				16b;
H5273	003	0	1	01	01	H5273_003_0	5	001	CarePartners of Connecticut Dental Option	16.00	1	1000.00	3	2	2				16b;
H5322	024	0	1	01	01	H5322_024_0	6	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H5377	001	0	1	01	01	H5377_001_0	2	001	MyOption Dental High PPO	20.20	1	2000.00	3	2	2			16a;16b;	
H5386	003	0	1	01	01	H5386_003_0	5	001	Delta Dental Advantage for Sharp Health Plan	12.00	2			2	2			16a;16b;	
H5398	001	0	1	01	01	H5398_001_0	4	001	Dental Option	8.40	2			2	2			16b;	
H5398	001	0	1	01	01	H5398_001_0	4	002	Dental & Eyewear Option	15.40	2			2	2			16b;17a;17b;	
H5422	008	0	1	01	01	H5422_008_0	6	001	Preventive Dental Package	14.00	2			2	2				16a;
H5422	008	0	1	01	01	H5422_008_0	6	002	Dental and Vision Package	24.00	2			2	2				16a;16b;17b;
H5422	008	0	1	01	01	H5422_008_0	6	003	Enhanced Dental and Vision Package	47.00	2			2	2				16a;16b;17b;
H5422	011	0	1	01	01	H5422_011_0	7	001	Preventive Dental Package	14.00	2			2	2				16a;
H5422	011	0	1	01	01	H5422_011_0	7	002	Dental and Vision Package	24.00	2			2	2				16a;16b;17b;
H5422	011	0	1	01	01	H5422_011_0	7	003	Enhanced Dental and Vision Package	47.00	2			2	2				16a;16b;17b;
H5425	001	0	1	01	01	H5425_001_0	7	001	Essential Dental	10.00	2			2	2				16b;
H5425	004	0	1	01	01	H5425_004_0	8	001	Essential Dental	10.00	2			2	2				16b;
H5425	005	0	1	01	01	H5425_005_0	7	001	Basic Dental	6.00	2			2	2				16a;16b;
H5425	005	0	1	01	01	H5425_005_0	7	002	Enhanced Dental	16.00	2			2	2				16a;16b;
H5425	006	0	1	01	01	H5425_006_0	9	001	Essential Dental	10.00	2			2	2				16b;
H5425	007	0	1	01	01	H5425_007_0	7	001	Essential Dental	10.00	2			2	2				16b;
H5425	008	0	1	01	01	H5425_008_0	7	001	Essential Dental	10.00	2			2	2				16b;
H5425	009	0	1	01	01	H5425_009_0	7	001	Essential Dental	10.00	2			2	2				16b;
H5425	019	0	1	01	01	H5425_019_0	7	001	Basic Dental	6.00	2			2	2				16a;16b;
H5425	019	0	1	01	01	H5425_019_0	7	002	Enhanced Dental	16.00	2			2	2				16a;16b;
H5425	020	0	1	01	01	H5425_020_0	7	001	Basic Dental	6.00	2			2	2				16a;16b;
H5425	020	0	1	01	01	H5425_020_0	7	002	Enhanced Dental	16.00	2			2	2				16a;16b;
H5425	028	0	1	01	01	H5425_028_0	8	001	Essential Dental	10.00	2			2	2				16b;
H5425	033	0	1	01	01	H5425_033_0	8	001	Essential Dental	10.00	2			2	2				16b;
H5425	034	0	1	01	01	H5425_034_0	7	001	Essential Dental	10.00	2			2	2				16b;
H5425	052	0	1	01	01	H5425_052_0	7	001	Basic Dental	6.00	2			2	2				16a;16b;
H5425	052	0	1	01	01	H5425_052_0	7	002	Enhanced Dental	16.00	2			2	2				16a;16b;
H5425	053	0	1	01	01	H5425_053_0	7	001	Basic Dental	6.00	2			2	2				16a;16b;
H5425	053	0	1	01	01	H5425_053_0	7	002	Enhanced Dental	16.00	2			2	2				16a;16b;
H5425	054	0	1	01	01	H5425_054_0	7	001	Basic Dental	6.00	2			2	2				16a;16b;
H5425	054	0	1	01	01	H5425_054_0	7	002	Enhanced Dental	16.00	2			2	2				16a;16b;
H5425	055	0	1	01	01	H5425_055_0	7	001	Basic Dental	6.00	2			2	2				16a;16b;
H5425	055	0	1	01	01	H5425_055_0	7	002	Enhanced Dental	16.00	2			2	2				16a;16b;
H5425	064	0	1	01	01	H5425_064_0	7	001	Basic Dental	6.00	2			2	2				16a;16b;
H5425	064	0	1	01	01	H5425_064_0	7	002	Enhanced Dental	16.00	2			2	2				16a;16b;
H5425	073	0	1	01	01	H5425_073_0	8	001	Basic Dental	6.00	2			2	2				16a;16b;
H5425	073	0	1	01	01	H5425_073_0	8	002	Enhanced Dental	16.00	2			2	2				16a;16b;
H5425	074	0	1	01	01	H5425_074_0	8	001	Essential Dental	10.00	2			2	2				16b;
H5439	010	0	1	04	01	H5439_010_0	3	001	HealthNet Complete Dental	39.00	2			2	2			16a;16b;	
H5439	010	0	1	04	01	H5439_010_0	3	002	HealthNet Basic Dental	19.00	1	500.00	3	2	1	35.00	16a;		16a;
H5439	011	0	1	04	01	H5439_011_0	5	001	HealthNet Complete Dental	39.00	2			2	2			16a;16b;	
H5439	011	0	1	04	01	H5439_011_0	5	002	HealthNet Basic Dental	19.00	2			2	1	35.00	16a;		16a;
H5439	013	0	1	04	01	H5439_013_0	5	001	HealthNet Complete Dental	39.00	2			2	2			16a;16b;	
H5439	013	0	1	04	01	H5439_013_0	5	002	HealthNet Basic Dental	19.00	2			2	1	35.00	16a;		16a;
H5439	014	1	1	04	01	H5439_014_1	5	001	HealthNet Complete Dental	39.00	2			2	2			16a;16b;	
H5439	014	1	1	04	01	H5439_014_1	5	002	HealthNet Basic Dental	19.00	2			2	1	35.00	16a;		16a;
H5439	014	2	1	04	01	H5439_014_2	5	001	HealthNet Complete Dental	39.00	2			2	2			16a;16b;	
H5439	014	2	1	04	01	H5439_014_2	5	002	HealthNet Basic Dental	19.00	2			2	1	35.00	16a;		16a;
H5439	014	3	1	04	01	H5439_014_3	5	001	HealthNet Complete Dental	39.00	2			2	2			16a;16b;	
H5439	014	3	1	04	01	H5439_014_3	5	002	HealthNet Basic Dental	19.00	2			2	1	35.00	16a;		16a;
H5439	014	4	1	04	01	H5439_014_4	5	001	HealthNet Wellbeing	43.00	2			2	2			16a;16b;17a;17b;	
H5439	014	4	1	04	01	H5439_014_4	5	002	HealthNet Basic Dental	19.00	2			2	1	35.00	16a;		16a;
H5439	015	0	1	04	01	H5439_015_0	5	001	HealthNet Complete Dental	39.00	2			2	2			16a;16b;	
H5439	015	0	1	04	01	H5439_015_0	5	002	HealthNet Basic Dental	19.00	2			2	1	35.00	16a;		16a;
H5439	016	1	1	04	01	H5439_016_1	5	001	HealthNet Complete Dental	39.00	2			2	2			16a;16b;	
H5439	016	1	1	04	01	H5439_016_1	5	002	HealthNet Basic Dental	19.00	2			1	1	35.00	16a;		16a;
H5439	016	2	1	04	01	H5439_016_2	5	001	HealthNet Complete Dental	39.00	2			2	2			16a;16b;	
H5439	016	2	1	04	01	H5439_016_2	5	002	HealthNet Basic Dental	19.00	2			2	1	35.00	16a;		16a;
H5439	017	0	1	04	01	H5439_017_0	5	001	HealthNet Complete Dental	39.00	2			2	2			16a;16b;	
H5439	017	0	1	04	01	H5439_017_0	5	002	HealthNet Basic Dental	19.00	2			2	1	35.00	16a;		16a;
H5521	053	0	1	04	01	H5521_053_0	3	001	Basic Dental Package	14.00	1	1000.00	3	2	2			16a;16b;	
H5521	056	0	1	04	01	H5521_056_0	3	001	Basic Dental Package	15.00	1	1000.00	3	2	2			16a;16b;	
H5521	076	0	1	04	01	H5521_076_0	4	001	Deluxe Dental Package	30.00	1	2000.00	3	2	1	50.00	16b;	16a;16b;	
H5521	076	0	1	04	01	H5521_076_0	4	002	Deluxe Dental, Hearing and Vision Package	43.00	1	3200.00	3	2	1	50.00	16b;	16a;16b;17b;18b;	
H5521	085	0	1	04	01	H5521_085_0	4	001	Major Dental Package	19.00	1	1000.00	3	2	1	50.00	16b;	16a;16b;	
H5521	085	0	1	04	01	H5521_085_0	4	002	Major Dental and Vision Package	24.00	1	1125.00	3	2	1	50.00	16b;	16a;16b;17b;	
H5521	087	0	1	04	01	H5521_087_0	4	001	Major Dental Package	26.00	1	1000.00	3	2	1	50.00	16b;	16a;16b;	
H5521	087	0	1	04	01	H5521_087_0	4	002	Major Dental and Vision Package	31.00	1	1125.00	3	2	1	50.00	16b;	16a;16b;17b;	
H5521	089	0	1	04	01	H5521_089_0	4	001	Major Dental Package	26.00	1	1000.00	3	2	1	50.00	16b;	16a;16b;	
H5521	089	0	1	04	01	H5521_089_0	4	002	Major Dental and Vision Package	31.00	1	1125.00	3	2	1	50.00	16b;	16a;16b;17b;	
H5521	090	0	1	04	01	H5521_090_0	4	001	Basic Dental Package	8.00	1	1000.00	3	2	2			16a;16b;	
H5521	090	0	1	04	01	H5521_090_0	4	002	Basic Dental and Vision Package	15.00	1	1200.00	3	2	2			16a;16b;17b;	
H5521	118	0	1	04	01	H5521_118_0	4	001	Deluxe Dental Package	30.00	1	2000.00	3	2	1	50.00	16b;	16a;16b;	
H5521	118	0	1	04	01	H5521_118_0	4	002	Deluxe Dental, Hearing and Vision Package	43.00	1	3200.00	3	2	1	50.00	16b;	16a;16b;17b;18b;	
H5521	120	0	1	04	01	H5521_120_0	4	001	Deluxe Dental Package	51.00	1	2000.00	3	2	1	50.00	16b;	16a;16b;	
H5521	120	0	1	04	01	H5521_120_0	4	002	Deluxe Dental, Hearing and Vision Package	64.00	1	3200.00	3	2	1	50.00	16b;	16a;16b;17b;18b;	
H5521	121	0	1	04	01	H5521_121_0	4	001	Deluxe Dental Package	48.00	1	2000.00	3	2	1	50.00	16b;	16a;16b;	
H5521	121	0	1	04	01	H5521_121_0	4	002	Deluxe Dental, Hearing and Vision Package	61.00	1	3200.00	3	2	1	50.00	16b;	16a;16b;17b;18b;	
H5521	125	0	1	04	01	H5521_125_0	3	001	Basic Dental Package	16.00	1	1000.00	3	2	2			16a;16b;	
H5521	205	0	1	04	01	H5521_205_0	3	001	Basic Dental Package	13.00	1	1000.00	3	2	2			16a;16b;	
H5521	206	0	1	04	01	H5521_206_0	3	001	Basic Dental Package	13.00	1	1000.00	3	2	2			16a;16b;	
H5521	267	0	1	04	01	H5521_267_0	4	001	Major Dental Package	19.00	1	1000.00	3	2	1	50.00	16b;	16a;16b;	
H5525	004	0	1	04	01	H5525_004_0	3	001	MyOption Vision	15.30	2			2	2				17a;17b;
H5525	004	0	1	04	01	H5525_004_0	3	002	MyOption Dental Enriched PPO	22.90	1	2000.00	3	2	2				16a;16b;
H5525	005	0	1	04	01	H5525_005_0	4	001	MyOption Enhanced Dental PPO	20.30	1	2000.00	3	2	2				16a;16b;
H5525	005	0	1	04	01	H5525_005_0	4	002	MyOption Total Dental PPO	24.70	1	2000.00	3	2	2				16a;16b;
H5525	006	0	1	04	01	H5525_006_0	4	001	MyOption Enhanced Dental PPO	20.30	1	2000.00	3	2	2				16a;16b;
H5525	006	0	1	04	01	H5525_006_0	4	002	MyOption Total Dental PPO	24.70	1	2000.00	3	2	2				16a;16b;
H5525	007	0	1	04	01	H5525_007_0	5	001	MyOption Enhanced Dental PPO	20.30	1	2000.00	3	2	2				16a;16b;
H5525	007	0	1	04	01	H5525_007_0	5	002	MyOption Total Dental PPO	24.70	1	2000.00	3	2	2				16a;16b;
H5525	008	0	1	04	01	H5525_008_0	3	001	MyOption Enhanced Dental PPO	22.60	1	2000.00	3	2	2				16a;16b;
H5525	008	0	1	04	01	H5525_008_0	3	002	MyOption Total Dental PPO	28.10	1	2000.00	3	2	2				16a;16b;
H5525	022	0	1	04	01	H5525_022_0	3	001	MyOption Dental High PPO	18.00	1	2000.00	3	2	2			16a;16b;	
H5525	022	0	1	04	01	H5525_022_0	3	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5525	022	0	1	04	01	H5525_022_0	3	003	MyOption Platinum Dental	25.10	1	2000.00	3	2	2				16a;16b;
H5525	023	0	1	04	01	H5525_023_0	3	001	MyOption Enhanced Dental PPO	20.80	1	2000.00	3	2	2				16a;16b;
H5525	023	0	1	04	01	H5525_023_0	3	002	MyOption Total Dental PPO	24.70	1	2000.00	3	2	2				16a;16b;
H5525	024	0	1	04	01	H5525_024_0	3	001	MyOption Dental High PPO	15.70	1	2000.00	3	2	2			16a;16b;	
H5525	024	0	1	04	01	H5525_024_0	3	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5525	024	0	1	04	01	H5525_024_0	3	003	MyOption Plus	20.80	2			2	1	50.00	16b;		16a;16b;17a;17b;
H5525	025	0	1	04	01	H5525_025_0	3	001	MyOption Platinum Dental	23.60	1	2000.00	3	2	2			16a;16b;	
H5525	026	0	1	04	01	H5525_026_0	3	001	MyOption Dental High PPO	20.30	1	2000.00	3	2	2			16a;16b;	
H5525	026	0	1	04	01	H5525_026_0	3	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5525	026	0	1	04	01	H5525_026_0	3	003	MyOption Plus	22.30	2			2	1	50.00	16b;		16a;16b;17a;17b;
H5525	027	0	1	04	01	H5525_027_0	4	001	MyOption Dental High PPO	19.80	1	2000.00	3	2	2			16a;16b;	
