Group Dental Plan Proposal



Similar documents
TRIPLE CHOICE Dental Plan

Humana Health Plans of Florida. Important:

Schedule B Indemnity plan People First Plan Code #4084

A Dental Benefit Summary for Rice University

DISCOUNT DENTAL PLAN COMPLETE LISTING OF MEMBER COPAYMENTS

DIRECT REFERRAL DENTAL PLAN HN VALUE DHMO 150 SCHEDULE OF BENEFITS

deltadentalins.com/usc

Dental Benefits Summary

Network Plus Prepaid plan People First Plan Code #4004

General Dentist Fees

Cigna Dental Care (*DHMO) Patient Charge Schedule

2014 Dental Benefits Summary

SECURITY LIFE INSURANCE COMPANY OF AMERICA Minnetonka, Minnesota

Union Security Insurance Company 2323 Grand Boulevard Kansas City, MO EVIDENCE OF COVERAGE

2016 Buy Up Dental Care Plan Procedure List

TABLE OF DENTAL PROCEDURES PLEASE READ THE FOLLOWING INFORMATION CAREFULLY FOR YOUR PROCEDURE FREQUENCIES AND PROVISIONS.

Aetna Life Insurance Company Hartford, Connecticut 06156

SELECT CHOICE Dental Plan

Summary of Benefits. Mount Holyoke College

An Overview of Your Dental Benefits

Anthem Blue Dental PPO Plan

Cigna Dental Care (*DHMO) Patient Charge Schedule

Dental Services Rider Harbor Choice Plus, a product of Harbor Health Plan, Inc.

Employers Dental Services. Enrollment and Coverage Booklet

OVERVIEW The MetLife Dental Plan for Retirees

SCHEDULE OF BENEFITS DIRECT REFERRAL DENTAL PLAN*

Aetna Student Health Aetna PPO Dental Plan Design and Benefits Summary Policy Year: Policy Number

FLORIDA COMBINED LIFE INSURANCE COMPANY, INC.

LIST OF DENTAL PROCEDURES (LOW PLAN) PREVENTIVE PROCEDURES

EmblemHealth Preferred Dental

Dental Coverage Limitations By Program

More to feel good about. Baltimore City Public Schools Dental Options

Coverage to help you

Individual Dental Plan

HumanaDental State of Florida Employees

USA provided by Delta Dental of California

Attachment S: Benefits Covered - ADULTS - AGE 21 AND OVER

Enroll in DeltaCare USA and you ll enjoy these features:

MEDICAL ASSISTANCE PROGRAM DENTAL FEE SCHEDULE

Dental Clinical Criteria and Documentation Requirements

healthy teeth healthy body arkansas medicaid s dental care for adults

Small Business Solutions

Diagnostic No One of (D0210, D0330) per 60 Month(s) Per patient No

group dental & eye care For Cornell Employees and Their Families Ameritas Life Insurance Corp. of New York Coverage provided and underwritten by:

2007 Insurance Benefits Guide. Dental and Dental Plus. Dental and. Dental Plus. Employee Insurance Program 91

How To Get A Ppo Plan In Texas

*Check the Toolbox Folder for examples of signoff sheets.

SMALL GROUP PLANS FOR FAMILIES AND ADULTS WITH COMPREHENSIVE COVERAGE Page 1 of 9 Features & Benefit Details

2014 Preventive/Comprehensive. Dental HMO Plan. Health Net Medicare Advantage Plans. California. Josefina Bravo Health Net

Access PPO 1 Adults Maximum access, convenience and flexibility.

A Group Dental For: Florida State University Student Dental Plan

LIBERTY Dental Plan of California, Inc.

United Dental Care of Arizona, Inc Grand Boulevard Kansas City, MO EVIDENCE OF COVERAGE

Massachusetts State Health Care. Professionals Dental Fund. Summary Plan Description

Premera DentalBlueTM FOR ALASKA GROUPS WITH 2+ EMPLOYEES

FORD DENTAL COVERAGE

MEDICAID DENTAL PROGRAMS CODING, POLICY AND RELATED FEE REVISION INFORMATION

LifeWise Health Plan of Washington LifeWise Adult Health Plan ($75 Deductible) For Individuals and Families Residing in Washington

FLORIDA COMBINED LIFE INSURANCE COMPANY, INC.

REQUIRED OUTLINE OF COVERAGE FOR BLUEEXTRA INDIVIDUAL SUPPLEMENTAL INSURANCE COVERAGE DENTAL, VISION AND HEARING AID BENEFITS

Dental Benefits (866) A. Choice of Physician and Provider B. Scheduling Appointments C. Referrals to Specialists D. Changing Your Dentist

Your Dentist says you need a Crown, a Type C Service** Dentist s Usual Fee: $ R&C Fee: $ PDP Fee: $375.00

Schedule of Covered Services and Copayments Family Dental HMO SHOP Plan (CA-FD)

Delta Dental Individual and Family Dental Plans. EHB Certified DELTA DENTAL OF NORTH CAROLINA

Dentalworkers JOB DESCRIPTIONS Great Team Members make your Office function!

Dental Plan General Information

WMI Mutual Insurance Company

GROUP DENTAL PLAN WINSTON-SALEM/FORSYTH COUNTY SCHOOLS. Plan Number: Administered by:

2015 Insurance Benefits Guide. Dental Insurance. Dental Insurance. S.C. Public Employee Benefit Authority 95

Rochester Regional Health. Dental Plan

Quality, affordable dental insurance

RETIREE DENTAL PLANS MEMBER HANDBOOK THE DENTAL PLAN ORGANIZATIONS AND THE DENTAL EXPENSE PLAN

Dental Outline of Coverage

ADA Insurance Codes for Laboratory Procedures:

Mills College Student Health Plan - Dental Plan Benefits

WV Children s Health Insurance Program Dental Provider Guide

Dental. Covered services and limitations module

DENTAL PLAN B / SCHEDULED BENEFITS / EFFECTIVE APRIL 1, 2011

The Penn Dental Plan for Undergraduate and Graduate Students of the University of Pennsylvania

Delta Dental PPO. University of Michigan Dental Plan. Our national Point-of-Service program. Welcome!

DENTAL FOR EVERYONE SUMMARY OF BENEFITS, LIMITATIONS AND EXCLUSIONS

Good news about dental benefits for employees of NORTHWEST FLORIDA STATE COLLEGE

Federal Employee Dental and Vision Options

A DENTAL PLAN THAT BALANCES CHOICE & SAVINGS

Learn. dental plans: > Basic Plan. > My. Always. to enroll for. included withh. son is away. plan cover this?? radiation. please visit. dentist?

Bonitas Medical Scheme Dental Benefit Table

Dental Benefits. How Dental Benefits Work. Schedule of Benefits

TABLE OF DENTAL PROCEDURES PLEASE READ THE FOLLOWING INFORMATION CAREFULLY FOR YOUR PROCEDURE FREQUENCIES AND PROVISIONS.

Advancing Solutions For Great Oral Health

Texas. