Group Enrollment and Coverage Agreement for Stand Alone Blue DentalMichigan • June 2nd, 2008
Jurisdiction FiledJune 2nd, 2008Blue Cross Blue Shield of Michigan (BCBSM) will provide dental care coverage to Members, i.e., eligible persons enrolled through the group identified below and participating in the Group's employee welfare benefit plan providing dental benefits (Group Health Plan or GHP), subject to the terms of applicable certificates and riders ("Certificates and Riders"), BCBSM's administrative and underwriting requirements, the Group Administrative Guide (Guide) and the following terms and conditions of the Group Enrollment & Coverage Agreement consisting of Part A-Terms and Conditions, Part B-Group Information, and Part C-Coverage Selection (Agreement):