H5525	027	0	1	04	01	H5525_027_0	4	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5525	027	0	1	04	01	H5525_027_0	4	003	MyOption Plus	22.50	2			2	1	50.00	16b;		16a;16b;17a;17b;
H5525	030	0	1	04	01	H5525_030_0	3	001	MyOption Enhanced Dental PPO	21.70	1	2000.00	3	2	2				16a;16b;
H5525	030	0	1	04	01	H5525_030_0	3	002	MyOption Total Dental PPO	27.80	1	2000.00	3	2	2				16a;16b;
H5525	031	0	1	04	01	H5525_031_0	2	001	MyOption Enhanced Dental Plus PPO	34.70	1	2000.00	3	2	2				16a;16b;
H5525	035	0	1	04	01	H5525_035_0	3	001	MyOption Dental High PPO	20.30	1	2000.00	3	2	2			16a;16b;	
H5525	035	0	1	04	01	H5525_035_0	3	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5525	035	0	1	04	01	H5525_035_0	3	003	MyOption Plus	22.30	2			2	1	50.00	16b;		16a;16b;17a;17b;
H5525	038	0	1	04	01	H5525_038_0	4	001	MyOption Enhanced Dental PPO	20.30	1	2000.00	3	2	2				16a;16b;
H5525	038	0	1	04	01	H5525_038_0	4	002	MyOption Total Dental PPO	24.70	1	2000.00	3	2	2				16a;16b;
H5525	042	0	1	04	01	H5525_042_0	5	001	MyOption Dental High PPO	18.60	1	2000.00	3	2	2			16a;16b;	
H5525	042	0	1	04	01	H5525_042_0	5	002	MyOption Fitness	15.00	2			2	2			14c;	
H5525	042	0	1	04	01	H5525_042_0	5	003	MyOption Platinum Dental	26.70	1	2000.00	3	2	2				16a;16b;
H5525	044	0	1	04	01	H5525_044_0	3	001	MyOption Enhanced Dental PPO	20.70	1	2000.00	3	2	2				16a;16b;
H5525	044	0	1	04	01	H5525_044_0	3	002	MyOption Total Dental PPO	25.90	1	2000.00	3	2	2				16a;16b;
H5525	047	0	1	04	01	H5525_047_0	5	001	MyOption Enhanced Dental PPO	20.30	1	2000.00	3	2	2				16a;16b;
H5525	047	0	1	04	01	H5525_047_0	5	002	MyOption Total Dental PPO	24.70	1	2000.00	3	2	2				16a;16b;
H5526	004	0	1	04	01	H5526_004_0	5	001	Optional Supplemental Dental Basic	11.00	1	500.00	3	2	2				16b;
H5526	004	0	1	04	01	H5526_004_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	6	001	Optional Supplemental Dental Basic	11.00	1	500.00	3	2	2				16b;
H5526	016	0	1	04	01	H5526_016_0	6	002	Optional Supplemental Dental Enhanced	25.00	1	1000.00	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;
H5590	005	0	1	01	01	H5590_005_0	4	001	Allwell Enhanced Dental	24.00	2			2	2			16a;16b;	
H5590	007	0	1	01	01	H5590_007_0	4	001	Allwell Wellbeing	22.00	2			2	2			16a;16b;17a;17b;	
H5590	007	0	1	01	01	H5590_007_0	4	002	Allwell Enhanced Dental	24.00	2			2	2				16a;16b;
H5613	002	0		07	02	H5613_002_0	6	001	Optional Supplemental Rider	28.00	2				2				14c;16a;17a;17b;18a;18b;
H5613	801	0		07	02	H5613_801_0	3	001	Optional Supplemental Rider		2				2				14c;16a;17a;17b;18a;18b;
H5613	802	0		07	02	H5613_802_0	3	001	Optional Supplemental Rider		2				2				14c;16a;17a;17b;18a;18b;
H5619	001	0	1	01	01	H5619_001_0	4	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H5619	001	0	1	01	01	H5619_001_0	4	002	MyOption Platinum Dental	30.50	1	2000.00	3	2	2			16a;16b;	
H5619	012	0	1	01	01	H5619_012_0	3	001	MyOption Dental High PPO	25.70	1	2000.00	3	2	2			16a;16b;	
H5619	012	0	1	01	01	H5619_012_0	3	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5619	012	0	1	01	01	H5619_012_0	3	003	MyOption Plus	25.40	2			2	1	50.00	16b;		16a;16b;17a;17b;
H5619	013	0	1	01	01	H5619_013_0	3	001	MyOption Dental High PPO	25.70	1	2000.00	3	2	2			16a;16b;	
H5619	013	0	1	01	01	H5619_013_0	3	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5619	013	0	1	01	01	H5619_013_0	3	003	MyOption Plus	25.40	2			2	1	50.00	16b;		16a;16b;17a;17b;
H5619	015	0	1	01	01	H5619_015_0	4	001	MyOption Dental High PPO	25.70	1	2000.00	3	2	2			16a;16b;	
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	25.40	2			2	1	50.00	16b;		16a;16b;17a;17b;
H5619	023	0	1	01	01	H5619_023_0	3	001	MyOption Dental Enriched HMO	30.20	1	2000.00	3	2	2				16a;16b;
H5619	026	0	1	01	01	H5619_026_0	3	001	MyOption Dental High PPO	25.70	1	2000.00	3	2	2			16a;16b;	
H5619	029	0	1	01	01	H5619_029_0	3	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H5619	029	0	1	01	01	H5619_029_0	3	002	MyOption Plus	25.40	2			2	1	50.00	16b;	16a;16b;	17a;17b;
H5619	029	0	1	01	01	H5619_029_0	3	003	MyOption Platinum Dental	35.70	1	2000.00	3	2	2				16a;16b;
H5619	032	0	1	01	01	H5619_032_0	3	001	MyOption Enhanced Dental HMO	30.20	1	2000.00	3	2	2				16a;16b;
H5619	032	0	1	01	01	H5619_032_0	3	002	MyOption Total Dental HMO	37.50	1	2000.00	3	2	2				16a;16b;
H5619	039	1	1	01	01	H5619_039_1	2	001	MyOption Dental High PPO	25.70	1	2000.00	3	2	2			16a;16b;	
H5619	039	1	1	01	01	H5619_039_1	2	002	MyOption Platinum Dental	35.70	1	2000.00	3	2	2				16a;16b;
H5619	039	2	1	01	01	H5619_039_2	2	001	MyOption Enhanced Dental HMO	30.20	1	2000.00	3	2	2				16a;16b;
H5619	039	2	1	01	01	H5619_039_2	2	002	MyOption Total Dental HMO	37.50	1	2000.00	3	2	2				16a;16b;
H5619	040	1	1	01	01	H5619_040_1	4	001	MyOption Platinum Dental	37.50	1	2000.00	3	2	2			16a;16b;	
H5619	040	2	1	01	01	H5619_040_2	4	001	MyOption Platinum Dental	37.50	1	2000.00	3	2	2			16a;16b;	
H5619	040	3	1	01	01	H5619_040_3	4	001	MyOption Platinum Dental	30.50	1	2000.00	3	2	2			16a;16b;	
H5619	041	0	1	01	01	H5619_041_0	4	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H5619	041	0	1	01	01	H5619_041_0	4	002	MyOption Plus	22.60	2			2	1	50.00	16b;	16a;16b;	17a;17b;
H5619	041	0	1	01	01	H5619_041_0	4	003	MyOption Platinum Dental	27.00	1	2000.00	3	2	2				16a;16b;
H5619	042	1	1	01	01	H5619_042_1	4	001	MyOption Dental High PPO	20.20	1	2000.00	3	2	2			16a;16b;	
H5619	042	2	1	01	01	H5619_042_2	4	001	MyOption Dental High PPO	20.20	1	2000.00	3	2	2			16a;16b;	
H5619	044	0	1	01	01	H5619_044_0	5	001	MyOption Platinum Dental	27.00	1	2000.00	3	2	2			16a;16b;	
H5619	045	0	1	01	01	H5619_045_0	4	001	MyOption Enhanced Dental HMO	23.40	1	2000.00	3	2	2				16a;16b;
H5619	046	0	1	01	01	H5619_046_0	4	001	MyOption Enhanced Dental HMO	23.40	1	2000.00	3	2	2				16a;16b;
H5619	046	0	1	01	01	H5619_046_0	4	002	MyOption Total Dental HMO	28.00	1	2000.00	3	2	2				16a;16b;
H5619	047	0	1	01	01	H5619_047_0	5	001	MyOption Enhanced Dental HMO	23.40	1	2000.00	3	2	2				16a;16b;
H5619	047	0	1	01	01	H5619_047_0	5	002	MyOption Total Dental HMO	28.00	1	2000.00	3	2	2				16a;16b;
H5619	049	0	1	01	01	H5619_049_0	4	001	MyOption Dental Enriched HMO	22.60	1	2000.00	3	2	2				16a;16b;
H5619	049	0	1	01	01	H5619_049_0	4	002	MyOption Total Dental HMO	28.10	1	2000.00	3	2	2				16a;16b;
H5619	050	0	1	01	01	H5619_050_0	3	001	MyOption Dental Enriched HMO	22.60	1	2000.00	3	2	2				16a;16b;
H5619	050	0	1	01	01	H5619_050_0	3	002	MyOption Total Dental HMO	28.10	1	2000.00	3	2	2				16a;16b;
H5619	051	0	1	01	01	H5619_051_0	3	001	MyOption Dental Enriched HMO	22.60	1	2000.00	3	2	2				16a;16b;
H5619	051	0	1	01	01	H5619_051_0	3	002	MyOption Total Dental HMO	28.10	1	2000.00	3	2	2				16a;16b;
H5619	052	0	1	01	01	H5619_052_0	3	001	MyOption Dental Enriched HMO	22.60	1	2000.00	3	2	2				16a;16b;
H5619	052	0	1	01	01	H5619_052_0	3	002	MyOption Total Dental HMO	28.10	1	2000.00	3	2	2				16a;16b;
H5619	053	0	1	01	01	H5619_053_0	3	001	MyOption Dental Enriched HMO	22.60	1	2000.00	3	2	2				16a;16b;
H5619	053	0	1	01	01	H5619_053_0	3	002	MyOption Total Dental HMO	28.10	1	2000.00	3	2	2				16a;16b;
H5619	055	0	1	01	01	H5619_055_0	3	001	MyOption Enhanced Dental Plus HMO	30.70	1	2000.00	3	2	2				16a;16b;
H5619	055	0	1	01	01	H5619_055_0	3	002	MyOption Total Dental Plus HMO	38.10	1	2000.00	3	2	2				16a;16b;
H5619	056	0	1	01	01	H5619_056_0	5	001	MyOption Dental High PPO	37.90	1	2000.00	3	2	2			16a;16b;	
H5619	057	0	1	01	01	H5619_057_0	5	001	MyOption Dental High PPO	37.90	1	2000.00	3	2	2			16a;16b;	
H5619	059	0	1	01	01	H5619_059_0	7	001	MyOption Enhanced Dental HMO	44.50	1	2000.00	3	2	2				16a;16b;
H5619	060	0	1	01	01	H5619_060_0	5	001	MyOption Dental High PPO	37.90	1	2000.00	3	2	2			16a;16b;	
H5619	060	0	1	01	01	H5619_060_0	5	002	MyOption Vision	15.30	2			2	2				17a;17b;
H5619	061	0	1	01	01	H5619_061_0	6	001	MyOption Enhanced Dental HMO	44.50	1	2000.00	3	2	2				16a;16b;
H5619	062	0	1	01	01	H5619_062_0	5	001	MyOption Enhanced Dental HMO	44.50	1	2000.00	3	2	2				16a;16b;
H5619	063	0	1	01	01	H5619_063_0	7	001	MyOption Platinum Dental	48.60	1	2000.00	3	2	2			16a;16b;	
H5619	064	0	1	01	01	H5619_064_0	3	001	MyOption Platinum Dental	48.60	1	2000.00	3	2	2			16a;16b;	
H5619	065	0	1	01	01	H5619_065_0	2	001	MyOption Fitness	15.00	2			2	2			14c;	
H5619	066	0	1	01	01	H5619_066_0	3	001	MyOption Fitness	15.00	2			2	2			14c;	
H5619	066	0	1	01	01	H5619_066_0	3	002	MyOption Platinum Dental	30.50	1	2000.00	3	2	2			16a;16b;	
H5619	069	0	1	01	01	H5619_069_0	2	001	MyOption Enhanced Dental HMO	22.40	1	2000.00	3	2	2				16a;16b;
H5619	069	0	1	01	01	H5619_069_0	2	002	MyOption Total Dental HMO	28.50	1	2000.00	3	2	2				16a;16b;
H5619	073	0	1	01	01	H5619_073_0	7	001	MyOption Enhanced Dental Plus HMO	30.70	1	2000.00	3	2	2				16a;16b;
H5619	073	0	1	01	01	H5619_073_0	7	002	MyOption Total Dental Plus HMO	38.10	1	2000.00	3	2	2				16a;16b;
H5619	077	0	1	01	01	H5619_077_0	3	001	MyOption Enhanced Dental HMO	29.80	1	2000.00	3	2	2				16a;16b;
H5619	079	0	1	01	01	H5619_079_0	3	001	MyOption Platinum Dental	33.90	1	2000.00	3	2	2			16a;16b;	
H5619	081	0	1	01	01	H5619_081_0	3	001	MyOption Dental High PPO	16.40	1	2000.00	3	2	2			16a;16b;	
H5619	081	0	1	01	01	H5619_081_0	3	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H5619	081	0	1	01	01	H5619_081_0	3	003	MyOption Plus	20.10	2			2	1	50.00	16b;		16a;16b;17a;17b;
H5619	083	0	1	01	01	H5619_083_0	3	001	MyOption Enhanced Dental HMO	19.90	1	2000.00	3	2	2				16a;16b;
H5619	084	0	1	01	01	H5619_084_0	3	001	MyOption Dental High PPO	16.40	1	2000.00	3	2	2			16a;16b;	
H5619	094	0	1	01	01	H5619_094_0	3	001	MyOption Total Dental HMO	18.80	1	2000.00	3	2	2				16a;16b;
H5619	095	0	1	01	01	H5619_095_0	3	001	MyOption Dental High PPO	20.20	1	2000.00	3	2	2			16a;16b;	
H5619	097	0	1	01	01	H5619_097_0	4	001	MyOption Enhanced Dental HMO	44.50	1	2000.00	3	2	2				16a;16b;
H5619	099	0	1	01	01	H5619_099_0	3	001	MyOption Platinum Dental	48.60	1	2000.00	3	2	2			16a;16b;	
H5619	100	0	1	01	01	H5619_100_0	4	001	MyOption Platinum Dental	48.60	1	2000.00	3	2	2			16a;16b;	
H5619	101	0	1	01	01	H5619_101_0	4	001	MyOption Enhanced Dental HMO	44.50	1	2000.00	3	2	2				16a;16b;
H5619	102	0	1	01	01	H5619_102_0	4	001	MyOption Enhanced Dental HMO	44.50	1	2000.00	3	2	2				16a;16b;
H5619	111	0	1	01	01	H5619_111_0	3	001	MyOption Enhanced Dental HMO	22.40	1	2000.00	3	2	2				16a;16b;
H5619	111	0	1	01	01	H5619_111_0	3	002	MyOption Total Dental HMO	28.50	1	2000.00	3	2	2				16a;16b;
H5619	114	0	1	01	01	H5619_114_0	5	001	MyOption Dental High PPO	37.90	1	2000.00	3	2	2			16a;16b;	
H5619	115	0	1	01	01	H5619_115_0	5	001	MyOption Enhanced Dental HMO	44.50	1	2000.00	3	2	2				16a;16b;
H5619	116	0	1	01	01	H5619_116_0	2	001	MyOption Enhanced Dental HMO	30.20	1	2000.00	3	2	2				16a;16b;
H5619	116	0	1	01	01	H5619_116_0	2	002	MyOption Total Dental HMO	37.50	1	2000.00	3	2	2				16a;16b;
H5619	119	0	1	01	01	H5619_119_0	3	001	MyOption Enhanced Dental HMO	30.20	1	2000.00	3	2	2				16a;16b;
H5619	119	0	1	01	01	H5619_119_0	3	002	MyOption Total Dental HMO	37.50	1	2000.00	3	2	2				16a;16b;
H5619	120	0	1	01	01	H5619_120_0	1	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H5619	121	0	1	01	01	H5619_121_0	1	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H5619	122	0	1	01	01	H5619_122_0	2	001	MyOption Enhanced Dental HMO	22.40	1	2000.00	3	2	2				16a;16b;
H5619	122	0	1	01	01	H5619_122_0	2	002	MyOption Total Dental HMO	28.50	1	2000.00	3	2	2				16a;16b;
H5619	124	0	1	01	01	H5619_124_0	3	001	MyOption Enhanced Dental Plus HMO	30.70	1	2000.00	3	2	2				16a;16b;
H5619	124	0	1	01	01	H5619_124_0	3	002	MyOption Total Dental Plus HMO	38.10	1	2000.00	3	2	2				16a;16b;
H5619	125	0	1	01	01	H5619_125_0	3	001	MyOption Enhanced Dental Plus HMO	30.70	1	2000.00	3	2	2				16a;16b;
H5619	125	0	1	01	01	H5619_125_0	3	002	MyOption Total Dental Plus HMO	38.10	1	2000.00	3	2	2				16a;16b;
H5619	128	0	1	01	01	H5619_128_0	3	001	MyOption Total Dental HMO	25.90	1	2000.00	3	2	2				16a;16b;
H5619	129	0	1	01	01	H5619_129_0	4	001	MyOption Dental High PPO	37.90	1	2000.00	3	2	2			16a;16b;	
H5644	002	0	1	01	01	H5644_002_0	8	001	Dental	37.00	1	1000.00	3	2	1	100.00	16b;		16a;16b;
H5746	018	0	1	01	01	H5746_018_0	10	001	Preventive Dental Package	9.00	2			2	2				16a;
H5746	018	0	1	01	01	H5746_018_0	10	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H5746	018	0	1	01	01	H5746_018_0	10	003	Enhanced Dental and Vision Package	38.00	2			2	2				16a;16b;17b;
H5841	001	0	1	04	01	H5841_001_0	6	001	Comprehensive Dental 002	26.00	1	1500.00	3	2	2			16b;	
H5841	001	0	1	04	01	H5841_001_0	6	002	Comprehensive Vision 002	4.00	1	130.00	2	2	2			17b;	
H5841	003	0	1	04	01	H5841_003_0	6	001	Comprehensive Dental 004	24.00	2			2	2			16b;	
H5841	005	0	1	04	01	H5841_005_0	6	001	Comprehensive Dental 002	21.00	1	1500.00	3	2	2			16b;	
H5841	007	0	1	04	01	H5841_007_0	6	001	Comprehensive Dental 002	26.00	1	1500.00	3	2	2			16b;	
H5841	007	0	1	04	01	H5841_007_0	6	002	Comprehensive Vision 002	4.00	1	130.00	2	2	2			17b;	
H5841	008	0	1	04	01	H5841_008_0	6	001	Comprehensive Dental 004	24.00	2			2	2			16b;	
H5841	008	0	1	04	01	H5841_008_0	6	002	Comprehensive Vision 002	4.00	1	130.00	2	2	2			17b;	
H5854	007	0	1	01	01	H5854_007_0	9	001	Preventive Dental Package	16.00	2			2	2				16a;
H5854	007	0	1	01	01	H5854_007_0	9	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H5854	007	0	1	01	01	H5854_007_0	9	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H5854	009	0	1	01	01	H5854_009_0	8	001	Preventive Dental Package	16.00	2			2	2				16a;
H5854	009	0	1	01	01	H5854_009_0	8	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H5854	009	0	1	01	01	H5854_009_0	8	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H5854	010	0	1	01	01	H5854_010_0	8	001	Preventive Dental Package	16.00	2			2	2				16a;
H5854	010	0	1	01	01	H5854_010_0	8	002	Dental and Vision Package	28.00	2			2	2				16a;16b;17b;
H5854	010	0	1	01	01	H5854_010_0	8	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H5883	001	1	1	02	01	H5883_001_1	5	001	Supplemental Dental, Vision, Hearing Package 1	21.40	1	3000.00	6	2	2			16a;16b;17b;18a;18b;	
H5883	001	1	1	02	01	H5883_001_1	5	002	Supplemental Dental, Vision, Hearing Package 2	32.40	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	001	2	1	02	01	H5883_001_2	5	001	Supplemental Dental, Vision, Hearing Package 1	21.40	1	3000.00	6	2	2			16a;16b;17b;18a;18b;	
H5883	001	2	1	02	01	H5883_001_2	5	002	Supplemental Dental, Vision, Hearing Package 2	32.40	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	001	3	1	02	01	H5883_001_3	5	001	Supplemental Dental, Vision, Hearing Package 1	21.40	1	3000.00	6	2	2			16a;16b;17b;18a;18b;	
H5883	001	3	1	02	01	H5883_001_3	5	002	Supplemental Dental, Vision, Hearing Package 2	32.40	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	001	4	1	02	01	H5883_001_4	5	001	Supplemental Dental, Vision, Hearing Package 1	21.40	1	3000.00	6	2	2			16a;16b;17b;18a;18b;	
H5883	001	4	1	02	01	H5883_001_4	5	002	Supplemental Dental, Vision, Hearing Package 2	32.40	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	001	5	1	02	01	H5883_001_5	5	001	Supplemental Dental, Vision, Hearing Package 1	21.40	1	3000.00	6	2	2			16a;16b;17b;18a;18b;	
H5883	001	5	1	02	01	H5883_001_5	5	002	Supplemental Dental, Vision, Hearing Package 2	32.40	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	002	1	1	02	01	H5883_002_1	9	001	Supplemental Dental, Vision, Hearing Package 1	21.40	1	3000.00	6	2	2			16a;16b;18a;18b;	17b;
H5883	002	1	1	02	01	H5883_002_1	9	002	Supplemental Dental, Vision, Hearing Package 2	32.40	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	002	2	1	02	01	H5883_002_2	9	001	Supplemental Dental, Vision, Hearing Package 1	21.40	1	3000.00	6	2	2			16a;16b;18a;18b;	17b;
H5883	002	2	1	02	01	H5883_002_2	9	002	Supplemental Dental, Vision, Hearing Package 2	32.40	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	002	3	1	02	01	H5883_002_3	9	001	Supplemental Dental, Vision, Hearing Package 1	21.40	1	3000.00	6	2	2			16a;16b;18a;18b;	17b;
H5883	002	3	1	02	01	H5883_002_3	9	002	Supplemental Dental, Vision, Hearing Package 2	32.40	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	002	4	1	02	01	H5883_002_4	9	001	Supplemental Dental, Vision, Hearing Package 1	21.40	1	3000.00	6	2	2			16a;16b;18a;18b;	17b;
H5883	002	4	1	02	01	H5883_002_4	9	002	Supplemental Dental, Vision, Hearing Package 2	32.40	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	002	7	1	02	01	H5883_002_7	9	001	Supplemental Dental, Vision, Hearing Package 1	21.40	1	3000.00	6	2	2			16a;16b;18a;18b;	17b;
H5883	002	7	1	02	01	H5883_002_7	9	002	Supplemental Dental, Vision, Hearing Package 2	32.40	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	003	1	1	02	01	H5883_003_1	7	001	Supplemental Dental, Vision, Hearing Package 1	21.40	1	3000.00	6	2	2			16a;16b;18a;18b;	17b;
H5883	003	1	1	02	01	H5883_003_1	7	002	Supplemental Dental, Vision, Hearing Package 2	32.40	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	003	2	1	02	01	H5883_003_2	7	001	Supplemental Dental, Vision, Hearing Package 1	21.40	1	3000.00	6	2	2			16a;16b;18a;18b;	17b;
H5883	003	2	1	02	01	H5883_003_2	7	002	Supplemental Dental, Vision, Hearing Package 2	32.40	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	003	3	1	02	01	H5883_003_3	7	001	Supplemental Dental, Vision, Hearing Package 1	21.40	1	3000.00	6	2	2			16a;16b;18a;18b;	17b;
H5883	003	3	1	02	01	H5883_003_3	7	002	Supplemental Dental, Vision, Hearing Package 2	32.40	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	003	4	1	02	01	H5883_003_4	7	001	Supplemental Dental, Vision, Hearing Package 1	21.40	1	3000.00	6	2	2			16a;16b;18a;18b;	17b;
H5883	003	4	1	02	01	H5883_003_4	7	002	Supplemental Dental, Vision, Hearing Package 2	32.40	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	003	5	1	02	01	H5883_003_5	7	001	Supplemental Dental, Vision, Hearing Package 1	21.40	1	3000.00	6	2	2			16a;16b;18a;18b;	17b;
H5883	003	5	1	02	01	H5883_003_5	7	002	Supplemental Dental, Vision, Hearing Package 2	32.40	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	004	1	1	02	01	H5883_004_1	6	001	Supplemental Dental, Vision, Hearing Package 1	21.40	1	3000.00	6	2	2			16a;16b;17b;18a;18b;	
H5883	004	1	1	02	01	H5883_004_1	6	002	Supplemental Dental, Vision, Hearing Package 2	32.40	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	004	2	1	02	01	H5883_004_2	6	001	Supplemental Dental, Vision, Hearing Package 1	21.40	1	3000.00	6	2	2			16a;16b;17b;18a;18b;	
H5883	004	2	1	02	01	H5883_004_2	6	002	Supplemental Dental, Vision, Hearing Package 2	32.40	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	004	3	1	02	01	H5883_004_3	6	001	Supplemental Dental, Vision, Hearing Package 1	21.40	1	3000.00	6	2	2			16a;16b;17b;18a;18b;	
H5883	004	3	1	02	01	H5883_004_3	6	002	Supplemental Dental, Vision, Hearing Package 2	32.40	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	004	4	1	02	01	H5883_004_4	6	001	Supplemental Dental, Vision, Hearing Package 1	21.40	1	3000.00	6	2	2			16a;16b;17b;18a;18b;	
H5883	004	4	1	02	01	H5883_004_4	6	002	Supplemental Dental, Vision, Hearing Package 2	32.40	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	004	5	1	02	01	H5883_004_5	6	001	Supplemental Dental, Vision, Hearing Package 1	21.40	1	3000.00	6	2	2			16a;16b;17b;18a;18b;	
H5883	004	5	1	02	01	H5883_004_5	6	002	Supplemental Dental, Vision, Hearing Package 2	32.40	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	007	0	1	01	01	H5883_007_0	6	001	Supplemental Dental, Vision, Hearing Package 1	13.50	1	3000.00	6	2	2			16a;16b;17b;18a;18b;	
H5883	007	0	1	01	01	H5883_007_0	6	002	Supplemental Dental, Vision, Hearing Package 2	25.50	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	008	1	1	01	01	H5883_008_1	6	001	Supplemental Dental, Vision, Hearing Package 1	13.50	1	3000.00	6	2	2			16a;16b;17b;18a;18b;	
H5883	008	1	1	01	01	H5883_008_1	6	002	Supplemental Dental, Vision, Hearing Package 2	25.50	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	008	2	1	01	01	H5883_008_2	6	001	Supplemental Dental, Vision, Hearing Package 1	13.50	1	3000.00	6	2	2			16a;16b;17b;18a;18b;	
H5883	008	2	1	01	01	H5883_008_2	6	002	Supplemental Dental, Vision, Hearing Package 2	25.50	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	009	1	1	01	01	H5883_009_1	7	001	Supplemental Dental, Vision, Hearing Package 1	13.50	1	3000.00	6	2	2			16a;16b;17b;18a;18b;	
H5883	009	1	1	01	01	H5883_009_1	7	002	Supplemental Dental, Vision, Hearing Package 2	25.50	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	009	2	1	01	01	H5883_009_2	7	001	Supplemental Dental, Vision, Hearing Package 1	13.50	1	3000.00	6	2	2			16a;16b;17b;18a;18b;	
H5883	009	2	1	01	01	H5883_009_2	7	002	Supplemental Dental, Vision, Hearing Package 2	25.50	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	009	3	1	01	01	H5883_009_3	7	001	Supplemental Dental, Vision, Hearing Package 1	13.50	1	3000.00	6	2	2			16a;16b;17b;18a;18b;	
H5883	009	3	1	01	01	H5883_009_3	7	002	Supplemental Dental, Vision, Hearing Package 2	25.50	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	011	1	1	01	01	H5883_011_1	7	001	Supplemental Dental, Vision, Hearing Package 1	13.50	1	3000.00	6	2	2			16a;16b;17b;18a;18b;	
H5883	011	1	1	01	01	H5883_011_1	7	002	Supplemental Dental, Vision, Hearing Package 2	25.50	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	011	2	1	01	01	H5883_011_2	7	001	Supplemental Dental, Vision, Hearing Package 1	13.50	1	3000.00	6	2	2			16a;16b;17b;18a;18b;	
H5883	011	2	1	01	01	H5883_011_2	7	002	Supplemental Dental, Vision, Hearing Package 2	25.50	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5883	011	3	1	01	01	H5883_011_3	7	001	Supplemental Dental, Vision, Hearing Package 1	13.50	1	3000.00	6	2	2			16a;16b;17b;18a;18b;	
H5883	011	3	1	01	01	H5883_011_3	7	002	Supplemental Dental, Vision, Hearing Package 2	25.50	1	5400.00	6	2	2				16a;16b;17b;18a;18b;
H5945	802	0	1	01	01	H5945_802_0	2	001	Comprehensive Dental		1	1500.00	3	2	2			;	
H5945	803	0	1	01	01	H5945_803_0	3	001	Dental		1	1500.00	3	2	2			;	
H5970	001	0	1	04	01	H5970_001_0	4	001	MyOption Enhanced Dental PPO	22.50	1	2000.00	3	2	2				16a;16b;
H5970	001	0	1	04	01	H5970_001_0	4	002	MyOption Total Dental PPO	27.90	1	2000.00	3	2	2				16a;16b;
H5970	015	0	1	04	01	H5970_015_0	3	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H5970	015	0	1	04	01	H5970_015_0	3	002	MyOption Platinum Dental	25.70	1	2000.00	3	2	2			16a;16b;	
H5970	016	0	1	04	01	H5970_016_0	2	001	MyOption Total Dental PPO	27.90	1	2000.00	3	2	2				16a;16b;
H5970	018	0	1	04	01	H5970_018_0	3	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H5970	018	0	1	04	01	H5970_018_0	3	002	MyOption Platinum Dental	25.70	1	2000.00	3	2	2			16a;16b;	
H5970	019	0	1	04	01	H5970_019_0	4	001	MyOption Enhanced Dental PPO	22.50	1	2000.00	3	2	2				16a;16b;
H5970	019	0	1	04	01	H5970_019_0	4	002	MyOption Total Dental PPO	27.90	1	2000.00	3	2	2				16a;16b;
H5970	021	0	1	04	01	H5970_021_0	3	001	MyOption Platinum Dental	25.70	1	2000.00	3	2	2			16a;16b;	
H5970	022	0	1	04	01	H5970_022_0	3	001	MyOption Total Dental PPO	27.90	1	2000.00	3	2	2				16a;16b;
H6237	006	0	1	01	01	H6237_006_0	10	001	Dental Option	25.00	2			2	2			16b;	
H6237	007	1	1	01	01	H6237_007_1	10	001	Dental and Vision Option	20.00	2			2	2			16a;17a;17b;	
H6237	007	2	1	01	01	H6237_007_2	11	001	Dental and Vision Option	20.00	2			2	2			16a;17a;17b;	
H6237	007	3	1	01	01	H6237_007_3	11	001	Dental and Vision Option	20.00	2			2	2			16a;17a;17b;	
H6237	008	1	1	01	01	H6237_008_1	11	001	Dental Option	25.00	2			2	2			16b;	
H6237	008	2	1	01	01	H6237_008_2	11	001	Dental Option	25.00	2			2	2			16b;	
H6237	008	3	1	01	01	H6237_008_3	11	001	Dental Option	25.00	2			2	2			16b;	
H6306	010	0	1	01	01	H6306_010_0	5	001	Comprehensive Dental	26.00	1	1000.00	3	2	2			16b;	
H6306	011	1	1	01	01	H6306_011_1	5	001	Comprehensive Dental	26.00	1	1000.00	4	2	2			16b;	
H6306	011	2	1	01	01	H6306_011_2	5	001	Comprehensive Dental	26.00	1	1000.00	3	2	2			16b;	
H6306	011	3	1	01	01	H6306_011_3	5	001	Comprehensive Dental	26.00	1	1000.00	3	2	2			16b;	
H6306	012	1	1	01	01	H6306_012_1	5	001	Comprehensive Dental	26.00	1	1000.00	3	2	2			16b;	
H6306	012	4	1	01	01	H6306_012_4	5	001	Comprehensive Dental	26.00	1	1000.00	3	2	2			16b;	
H6328	001	0	1	04	01	H6328_001_0	5	001	Dental Rider	18.00	2			2	2			16b;	
H6328	002	0	1	04	01	H6328_002_0	6	001	Dental Rider	18.00	2			2	2			16b;	
H6328	003	0	1	04	01	H6328_003_0	6	001	Dental Rider	18.00	2			2	2			16b;	
H6328	005	0	1	04	01	H6328_005_0	5	001	Dental Rider	18.00	2			2	2			16b;	
H6348	001	0	1	04	01	H6348_001_0	5	001	Allwell Dental Option	13.70	2			2	2			16b;	
H6348	002	0	1	04	01	H6348_002_0	4	001	Allwell Dental Option	13.70	2			2	2			16b;	
H6348	003	0	1	04	01	H6348_003_0	4	001	Allwell Dental Option	13.70	2			2	2			16b;	
H6348	004	0	1	04	01	H6348_004_0	3	001	Allwell Dental Option	13.70	2			2	2			16b;	
H6446	001	0	1	01	01	H6446_001_0	3	001	Allwell Dental Option	16.00	2			2	2			16b;	
H6526	002	0	1	01	01	H6526_002_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H6528	006	0	1	04	01	H6528_006_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
H6550	001	0	1	01	01	H6550_001_0	3	001	Allwell Dental Option	8.40	2			2	2			16b;	
H6550	003	0	1	01	01	H6550_003_0	2	001	Allwell Dental Option	8.40	2			2	2			16b;	
H6622	001	0	1	01	01	H6622_001_0	3	001	MyOption Enhanced Dental Plus HMO	44.70	1	2000.00	3	2	2				16a;16b;
H6622	002	0	1	01	01	H6622_002_0	3	001	MyOption Enhanced Dental HMO	32.90	1	2000.00	3	2	2				16a;16b;
H6622	002	0	1	01	01	H6622_002_0	3	002	MyOption Dental Enriched HMO	32.90	1	2000.00	3	2	2				16a;16b;
H6622	004	0	1	01	01	H6622_004_0	4	001	MyOption Enhanced Dental HMO	23.40	1	2000.00	3	2	2				16a;16b;
H6622	004	0	1	01	01	H6622_004_0	4	002	MyOption Total Dental HMO	28.00	1	2000.00	3	2	2				16a;16b;
H6622	005	0	1	01	01	H6622_005_0	4	001	MyOption Enhanced Dental HMO	23.40	1	2000.00	3	2	2				16a;16b;
H6622	005	0	1	01	01	H6622_005_0	4	002	MyOption Total Dental HMO	28.00	1	2000.00	3	2	2				16a;16b;
H6622	007	0	1	01	01	H6622_007_0	4	001	MyOption Dental Enriched HMO	24.80	1	2000.00	3	2	2				16a;16b;
H6622	010	0	1	01	01	H6622_010_0	4	001	MyOption Enhanced Dental HMO	30.80	1	2000.00	3	2	2				16a;16b;
H6622	010	0	1	01	01	H6622_010_0	4	002	MyOption Total Dental HMO	37.00	1	2000.00	3	2	2				16a;16b;
H6622	011	0	1	01	01	H6622_011_0	3	001	MyOption Fitness	15.00	2			2	2			14c;	
H6622	011	0	1	01	01	H6622_011_0	3	002	MyOption Enhanced Dental Plus HMO	29.30	1	2000.00	3	2	2				16a;16b;
H6622	011	0	1	01	01	H6622_011_0	3	003	MyOption Total Dental Plus HMO	37.40	1	2000.00	3	2	2				16a;16b;
H6622	013	0	1	01	01	H6622_013_0	3	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H6622	013	0	1	01	01	H6622_013_0	3	002	MyOption Enhanced Dental HMO	21.70	1	2000.00	3	2	2				16a;16b;
H6622	013	0	1	01	01	H6622_013_0	3	003	MyOption Total Dental HMO	27.80	1	2000.00	3	2	2				16a;16b;
H6622	014	0	1	01	01	H6622_014_0	3	001	MyOption Enhanced Dental HMO	21.70	1	2000.00	3	2	2				16a;16b;
H6622	014	0	1	01	01	H6622_014_0	3	002	MyOption Total Dental HMO	27.80	1	2000.00	3	2	2				16a;16b;
H6622	016	0	1	01	01	H6622_016_0	3	001	MyOption Enhanced Dental Plus HMO	29.30	1	2000.00	3	2	2				16a;16b;
H6622	016	0	1	01	01	H6622_016_0	3	002	MyOption Total Dental Plus HMO	37.40	1	2000.00	3	2	2				16a;16b;
H6622	017	0	1	01	01	H6622_017_0	3	001	MyOption Enhanced Dental Plus HMO	29.30	1	2000.00	3	2	2				16a;16b;
H6622	017	0	1	01	01	H6622_017_0	3	002	MyOption Total Dental Plus HMO	37.40	1	2000.00	3	2	2				16a;16b;
H6622	019	0	1	01	01	H6622_019_0	3	001	MyOption Dental Enriched HMO	21.70	1	2000.00	3	2	2				16a;16b;
H6622	019	0	1	01	01	H6622_019_0	3	002	MyOption Total Dental HMO	27.80	1	2000.00	3	2	2				16a;16b;
H6622	021	1	1	01	01	H6622_021_1	3	001	MyOption Dental High PPO	18.00	1	2000.00	3	2	2			16a;16b;	
H6622	021	1	1	01	01	H6622_021_1	3	002	MyOption Platinum Dental	25.10	1	2000.00	3	2	2				16a;16b;
H6622	021	2	1	01	01	H6622_021_2	3	001	MyOption Enhanced Dental HMO	21.70	1	2000.00	3	2	2				16a;16b;
H6622	021	2	1	01	01	H6622_021_2	3	002	MyOption Total Dental HMO	27.80	1	2000.00	3	2	2				16a;16b;
H6622	022	0	1	01	01	H6622_022_0	4	001	MyOption Enhanced Dental HMO	21.70	1	2000.00	3	2	2				16a;16b;
H6622	022	0	1	01	01	H6622_022_0	4	002	MyOption Total Dental HMO	27.80	1	2000.00	3	2	2				16a;16b;
H6622	023	0	1	01	01	H6622_023_0	4	001	MyOption Enhanced Dental Plus HMO	29.30	1	2000.00	3	2	2				16a;16b;
H6622	023	0	1	01	01	H6622_023_0	4	002	MyOption Total Dental Plus HMO	37.40	1	2000.00	3	2	2				16a;16b;
H6622	025	0	1	01	01	H6622_025_0	3	001	MyOption Total Dental HMO	28.40	1	2000.00	3	2	2				16a;16b;
H6622	026	0	1	01	01	H6622_026_0	3	001	MyOption Total Dental HMO	28.40	1	2000.00	3	2	2				16a;16b;
H6622	028	0	1	01	01	H6622_028_0	5	001	MyOption Enhanced Dental HMO	35.10	1	2000.00	3	2	2				16a;16b;
H6622	028	0	1	01	01	H6622_028_0	5	002	MyOption Total Dental HMO	40.50	1	2000.00	3	2	2				16a;16b;
H6622	029	0	1	01	01	H6622_029_0	4	001	MyOption Enhanced Dental HMO	35.10	1	2000.00	3	2	2				16a;16b;
H6622	029	0	1	01	01	H6622_029_0	4	002	MyOption Total Dental HMO	40.50	1	2000.00	3	2	2				16a;16b;
H6622	030	0	1	01	01	H6622_030_0	4	001	MyOption Enhanced Dental HMO	35.10	1	2000.00	3	2	2				16a;16b;
H6622	030	0	1	01	01	H6622_030_0	4	002	MyOption Total Dental HMO	40.50	1	2000.00	3	2	2				16a;16b;
H6622	031	0	1	01	01	H6622_031_0	9	001	MyOption Enhanced Dental Plus HMO	44.00	1	2000.00	3	2	2				16a;16b;
H6622	031	0	1	01	01	H6622_031_0	9	002	MyOption Total Dental Plus HMO	51.30	1	2000.00	3	2	2				16a;16b;
H6622	032	0	1	01	01	H6622_032_0	3	001	MyOption Enhanced Dental HMO	21.20	1	2000.00	3	2	2				16a;16b;
H6622	032	0	1	01	01	H6622_032_0	3	002	MyOption Total Dental HMO	26.60	1	2000.00	3	2	2				16a;16b;
H6622	034	0	1	01	01	H6622_034_0	3	001	MyOption Dental Enriched HMO	32.90	1	2000.00	3	2	2				16a;16b;
H6622	035	0	1	01	01	H6622_035_0	3	001	MyOption Total Dental HMO	24.70	1	2000.00	3	2	2				16a;16b;
H6622	036	0	1	01	01	H6622_036_0	3	001	MyOption Total Dental HMO	24.70	1	2000.00	3	2	2				16a;16b;
H6622	037	0	1	01	01	H6622_037_0	3	001	MyOption Enhanced Dental Plus HMO	27.60	1	2000.00	3	2	2				16a;16b;
H6622	037	0	1	01	01	H6622_037_0	3	002	MyOption Total Dental Plus HMO	33.50	1	2000.00	3	2	2				16a;16b;
H6622	040	0	1	01	01	H6622_040_0	3	001	MyOption Dental High PPO	27.50	1	2000.00	3	2	2			16a;16b;	
H6622	040	0	1	01	01	H6622_040_0	3	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H6622	040	0	1	01	01	H6622_040_0	3	003	MyOption Plus	25.90	2			2	1	50.00	16b;		16a;16b;17a;17b;
H6622	047	0	1	01	01	H6622_047_0	4	001	MyOption Dental Enriched HMO	16.30	1	2000.00	3	2	2				16a;16b;
H6622	052	0	1	01	01	H6622_052_0	3	001	MyOption Total Dental HMO	24.70	1	2000.00	3	2	2				16a;16b;
H6622	054	0	1	01	01	H6622_054_0	3	001	MyOption Total Dental HMO	24.70	1	2000.00	3	2	2				16a;16b;
H6622	055	0	1	01	01	H6622_055_0	3	001	MyOption Enhanced Dental Plus HMO	29.30	1	2000.00	3	2	2				16a;16b;
H6622	055	0	1	01	01	H6622_055_0	3	002	MyOption Total Dental Plus HMO	37.40	1	2000.00	3	2	2				16a;16b;
H6622	057	0	1	01	01	H6622_057_0	3	001	MyOption Enhanced Dental HMO	23.50	1	2000.00	3	2	2				16a;16b;
H6622	057	0	1	01	01	H6622_057_0	3	002	MyOption Total Dental HMO	28.40	1	2000.00	3	2	2				16a;16b;
H6622	058	0	1	01	01	H6622_058_0	3	001	MyOption Dental High PPO	20.30	1	2000.00	3	2	2			16a;16b;	
H6622	058	0	1	01	01	H6622_058_0	3	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H6622	058	0	1	01	01	H6622_058_0	3	003	MyOption Plus	22.30	2			2	1	50.00	16b;		16a;16b;17a;17b;
H6622	059	0	1	01	01	H6622_059_0	4	001	MyOption Total Dental HMO	20.20	1	2000.00	3	2	2				16a;16b;
H6622	060	0	1	01	01	H6622_060_0	3	001	MyOption Enhanced Dental HMO	23.50	1	2000.00	3	2	2				16a;16b;
H6622	060	0	1	01	01	H6622_060_0	3	002	MyOption Total Dental HMO	28.40	1	2000.00	3	2	2				16a;16b;
H6622	061	0	1	01	01	H6622_061_0	3	001	MyOption Enhanced Dental HMO	23.50	1	2000.00	3	2	2				16a;16b;
H6622	061	0	1	01	01	H6622_061_0	3	002	MyOption Total Dental HMO	28.40	1	2000.00	3	2	2				16a;16b;
H6622	063	0	1	01	01	H6622_063_0	3	001	MyOption Enhanced Dental HMO	30.60	1	2000.00	3	2	2				16a;16b;
H6622	063	0	1	01	01	H6622_063_0	3	002	MyOption Total Dental HMO	36.60	1	2000.00	3	2	2				16a;16b;
H6622	066	0	1	01	01	H6622_066_0	3	001	MyOption Enhanced Dental Plus HMO	41.40	1	2000.00	3	2	2				16a;16b;
H6622	066	0	1	01	01	H6622_066_0	3	002	MyOption Total Dental Plus HMO	49.70	1	2000.00	3	2	2				16a;16b;
H6622	069	0	1	01	01	H6622_069_0	3	001	MyOption Enhanced Dental Plus HMO	29.30	1	2000.00	3	2	2				16a;16b;
H6622	069	0	1	01	01	H6622_069_0	3	002	MyOption Total Dental Plus HMO	37.40	1	2000.00	3	2	2				16a;16b;
H6622	070	0	1	01	01	H6622_070_0	3	001	MyOption Enhanced Dental Plus HMO	29.30	1	2000.00	3	2	2				16a;16b;
H6622	070	0	1	01	01	H6622_070_0	3	002	MyOption Total Dental Plus HMO	37.40	1	2000.00	3	2	2				16a;16b;
H6723	001	1	1	01	01	H6723_001_1	11	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	16a;17b;
H6723	001	2	1	01	01	H6723_001_2	11	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	16a;17b;
H6723	002	1	1	01	01	H6723_002_1	11	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	16a;17b;
H6723	002	2	1	01	01	H6723_002_2	11	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	16a;17b;
H6723	003	1	1	01	01	H6723_003_1	11	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	16a;17b;
H6723	003	2	1	01	01	H6723_003_2	11	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	16a;17b;
H6723	004	0	1	01	01	H6723_004_0	12	001	Optional Dental and Vision Rider	22.00	2			2	2			16b;	16a;17b;
H6743	001	0	1	04	01	H6743_001_0	7	001	Preventive Dental, Eye Exams, and Eyewear	26.00	2			2	2			16a;17a;17b;	
H6743	007	0	1	04	01	H6743_007_0	7	001	Preventive Dental, Eye Exams, and Eyewear	26.00	2			2	2			16a;17a;17b;	
H6743	018	1	1	04	01	H6743_018_1	7	001	Preventive Dental, Eye Exams, and Eyewear	26.00	2			2	2			16a;17a;17b;	
H6743	018	3	1	04	01	H6743_018_3	7	001	Preventive Dental, Eye Exams, and Eyewear	26.00	2			2	2			16a;17a;17b;	
H6743	019	2	1	04	01	H6743_019_2	5	001	Preventive Dental, Eye Exams, and Eyewear	26.00	2			2	2			16a;17a;17b;	
H6743	019	4	1	04	01	H6743_019_4	5	001	Preventive Dental, Eye Exams, and Eyewear	26.00	2			2	2			16a;17a;17b;	
H6743	020	1	1	04	01	H6743_020_1	7	001	Preventive Dental, Eye Exams, and Eyewear	26.00	2			2	2			16a;17a;17b;	
H6743	020	2	1	04	01	H6743_020_2	7	001	Preventive Dental, Eye Exams, and Eyewear	26.00	2			2	2			16a;17a;17b;	
H6743	020	3	1	04	01	H6743_020_3	7	001	Preventive Dental, Eye Exams, and Eyewear	26.00	2			2	2			16a;17a;17b;	
H6743	020	4	1	04	01	H6743_020_4	7	001	Preventive Dental, Eye Exams, and Eyewear	26.00	2			2	2			16a;17a;17b;	
H6743	022	1	1	04	01	H6743_022_1	5	001	Preventive Dental, Eye Exams, and Eyewear	26.00	2			2	2			16a;17a;17b;	
H6743	022	2	1	04	01	H6743_022_2	5	001	Preventive Dental, Eye Exams, and Eyewear	26.00	2			2	2			16a;17a;17b;	
H6743	022	4	1	04	01	H6743_022_4	5	001	Preventive Dental, Eye Exams, and Eyewear	26.00	2			2	2			16a;17a;17b;	
H6786	002	0	1	04	01	H6786_002_0	7	001	Preventive Dental Package	23.00	2			2	2				16a;
H6786	002	0	1	04	01	H6786_002_0	7	002	Dental and Vision Package	34.00	2			2	2				16a;16b;17b;
H6786	002	0	1	04	01	H6786_002_0	7	003	Enhanced Dental and Vision Package	54.00	2			2	2				16a;16b;17b;
H6815	003	1	1	01	01	H6815_003_1	4	001	HealthNet Complete Dental	39.00	2			2	2			16a;16b;	
H6815	003	1	1	01	01	H6815_003_1	4	002	HealthNet Basic Dental	19.00	2			2	1	35.00	16a;	;	16a;
H6815	003	2	1	01	01	H6815_003_2	4	001	HealthNet Complete Dental	39.00	2			2	2			16a;16b;	
H6815	003	2	1	01	01	H6815_003_2	4	002	HealthNet Basic Dental	19.00	2			2	1	35.00	16a;	;	16a;
H6815	003	3	1	01	01	H6815_003_3	4	001	HealthNet Complete Dental	39.00	2			2	2			16a;16b;	
H6815	003	3	1	01	01	H6815_003_3	4	002	HealthNet Basic Dental	19.00	2			2	1	35.00	16a;	;	16a;
H6815	005	0	1	01	01	H6815_005_0	4	001	HealthNet Complete Dental	39.00	2			2	2			16a;16b;	
H6815	005	0	1	01	01	H6815_005_0	4	002	HealthNet Basic Dental	19.00	2			2	1	35.00	16a;		16a;
H6815	006	0	1	01	01	H6815_006_0	3	001	HealthNet Complete Dental	39.00	2			2	2			16a;16b;	
H6815	006	0	1	01	01	H6815_006_0	3	002	HealthNet Basic Dental	19.00	2			2	1	35.00	16a;		16a;
H6910	001	0	1	01	01	H6910_001_0	9	001	Dental	20.00	1	1000.00	3	2	2			16b;	
H6910	002	0	1	01	01	H6910_002_0	9	001	Dental	20.00	1	1000.00	3	2	2			16b;	
H6910	003	0	1	01	01	H6910_003_0	9	001	Dental	20.00	1	1000.00	3	2	2			16b;	
H6910	004	0	1	01	01	H6910_004_0	5	001	Dental	20.00	1	1000.00	3	2	2			16b;	
H7006	003	0	1	04	01	H7006_003_0	7	001	Preventive Dental, Eye Exams, and Eyewear	33.00	2			2	2			16a;17a;17b;	
H7063	001	0	1	04	01	H7063_001_0	8	001	Comprehensive Dental	21.00	1	1000.00	3	2	2				16b;
H7063	002	0	1	04	01	H7063_002_0	8	001	Comprehensive Dental	21.00	1	1000.00	3	2	2				16b;
H7220	002	0	1	01	01	H7220_002_0	3	001	Dental Basic 750	8.00	1	750.00	3	2	1	10.00	16a;16b;	16b;	16a;
H7220	002	0	1	01	01	H7220_002_0	3	002	Dental Enhanced 1000	14.00	1	1000.00	3	2	1	10.00	16a;16b;	16b;	16a;
H7220	002	0	1	01	01	H7220_002_0	3	003	Dental Enhanced 1500	20.00	1	1500.00	3	2	1	10.00	16a;16b;	16b;	16a;
H7220	004	0	1	02	01	H7220_004_0	5	001	Dental Basic 750	8.00	1	750.00	3	2	1	10.00	16a;16b;	16b;	16a;
H7220	004	0	1	02	01	H7220_004_0	5	002	Dental Enhanced 1000	14.00	1	1000.00	3	2	1	10.00	16a;16b;	16b;	16a;
H7220	004	0	1	02	01	H7220_004_0	5	003	Dental Enhanced 1500	20.00	1	1500.00	3	2	1	10.00	16a;16b;	16b;	16a;
H7220	009	1	1	01	01	H7220_009_1	4	001	Dental Basic 750	8.00	1	750.00	3	2	1	10.00	16a;16b;	16b;	16a;
H7220	009	1	1	01	01	H7220_009_1	4	002	Dental Enhanced 1000	14.00	1	1000.00	3	2	1	10.00	16a;16b;	16b;	16a;
H7220	009	1	1	01	01	H7220_009_1	4	003	Dental Enhanced 1500	20.00	1	1500.00	3	2	1	10.00	16a;16b;	16b;	16a;
H7220	009	2	1	01	01	H7220_009_2	4	001	Dental Basic 750	8.00	1	750.00	3	2	1	10.00	16a;16b;	16b;	16a;
H7220	009	2	1	01	01	H7220_009_2	4	002	Dental Enhanced 1000	14.00	1	1000.00	3	2	1	10.00	16a;16b;	16b;	16a;
H7220	009	2	1	01	01	H7220_009_2	4	003	Dental Enhanced 1500	20.00	1	1500.00	3	2	1	10.00	16a;16b;	16b;	16a;
H7220	009	3	1	01	01	H7220_009_3	4	001	Dental Basic 750	8.00	1	750.00	3	2	1	10.00	16a;16b;	16b;	16a;
H7220	009	3	1	01	01	H7220_009_3	4	002	Dental Enhanced 1000	14.00	1	1000.00	3	2	1	10.00	16a;16b;	16b;	16a;
H7220	009	3	1	01	01	H7220_009_3	4	003	Dental Enhanced 1500	20.00	1	1500.00	3	2	1	10.00	16a;16b;	16b;	16a;
H7245	001	0	1	01	01	H7245_001_0	7	001	Optional Dental Plan	26.00	2			2	2			16a;	
H7245	006	0	1	01	01	H7245_006_0	7	001	Optional Dental Plan	26.00	2			2	2			16a;	
H7399	001	0	1	01	01	H7399_001_0	3	001	Dental Option	17.00	2			2	2			16b;	
H7399	001	0	1	01	01	H7399_001_0	3	002	Dental & Eyewear Option	23.90	2			2	2			16b;17a;17b;	
H7404	001	0	1	04	01	H7404_001_0	6	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H7404	005	0	1	04	01	H7404_005_0	8	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H7404	011	0	1	04	01	H7404_011_0	6	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H7409	001	0	1	01	01	H7409_001_0	7	001	Comprehensive Dental 001	17.00	1	1500.00	3	2	2			16b;	
H7621	002	0	1	01	01	H7621_002_0	2	001	MyOption Enhanced Dental HMO	30.20	1	2000.00	3	2	2				16a;16b;
H7621	002	0	1	01	01	H7621_002_0	2	002	MyOption Total Dental HMO	37.50	1	2000.00	3	2	2				16a;16b;
H7621	003	0	1	01	01	H7621_003_0	3	001	MyOption Enhanced Dental HMO	30.20	1	2000.00	3	2	2				16a;16b;
H7621	003	0	1	01	01	H7621_003_0	3	002	MyOption Total Dental HMO	37.50	1	2000.00	3	2	2				16a;16b;
H7680	801	0	1	01	01	H7680_801_0	2	001	Dental		1	1200.00	3	2	2			;	
H7680	802	0	1	01	01	H7680_802_0	2	001	Dental		1	2000.00	3	2	2			;	
H7728	002	0	1	04	01	H7728_002_0	8	001	Preventive Dental Package	23.00	2			2	2				16a;
H7728	002	0	1	04	01	H7728_002_0	8	002	Dental and Vision Package	29.00	2			2	2				16a;16b;17b;
H7728	002	0	1	04	01	H7728_002_0	8	003	Enhanced Dental and Vision Package	54.00	2			2	2				16a;16b;17b;
H7728	004	1	1	04	01	H7728_004_1	5	001	Preventive Dental Package	17.00	2			2	2				16a;
H7728	004	1	1	04	01	H7728_004_1	5	002	Dental and Vision Package	24.00	2			2	2				16a;16b;17b;
H7728	004	1	1	04	01	H7728_004_1	5	003	Enhanced Dental and Vision Package	54.00	2			2	2				16a;16b;17b;
H7728	004	2	1	04	01	H7728_004_2	6	001	Preventive Dental Package	17.00	2			2	2				16a;
H7728	004	2	1	04	01	H7728_004_2	6	002	Dental and Vision Package	24.00	2			2	2				16a;16b;17b;
H7728	004	2	1	04	01	H7728_004_2	6	003	Enhanced Dental and Vision Package	54.00	2			2	2				16a;16b;17b;
H7728	005	0	1	04	01	H7728_005_0	6	001	Preventive Dental Package	18.00	2			2	2				16a;
H7728	005	0	1	04	01	H7728_005_0	6	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
H7728	005	0	1	04	01	H7728_005_0	6	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H7728	006	0	1	04	01	H7728_006_0	6	001	Preventive Dental Package	18.00	2			2	2				16a;
H7728	006	0	1	04	01	H7728_006_0	6	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
H7728	006	0	1	04	01	H7728_006_0	6	003	Enhanced Dental and Vision Package	51.00	2			2	2				16a;16b;17b;
H7853	001	0	1	01	01	H7853_001_0	7	001	Comprehensive Dental 001	24.00	1	1500.00	3	2	2			16b;	
H7853	002	0	1	01	01	H7853_002_0	7	001	Comprehensive Dental 001	24.00	1	1500.00	3	2	2			16b;	
H7853	003	0	1	02	01	H7853_003_0	6	001	Comprehensive Dental 001	24.00	1	1500.00	3	2	2			16b;	
H7853	004	0	1	02	01	H7853_004_0	6	001	Comprehensive Dental 001	24.00	1	1500.00	3	2	2			16b;	
H7853	006	0	1	01	01	H7853_006_0	6	001	Comprehensive Dental 001	17.00	1	1500.00	3	2	2			16b;	
H7853	006	0	1	01	01	H7853_006_0	6	002	Comprehensive Vision 001	4.00	1	130.00	2	2	2			17b;	
H7853	007	0	1	01	01	H7853_007_0	6	001	Comprehensive Dental 001	17.00	1	1500.00	3	2	2			16b;	
H8064	002	0	1	04	01	H8064_002_0	5	001	Comprehensive Dental	26.00	1	1000.00	3	2	2			16b;	
H8064	004	0	1	04	01	H8064_004_0	5	001	Comprehensive Dental	26.00	1	1000.00	3	2	2			16b;	
H8087	001	0	1	04	01	H8087_001_0	4	001	MyOption Dental High PPO	20.00	1	2000.00	3	2	2			16a;16b;	
H8087	001	0	1	04	01	H8087_001_0	4	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H8087	001	0	1	04	01	H8087_001_0	4	003	MyOption Platinum Dental	28.60	1	2000.00	3	2	2				16a;16b;
H8145	004	0	1	09	04	H8145_004_0	5	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H8145	004	0	1	09	04	H8145_004_0	5	002	MyOption Plus	22.60	2			2	1	50.00	16b;	16a;16b;	17a;17b;
H8145	004	0	1	09	04	H8145_004_0	5	003	MyOption Platinum Dental	27.00	1	2000.00	3	2	2				16a;16b;
H8145	006	0	1	09	04	H8145_006_0	6	001	MyOption Vision	15.30	2			2	2				17a;17b;
H8145	006	0	1	09	04	H8145_006_0	6	002	MyOption Enhanced Dental PPO	32.90	1	2000.00	3	2	2				16a;16b;
H8145	008	0	1	09	04	H8145_008_0	3	001	MyOption Dental High PPO	19.30	1	2000.00	3	2	2			16a;16b;	
H8145	008	0	1	09	04	H8145_008_0	3	002	MyOption Vision	15.30	2			2	2				17a;17b;
H8145	008	0	1	09	04	H8145_008_0	3	003	MyOption Plus	20.30	2			2	1	50.00	16b;		16a;16b;17a;17b;
H8145	011	0	1	09	04	H8145_011_0	5	001	MyOption Dental High PPO	18.50	1	2000.00	3	2	2			16a;16b;	
H8145	011	0	1	09	04	H8145_011_0	5	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H8145	011	0	1	09	04	H8145_011_0	5	003	MyOption Platinum Dental	25.90	1	2000.00	3	2	2				16a;16b;
H8145	021	0	1	09	04	H8145_021_0	3	001	MyOption Dental High PPO	18.00	1	2000.00	3	2	2			16a;16b;	
H8145	021	0	1	09	04	H8145_021_0	3	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H8145	021	0	1	09	04	H8145_021_0	3	003	MyOption Platinum Dental	25.10	1	2000.00	3	2	2				16a;16b;
H8145	032	0	1	09	04	H8145_032_0	5	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H8145	032	0	1	09	04	H8145_032_0	5	002	MyOption Enhanced Dental PPO	21.70	1	2000.00	3	2	2				16a;16b;
H8145	032	0	1	09	04	H8145_032_0	5	003	MyOption Total Dental PPO	27.80	1	2000.00	3	2	2				16a;16b;
H8145	042	0	1	09	04	H8145_042_0	4	001	MyOption Vision	15.30	2			2	2			17a;17b;	
H8145	042	0	1	09	04	H8145_042_0	4	002	MyOption Plus	22.60	2			2	1	50.00	16b;	16a;16b;	17a;17b;
H8145	042	0	1	09	04	H8145_042_0	4	003	MyOption Platinum Dental	27.00	1	2000.00	3	2	2				16a;16b;
H8145	050	0	1	09	04	H8145_050_0	1	001	MyOption Dental High PPO	17.50	1	2000.00	3	2	2			16a;16b;	
H8145	050	0	1	09	04	H8145_050_0	1	002	MyOption Platinum Dental	23.30	1	2000.00	3	2	2				16a;16b;
H8145	051	0	1	09	04	H8145_051_0	2	001	MyOption Dental High PPO	17.50	1	2000.00	3	2	2			16a;16b;	
H8145	051	0	1	09	04	H8145_051_0	2	002	MyOption Platinum Dental	23.30	1	2000.00	3	2	2				16a;16b;
H8145	052	0	1	09	04	H8145_052_0	4	001	MyOption Dental High PPO	17.20	1	2000.00	3	2	2			16a;16b;	
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	23.40	1	2000.00	3	2	2				16a;16b;
H8145	055	0	1	09	04	H8145_055_0	5	001	MyOption Dental High PPO	17.20	1	2000.00	3	2	2			16a;16b;	
H8145	055	0	1	09	04	H8145_055_0	5	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H8145	055	0	1	09	04	H8145_055_0	5	003	MyOption Platinum Dental	23.40	1	2000.00	3	2	2				16a;16b;
H8145	063	0	1	09	04	H8145_063_0	4	001	MyOption Dental High PPO	20.30	1	2000.00	3	2	2			16a;16b;	
H8145	063	0	1	09	04	H8145_063_0	4	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H8145	063	0	1	09	04	H8145_063_0	4	003	MyOption Plus	22.30	2			2	1	50.00	16b;		16a;16b;17a;17b;
H8145	069	0	1	09	04	H8145_069_0	3	001	MyOption Dental High PPO	16.40	1	2000.00	3	2	2			16a;16b;	
H8145	069	0	1	09	04	H8145_069_0	3	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H8145	069	0	1	09	04	H8145_069_0	3	003	MyOption Plus	20.80	2			2	1	50.00	16b;		16a;16b;17a;17b;
H8145	069	0	1	09	04	H8145_069_0	3	004	MyOption Platinum Dental	23.60	1	2000.00	3	2	2				16a;16b;
H8145	084	0	1	09	04	H8145_084_0	4	001	MyOption Dental High PPO	15.10	1	2000.00	3	2	2			16a;16b;	
H8145	084	0	1	09	04	H8145_084_0	4	002	MyOption Plus	20.20	2			2	1	50.00	16b;		16a;16b;17a;17b;
H8145	084	0	1	09	04	H8145_084_0	4	003	MyOption Fitness	15.00	2			2	2			14c;	
H8145	084	0	1	09	04	H8145_084_0	4	004	MyOption Platinum Dental	20.80	1	2000.00	3	2	2				16a;16b;
H8145	089	0	1	09	04	H8145_089_0	3	001	MyOption Dental High PPO	30.10	1	2000.00	3	2	2			16a;16b;	
H8145	089	0	1	09	04	H8145_089_0	3	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H8145	089	0	1	09	04	H8145_089_0	3	003	MyOption Plus	29.20	2			2	1	50.00	16b;		16a;16b;17a;17b;
H8145	091	0	1	09	04	H8145_091_0	3	001	MyOption Dental High PPO	20.20	1	2000.00	3	2	2			16a;16b;	
H8145	091	0	1	09	04	H8145_091_0	3	002	MyOption Fitness	15.00	2			2	2			14c;	
H8145	108	0	1	09	04	H8145_108_0	2	001	MyOption Dental High PPO	20.20	1	2000.00	3	2	2			16a;16b;	
H8145	120	0	1	09	04	H8145_120_0	2	001	MyOption Fitness	15.00	2			2	2			14c;	
H8145	121	0	1	09	04	H8145_121_0	1	001	MyOption Vision	15.30	2			2	2				17a;17b;
H8145	121	0	1	09	04	H8145_121_0	1	002	MyOption Dental Enriched PPO	23.60	1	2000.00	3	2	2				16a;16b;
H8145	122	0	1	09	04	H8145_122_0	3	001	MyOption Dental High PPO	18.60	1	2000.00	3	2	2			16a;16b;	
H8145	122	0	1	09	04	H8145_122_0	3	002	MyOption Plus	22.20	2			2	1	50.00	16b;	17a;17b;	16a;16b;
H8145	122	0	1	09	04	H8145_122_0	3	003	MyOption Platinum Dental	26.60	1	2000.00	3	2	2				16a;16b;
H8145	123	0	1	09	04	H8145_123_0	3	001	MyOption Fitness	15.00	2			2	2			14c;	
H8145	125	0	1	09	04	H8145_125_0	3	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	15.10	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;	
H8145	155	0	1	09	04	H8145_155_0	2	001	MyOption Dental High PPO	15.30	1	2000.00	3	2	2			16a;16b;	
H8145	155	0	1	09	04	H8145_155_0	2	002	MyOption Vision	15.30	2			2	2			17a;17b;	
H8145	155	0	1	09	04	H8145_155_0	2	003	MyOption Plus	21.40	2			2	1	50.00	16b;		16a;16b;17a;17b;
H8211	001	0	1	04	01	H8211_001_0	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H8211	002	0	1	04	01	H8211_002_0	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H8211	003	0	1	04	01	H8211_003_0	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H8211	004	0	1	04	01	H8211_004_0	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H8225	001	0	1	01	01	H8225_001_0	3	001	Dental Option	6.90	2			2	2			16b;	
H8225	001	0	1	01	01	H8225_001_0	3	002	Dental & Eyewear Option	13.80	2			2	2			16b;17a;17b;	
H8225	002	0	1	01	01	H8225_002_0	3	001	Dental Option	6.90	2			2	2			16b;	
H8225	002	0	1	01	01	H8225_002_0	3	002	Dental & Eyewear Option	13.80	2			2	2			16b;17a;17b;	
H8280	001	0	1	01	01	H8280_001_0	8	001	Comprehensive Dental 001	17.00	1	1500.00	3	2	2			16b;	
H8364	001	0	1	04	01	H8364_001_0	7	001	Comprehensive Dental 002	22.00	1	1500.00	3	2	2			16b;	
H8364	001	0	1	04	01	H8364_001_0	7	002	Comprehensive Vision 002	4.00	1	130.00	2	2	2			17b;	
H8432	005	0	1	02	01	H8432_005_0	6	001	Preventive Dental Package	16.00	2			2	2				16a;
H8432	005	0	1	02	01	H8432_005_0	6	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
H8432	005	0	1	02	01	H8432_005_0	6	003	Enhanced Dental and Vision Package	52.00	2			2	2				16a;16b;17b;
H8432	006	0	1	02	01	H8432_006_0	6	001	Preventive Dental Package	16.00	2			2	2				16a;
H8432	006	0	1	02	01	H8432_006_0	6	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
H8432	006	0	1	02	01	H8432_006_0	6	003	Enhanced Dental and Vision Package	52.00	2			2	2				16a;16b;17b;
H8432	008	5	1	01	01	H8432_008_5	7	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	008	5	1	01	01	H8432_008_5	7	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	008	5	1	01	01	H8432_008_5	7	003	Enhanced Dental and Vision Package	42.00	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	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	42.00	2			2	2				16a;16b;17b;
H8432	008	7	1	01	01	H8432_008_7	7	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	008	7	1	01	01	H8432_008_7	7	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	008	7	1	01	01	H8432_008_7	7	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H8432	009	0	1	01	01	H8432_009_0	7	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	009	0	1	01	01	H8432_009_0	7	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	009	0	1	01	01	H8432_009_0	7	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H8432	010	0	1	01	01	H8432_010_0	8	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	010	0	1	01	01	H8432_010_0	8	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	010	0	1	01	01	H8432_010_0	8	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H8432	011	0	1	01	01	H8432_011_0	7	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	011	0	1	01	01	H8432_011_0	7	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	011	0	1	01	01	H8432_011_0	7	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H8432	012	0	1	01	01	H8432_012_0	4	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	012	0	1	01	01	H8432_012_0	4	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	012	0	1	01	01	H8432_012_0	4	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H8432	013	0	1	01	01	H8432_013_0	7	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	013	0	1	01	01	H8432_013_0	7	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	013	0	1	01	01	H8432_013_0	7	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H8432	014	0	1	02	01	H8432_014_0	7	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	014	0	1	02	01	H8432_014_0	7	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	014	0	1	02	01	H8432_014_0	7	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H8432	015	0	1	02	01	H8432_015_0	7	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	015	0	1	02	01	H8432_015_0	7	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	015	0	1	02	01	H8432_015_0	7	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H8432	017	0	1	01	01	H8432_017_0	8	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	017	0	1	01	01	H8432_017_0	8	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	017	0	1	01	01	H8432_017_0	8	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H8432	031	1	1	01	01	H8432_031_1	6	001	Preventive Dental Package	16.00	2			2	2				16a;
H8432	031	1	1	01	01	H8432_031_1	6	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
H8432	031	1	1	01	01	H8432_031_1	6	003	Enhanced Dental and Vision Package	52.00	2			2	2				16a;16b;17b;
H8432	031	2	1	01	01	H8432_031_2	6	001	Preventive Dental Package	16.00	2			2	2				16a;
H8432	031	2	1	01	01	H8432_031_2	6	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
H8432	031	2	1	01	01	H8432_031_2	6	003	Enhanced Dental and Vision Package	52.00	2			2	2				16a;16b;17b;
H8432	035	0	1	01	01	H8432_035_0	10	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	035	0	1	01	01	H8432_035_0	10	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	035	0	1	01	01	H8432_035_0	10	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H8432	036	0	1	01	01	H8432_036_0	4	001	Preventive Dental Package	14.00	2			2	2				16a;
H8432	036	0	1	01	01	H8432_036_0	4	002	Dental and Vision Package	23.00	2			2	2				16a;16b;17b;
H8432	036	0	1	01	01	H8432_036_0	4	003	Enhanced Dental and Vision Package	42.00	2			2	2				16a;16b;17b;
H8552	020	0	1	04	01	H8552_020_0	11	001	Preventive Dental Package	22.00	2			2	2				16a;
H8552	020	0	1	04	01	H8552_020_0	11	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H8552	020	0	1	04	01	H8552_020_0	11	003	Enhanced Dental and Vision Package	56.00	2			2	2				16a;16b;17b;
H8552	029	0	1	04	01	H8552_029_0	9	001	Preventive Dental Package	22.00	2			2	2				16a;
H8552	029	0	1	04	01	H8552_029_0	9	002	Dental and Vision Package	33.00	2			2	2				16a;16b;17b;
H8552	029	0	1	04	01	H8552_029_0	9	003	Enhanced Dental and Vision Package	56.00	2			2	2				16a;16b;17b;
H8604	010	0	1	04	01	H8604_010_0	8	001	Comprehensive Dental	28.50	1	1500.00	3	2	2			16b;	
H8604	011	0	1	04	01	H8604_011_0	7	001	Comprehensive Dental	28.50	1	1500.00	3	2	2			16b;	
H8604	013	0	1	04	01	H8604_013_0	7	001	Comprehensive Dental	28.50	1	1500.00	3	2	2			16b;	
H8634	002	0	1	04	01	H8634_002_0	4	001	Optional Supplemental	31.40	1	2150.00	6	2	2			16a;16b;17b;18a;18b;	
H8634	003	0	1	04	01	H8634_003_0	4	001	Optional Supplemental	32.30	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	43.00	2			2	2				16a;16b;
H8748	009	0	1	02	01	H8748_009_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H8764	001	0	1	01	01	H8764_001_0	7	001	Enhanced Benefits-Option A	44.90	2			2	2				16a;16b;17a;17b;
H8764	001	0	1	01	01	H8764_001_0	7	002	Enhanced Benefits-Option B	49.90	2			2	2			13c;	10b;16a;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	001	Enhanced Benefits-Option A	44.90	2			2	2				16a;16b;17a;17b;
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;
H8768	003	0	1	04	01	H8768_003_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H8768	006	0	1	04	01	H8768_006_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H8768	014	0	1	04	01	H8768_014_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H8768	015	0	1	04	01	H8768_015_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
H8768	016	0	1	04	01	H8768_016_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
H8783	001	0	1	04	01	H8783_001_0	7	001	Choice Dental	22.00	1	1000.00	3	2	1	75.00	16b;		16a;16b;
H8783	002	0	1	04	01	H8783_002_0	6	001	Choice Dental	22.00	1	1000.00	3	2	1	75.00	16b;		16a;16b;
H8908	001	0	1	01	01	H8908_001_0	3	001	MyOption Enhanced Dental Plus HMO	32.30	1	2000.00	3	2	2				16a;16b;
H8908	001	0	1	01	01	H8908_001_0	3	002	MyOption Total Dental Plus HMO	40.90	1	2000.00	3	2	2				16a;16b;
H8908	002	0	1	01	01	H8908_002_0	3	001	MyOption Enhanced Dental HMO	23.60	1	2000.00	3	2	2				16a;16b;
H8908	002	0	1	01	01	H8908_002_0	3	002	MyOption Total Dental HMO	30.00	1	2000.00	3	2	2				16a;16b;
H8908	004	0	1	01	01	H8908_004_0	3	001	MyOption Enhanced Dental HMO	23.60	1	2000.00	3	2	2				16a;16b;
H8908	004	0	1	01	01	H8908_004_0	3	002	MyOption Total Dental HMO	30.00	1	2000.00	3	2	2				16a;16b;
H9003	001	0	1	01	01	H9003_001_0	11	001	ADVANTAGE PLUS	44.00	2			2	2			16a;16b;17b;18b;	
H9003	006	0	1	01	01	H9003_006_0	11	001	ADVANTAGE PLUS	44.00	2			2	2			16a;16b;17b;18b;	
H9047	013	0	2	01	01	H9047_013_0	12	001	Basic Dental	29.40	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	013	0	2	01	01	H9047_013_0	12	002	Enhanced Dental	42.20	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	033	0	1	01	01	H9047_033_0	9	001	Basic Dental	29.40	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	033	0	1	01	01	H9047_033_0	9	002	Enhanced Dental	42.20	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	035	0	1	02	01	H9047_035_0	10	001	Basic Dental	33.70	1	1000.00	4	2	1	150.00	16b;		16a;16b;
H9047	035	0	1	02	01	H9047_035_0	10	002	Enhanced Dental	46.50	1	1500.00	3	1	1	150.00	16b;		16a;16b;
H9047	037	0	1	01	01	H9047_037_0	11	001	Basic Dental	29.40	1	1000.00	3	2	1	150.00	16b;	;	16a;16b;
H9047	037	0	1	01	01	H9047_037_0	11	002	Enhanced Dental	42.20	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	038	0	1	02	01	H9047_038_0	10	001	Basic Dental	33.70	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	038	0	1	02	01	H9047_038_0	10	002	Enhanced Dental	46.50	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	039	0	1	02	01	H9047_039_0	10	001	Basic Dental	33.70	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	039	0	1	02	01	H9047_039_0	10	002	Enhanced Dental	46.50	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	045	0	1	01	01	H9047_045_0	9	001	Basic Dental	33.70	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	045	0	1	01	01	H9047_045_0	9	002	Enhanced Dental	46.50	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	047	0	1	02	01	H9047_047_0	10	001	Washington Basic Dental	29.40	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	047	0	1	02	01	H9047_047_0	10	002	Washington Enh Dental	42.30	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	049	0	1	01	01	H9047_049_0	10	001	Washington Basic Dental	33.70	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	049	0	1	01	01	H9047_049_0	10	002	Washington Enh Dental	46.50	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	054	0	1	01	01	H9047_054_0	13	001	Basic Dental	29.40	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	054	0	1	01	01	H9047_054_0	13	002	Enhanced Dental	42.20	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	055	1	1	01	01	H9047_055_1	9	001	Basic Dental	29.40	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	055	1	1	01	01	H9047_055_1	9	002	Enhanced Dental	42.20	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	055	2	1	01	01	H9047_055_2	9	001	Basic Dental	29.40	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	055	2	1	01	01	H9047_055_2	9	002	Enhanced Dental	42.20	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	056	1	1	02	01	H9047_056_1	7	001	Basic Dental	33.70	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	056	1	1	02	01	H9047_056_1	7	002	Enhanced Dental	46.50	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	056	2	1	02	01	H9047_056_2	8	001	Basic Dental	33.70	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	056	2	1	02	01	H9047_056_2	8	002	Enhanced Dental	46.50	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	059	0	1	01	01	H9047_059_0	11	001	Basic Dental	29.40	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	059	0	1	01	01	H9047_059_0	11	002	Enhanced Dental	42.20	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	060	0	1	01	01	H9047_060_0	11	001	Basic Dental	29.40	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	060	0	1	01	01	H9047_060_0	11	002	Enhanced Dental	42.20	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	062	0	1	01	01	H9047_062_0	12	001	Washington Basic Dental	29.20	1	1000.00	3	2	1	150.00	16b;	;	16a;16b;
H9047	062	0	1	01	01	H9047_062_0	12	002	Washington Enh Dental	42.10	1	1500.00	3	2	1	150.00	16b;		16a;16b;
H9047	063	0	1	01	01	H9047_063_0	11	001	Washington Basic Dental	29.20	1	1000.00	3	2	1	150.00	16b;		16a;16b;
H9047	063	0	1	01	01	H9047_063_0	11	002	Washington Enh Dental	42.10	1	1500.00	3	2	1	150.00	16b;	;	16a;16b;
H9070	001	0	1	04	01	H9070_001_0	4	001	MyOption Enhanced Dental PPO	21.20	1	2000.00	3	2	2				16a;16b;
H9070	003	0	1	04	01	H9070_003_0	2	001	MyOption Enhanced Dental PPO	20.60	1	2000.00	3	2	2				16a;16b;
H9070	003	0	1	04	01	H9070_003_0	2	002	MyOption Total Dental PPO	25.10	1	2000.00	3	2	2				16a;16b;
H9070	005	0	1	04	01	H9070_005_0	2	001	MyOption Enhanced Dental PPO	22.40	1	2000.00	3	2	2				16a;16b;
H9070	005	0	1	04	01	H9070_005_0	2	002	MyOption Total Dental PPO	28.50	1	2000.00	3	2	2				16a;16b;
H9104	006	0	1	01	01	H9104_006_0	7	001	Basic Dental	6.00	2			2	2				16a;16b;
H9104	006	0	1	01	01	H9104_006_0	7	002	Enhanced Dental	16.00	2			2	2				16a;16b;
