Ameritas Group—Small & Large Groups

Plan Details:

Dental Summary of Benefits:

• Scheduled PPO Summary of Benefits
• Plan 1200, 1500 & 1500-2 Summary of Benefits

Dental & Vision Summary of Benefits:

• Plan 1500 & 1500-2 FUSION—Exam & Materials Summary of Benefits
• Plan 1500 & 1500-2 FUSION—Materials Only Summary of Benefits

Vision Summary of Benefits:

• Vision Perfect Eye Care Summary of Benefits

Forms and Applications:

• Ameritas Employer Application
• Ameritas Group Enrollment/Change or Waiver Form
• Ameritas Spanish Enrollment/Change or Waiver Form

Claim Forms:

• Ameritas Dental Claim Form
• Ameritas Eye Care Claim Form

Dental Rewards:

• Dental Rewards Flyer