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A National Dental PPO Plan

Healthcare and Insurance for distribution by the: GEHA Connection Dental Federal 877-434-23362022 A National Dental PPO Plan IMPORTANT Rates: Back Cover Changes for 2022: Page 4 Summary of Benefits: Page 49 Who may enroll in this Plan: All Federal employees, annuitants, and certain TRICARE beneficiaries in the United States and overseas who are eligible to enroll in the Federal Employees Dental and Vision Insurance Program This Plan has 5 enrollment regions, including international; please see the end of this brochure to determine your region and corresponding Options for this Plan: High Option Self Only High Option Self Plus One High Option Self and Family Standard Option Self Only Standard Option Self Plus One Standard Option Self Plus FamilyIntroduction On December 23, 2004, President George W.

and exclusions of this brochure. It is your responsibility to be informed about your benefits. If you are enrolled in this plan, you are entitled to the benefits described in this brochure. If you are enrolled in Self Plus One, you and your designated family member are entitled to these benefits. If you are enrolled in Self and Family coverage ...

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