H9287	001	0	1	01	01	H9287_001_0	6	001	Allwell Total	27.00	2			2	2			7b;13a;16a;16b;	
H9302	011	0	1	01	01	H9302_011_0	7	001	Optional Dental Plan	26.00	2			2	2			16a;	
H9516	001	0	1	04	01	H9516_001_0	7	001	Comprehensive Dental 002	18.00	1	1500.00	3	2	2			16b;	
H9525	004	0	1	01	01	H9525_004_0	7	001	Preventive Dental Package	12.00	2			2	2				16a;
H9525	004	0	1	01	01	H9525_004_0	7	002	Dental and Vision Package	22.00	2			2	2				16a;16b;17b;
H9525	004	0	1	01	01	H9525_004_0	7	003	Enhanced Dental and Vision Package	40.00	2			2	2				16a;16b;17b;
H9525	006	0	1	01	01	H9525_006_0	7	001	Preventive Dental Package	12.00	2			2	2				16a;
H9525	006	0	1	01	01	H9525_006_0	7	002	Dental and Vision Package	22.00	2			2	2				16a;16b;17b;
H9525	006	0	1	01	01	H9525_006_0	7	003	Enhanced Dental and Vision Package	40.00	2			2	2				16a;16b;17b;
H9525	008	0	1	01	01	H9525_008_0	7	001	Preventive Dental Package	16.00	2			2	2				16a;
H9525	008	0	1	01	01	H9525_008_0	7	002	Dental and Vision Package	22.00	2			2	2				16a;16b;17b;
H9525	008	0	1	01	01	H9525_008_0	7	003	Enhanced Dental and Vision Package	49.00	2			2	2				16a;16b;17b;
H9572	001	1	1	04	01	H9572_001_1	8	001	Optional Dental and Vision	21.40	1	2900.00	6	2	2			16a;16b;	17b;
H9572	001	2	1	04	01	H9572_001_2	8	001	Optional Dental and Vision	21.40	1	2900.00	6	2	2			16a;16b;	17b;
H9572	001	3	1	04	01	H9572_001_3	8	001	Optional Dental and Vision	21.40	1	2900.00	6	2	2			16a;16b;	17b;
H9572	001	4	1	04	01	H9572_001_4	8	001	Optional Dental and Vision	21.40	1	2900.00	6	2	2			16a;16b;	17b;
H9572	001	6	1	04	01	H9572_001_6	9	001	Optional Dental and Vision	21.40	1	2900.00	6	2	2			16a;16b;	17b;
H9572	002	1	1	04	01	H9572_002_1	8	001	Optional Dental and Vision	21.40	1	2900.00	6	2	2			16a;16b;	17b;
H9572	002	2	1	04	01	H9572_002_2	8	001	Optional Dental and Vision	21.40	1	2900.00	6	2	2			16a;16b;	17b;
H9572	002	3	1	04	01	H9572_002_3	8	001	Optional Dental and Vision	21.40	1	2900.00	6	2	2			16a;16b;	17b;
H9572	002	4	1	04	01	H9572_002_4	8	001	Optional Dental and Vision	21.40	1	2900.00	6	2	2			16a;16b;	17b;
H9572	002	6	1	04	01	H9572_002_6	9	001	Optional Dental and Vision	21.40	1	2900.00	6	2	2			16a;16b;	17b;
H9572	003	1	1	04	01	H9572_003_1	8	001	Optional Dental and Vision	21.40	1	2900.00	6	2	2			16a;16b;	17b;
H9572	003	2	1	04	01	H9572_003_2	8	001	Optional Dental and Vision	21.40	1	2900.00	6	2	2			16a;16b;	17b;
H9572	003	3	1	04	01	H9572_003_3	8	001	Optional Dental and Vision	21.40	1	2900.00	6	2	2			16a;16b;	17b;
H9572	003	4	1	04	01	H9572_003_4	8	001	Optional Dental and Vision	21.40	1	2900.00	6	2	2			16a;16b;	17b;
H9572	003	6	1	04	01	H9572_003_6	9	001	Optional Dental and Vision	21.40	1	2900.00	6	2	2			16a;16b;	17b;
H9572	004	1	1	04	01	H9572_004_1	8	001	Optional Dental and Vision	28.50	1	3000.00	6	2	2			16a;16b;17b;	
H9572	004	2	1	04	01	H9572_004_2	8	001	Optional Dental and Vision	28.50	1	3000.00	6	2	2			16a;16b;17b;	
H9572	004	3	1	04	01	H9572_004_3	8	001	Optional Dental and Vision	28.50	1	3000.00	6	2	2			16a;16b;17b;	
H9572	004	4	1	04	01	H9572_004_4	8	001	Optional Dental and Vision	28.50	1	3000.00	6	2	2			16a;16b;17b;	
H9572	004	6	1	04	01	H9572_004_6	9	001	Optional Dental and Vision	28.50	1	3000.00	6	2	2			16a;16b;17b;	
H9808	004	0	1	04	01	H9808_004_0	5	001	Dental Rider	25.00	2			2	2			16b;	
H9808	005	0	1	04	01	H9808_005_0	5	001	Dental Rider	25.00	2			2	2			16b;	
H9808	006	0	1	04	01	H9808_006_0	5	001	Dental Rider	25.00	2			2	2			16b;	
H9808	007	0	1	04	01	H9808_007_0	5	001	Dental Rider	25.00	2			2	2			16b;	
H9878	001	0	1	04	01	H9878_001_0	6	001	Comprehensive Dental 002	18.00	1	1500.00	3	2	2			16b;	
H9878	002	0	1	04	01	H9878_002_0	7	001	Comprehensive Dental 002	18.00	1	1500.00	3	2	2			16b;	
H9878	003	0	1	04	01	H9878_003_0	7	001	Comprehensive Dental 002	18.00	1	1500.00	3	2	2			16b;	
H9878	006	0	1	04	01	H9878_006_0	7	001	Comprehensive Dental 002	18.00	1	1500.00	3	2	2			16b;	
H9878	006	0	1	04	01	H9878_006_0	7	002	Comprehensive Vision 002	4.00	1	130.00	2	2	2			17b;	
H9878	007	0	1	04	01	H9878_007_0	7	001	Comprehensive Dental 002	18.00	1	1500.00	3	2	2			16b;	
H9878	007	0	1	04	01	H9878_007_0	7	002	Comprehensive Vision 002	4.00	1	130.00	2	2	2			17b;	
R0110	002	0	1	31	11	R0110_002_0	4	001	MyOption Dental High PPO	23.40	1	2000.00	3	2	2			16a;16b;	
R0865	001	0	1	31	11	R0865_001_0	6	001	MyOption Enhanced Dental PPO	22.60	1	2000.00	3	2	2				16a;16b;
R0865	001	0	1	31	11	R0865_001_0	6	002	MyOption Total Dental PPO	28.10	1	2000.00	3	2	2				16a;16b;
R0865	003	0	1	31	11	R0865_003_0	3	001	MyOption Vision	15.30	2			2	2				17a;17b;
R0865	003	0	1	31	11	R0865_003_0	3	002	MyOption Platinum Dental	25.90	1	2000.00	3	2	2			16a;16b;	
R0923	001	0	1	31	11	R0923_001_0	3	001	MyOption Enhanced Dental Plus PPO	28.30	1	2000.00	3	2	2				16a;16b;
R0923	001	0	1	31	11	R0923_001_0	3	002	MyOption Total Dental Plus PPO	33.80	1	2000.00	3	2	2				16a;16b;
R0923	002	0	1	31	11	R0923_002_0	5	001	MyOption Dental High PPO	17.50	1	2000.00	3	2	2			16a;16b;	
R0923	002	0	1	31	11	R0923_002_0	5	002	MyOption Vision	15.30	2			2	2			17a;17b;	
R0923	002	0	1	31	11	R0923_002_0	5	003	MyOption Platinum Dental	23.40	1	2000.00	3	2	2				16a;16b;
R1390	001	0	1	31	11	R1390_001_0	4	001	MyOption Dental High PPO	20.30	1	2000.00	3	2	2			16a;16b;	
R1390	001	0	1	31	11	R1390_001_0	4	002	MyOption Vision	15.30	2			2	2				17a;17b;
R1390	001	0	1	31	11	R1390_001_0	4	003	MyOption Plus	22.60	2			2	1	50.00	16b;		16a;16b;17a;17b;
R1390	002	0	1	31	11	R1390_002_0	4	001	MyOption Dental High PPO	20.30	1	2000.00	3	2	2			16a;16b;	
R1390	002	0	1	31	11	R1390_002_0	4	002	MyOption Plus	22.60	2			2	1	50.00	16b;		16a;16b;17a;17b;
R1390	002	0	1	31	11	R1390_002_0	4	003	MyOption Platinum Dental	27.50	1	2000.00	3	2	2				16a;16b;
R1532	002	0	1	31	11	R1532_002_0	3	001	MyOption Vision	15.30	2			2	2				17a;17b;
R2604	001	0	1	31	11	R2604_001_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
R2604	005	0	1	31	11	R2604_005_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
R3392	002	0	1	31	11	R3392_002_0	4	001	MyOption Enhanced Dental PPO	19.90	1	2000.00	3	2	2				16a;16b;
R3444	009	0	1	31	11	R3444_009_0	3	001	Dental Platinum Rider	36.00	2			2	2				16a;16b;
R3444	012	0	1	31	11	R3444_012_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
R3444	023	0	1	31	11	R3444_023_0	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
R3887	001	0	1	31	11	R3887_001_0	4	001	MyOption Dental Enriched PPO	23.60	1	2000.00	3	2	2				16a;16b;
R3887	001	0	1	31	11	R3887_001_0	4	002	MyOption Total Dental PPO	30.00	1	2000.00	3	2	2				16a;16b;
R3887	002	0	1	31	11	R3887_002_0	3	001	MyOption Dental Enriched PPO	23.60	1	2000.00	3	2	2				16a;16b;
R3887	002	0	1	31	11	R3887_002_0	3	002	MyOption Total Dental PPO	30.00	1	2000.00	3	2	2				16a;16b;
R4182	001	0	1	31	11	R4182_001_0	3	001	MyOption Fitness	15.00	2			2	2			14c;	
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 Dental High PPO	15.10	1	2000.00	3	2	2			16a;16b;	
R4182	004	0	1	31	11	R4182_004_0	3	002	MyOption Fitness	15.00	2			2	2			14c;	
R4487	001	0	1	31	11	R4487_001_0	7	001	Preventive Dental Package	19.00	2			2	2				16a;
R4487	001	0	1	31	11	R4487_001_0	7	002	Dental and Vision Package	26.00	2			2	2				16a;16b;17b;
R4487	001	0	1	31	11	R4487_001_0	7	003	Enhanced Dental and Vision Package	54.00	2			2	2				16a;16b;17b;
R4845	002	0	1	31	11	R4845_002_0	3	001	MyOption Vision	15.30	2			2	2				17a;17b;
R4845	002	0	1	31	11	R4845_002_0	3	002	MyOption Platinum Dental	25.80	1	2000.00	3	2	2			16a;16b;	
R5329	001	0	1	31	11	R5329_001_0	4	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
R5342	001	0	1	31	11	R5342_001_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
R5342	002	0	1	31	11	R5342_002_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
R5342	005	0	1	31	11	R5342_005_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
R5342	006	0	1	31	11	R5342_006_0	3	001	Dental Platinum Rider	38.00	2			2	2				16a;16b;
R5361	001	0	1	31	11	R5361_001_0	3	001	MyOption Vision	15.30	2			2	2				17a;17b;
R5361	001	0	1	31	11	R5361_001_0	3	002	MyOption Dental Enriched PPO	32.90	1	2000.00	3	2	2				16a;16b;
R5361	002	0	1	31	11	R5361_002_0	2	001	MyOption Dental High PPO	27.50	1	2000.00	3	2	2			16a;16b;	
R5361	002	0	1	31	11	R5361_002_0	2	002	MyOption Vision	15.30	2			2	2			17a;17b;	
R5361	002	0	1	31	11	R5361_002_0	2	003	MyOption Plus	25.90	2			2	1	50.00	16b;		16a;16b;17a;17b;
R5495	001	0	1	31	11	R5495_001_0	4	001	MyOption Enhanced Dental PPO	21.70	1	2000.00	3	2	2				16a;16b;
R5495	001	0	1	31	11	R5495_001_0	4	002	MyOption Total Dental PPO	27.80	1	2000.00	3	2	2				16a;16b;
R5495	002	0	1	31	11	R5495_002_0	3	001	MyOption Dental High PPO	18.60	1	2000.00	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	003	MyOption Platinum Dental	26.70	1	2000.00	3	2	2				16a;16b;
R5941	013	0	1	31	11	R5941_013_0	6	001	Preventive Dental Package	20.00	2			2	2				16a;
R5941	013	0	1	31	11	R5941_013_0	6	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
R5941	013	0	1	31	11	R5941_013_0	6	003	Enhanced Dental and Vision Package	46.00	2			2	2				16a;16b;17b;
R5941	014	0	1	31	11	R5941_014_0	6	001	Preventive Dental Package	20.00	2			2	2				16a;
R5941	014	0	1	31	11	R5941_014_0	6	002	Dental and Vision Package	27.00	2			2	2				16a;16b;17b;
R5941	014	0	1	31	11	R5941_014_0	6	003	Enhanced Dental and Vision Package	46.00	2			2	2				16a;16b;17b;
R6801	009	0	1	31	11	R6801_009_0	3	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
R6801	012	0	1	31	11	R6801_012_0	4	001	Dental Platinum Rider	43.00	2			2	2				16a;16b;
R7220	002	0	1	31	11	R7220_002_0	2	001	MyOption Dental High PPO	24.80	1	2000.00	3	2	2			16a;16b;	
R7220	002	0	1	31	11	R7220_002_0	2	002	MyOption Vision	15.30	2			2	2				17a;17b;
R7220	002	0	1	31	11	R7220_002_0	2	003	MyOption Plus	23.60	2			2	1	50.00	16b;		16a;16b;17a;17b;
R7315	002	0	1	31	11	R7315_002_0	3	001	MyOption Dental High PPO	18.80	1	2000.00	3	2	2			16a;16b;	
R7444	001	0	1	31	11	R7444_001_0	4	001	Fitness Rider	18.00	2			2	2			;	14c;
R7444	001	0	1	31	11	R7444_001_0	4	002	Dental Platinum Rider	38.00	2			2	2				16a;16b;
