Enrollment Material

• Notice of Election Group Application

• Enrollment Change Form

• Renewal Application

• Eligibility Guidelines

• EFT/ACH

• EE Census Information Template

• New Business Checklist

Dental
Dental Package 1 No Participation Requirements

• Guardian Managed DentalGuard DHMO

• Guardian Managed DentalGuard DHMO Plus

• Solstice EPO S700B

• Solstice Dental EPO S800B

• Solstice Dental PPO

• Solstice Dental Value PPO MAC

• UnitedHealthcare National Exclusive Network

Life/AD&D

• Guardian Employer Paid Life AD&D 50K

• Guardian Employer Paid Life/AD&D 100K

Vision

• Guardian VisionGuard

• Solstice Vision 5 PPO

• UnitedHealthcare Vision PPO

Dental Package 2 Participation Requirements

• Guardian Managed DentalGuard DHMO

• Guardian Managed DentalGuard DHMO Plus

• Guardian DentalGuard Preferred PPO MAC

• Guardian DentalGuard Preferred PPO 70 UCR

• Guardian DentalGuard Preferred PPO 90 UCR

• Solstice Dental EPO S700B

• Solstice Dental EPO S800B

• Solstice Dental PPO

• Solstice Dental Value PPO MAC

• UnitedHealthcare National Exclusive Network

• UnitedHealthcare INO 100/50/50

• UnitedHealthcare Low PPO MAC

• UnitedHealthcare High PPO MAC

Life

• Guardian Voluntary Life 25K

• Guardian Voluntary Life 50K

Disability/Life/AD&D

• Guardian EverGuard

• Guardian EverGuard Plus

Accident

• Guardian AccidentGuard Adv

ID Theft

• LifeLock Identity Protection
  

Pet

• Total Pet
  

Additional Products Available

• Beyond Med - Health, Wellness & Cosmetic 

• OCA - FSA & Commuter Benefits

Marketing

• Ancillary Exchange Proposal

Appointment Paperwork

• Business Associate Agreement

• Selling Agent Application
  

2025 Rates 

• National Rate Sheets 1/2025 - 6/1/2025

• National Rate Sheets 7/1/2025 - 12/1/2025

• New York Rate Sheets 1/1/2025 - 6/1/2025

• New York & New Jersey Rate Sheets 7/1/2025 - 12/1/2025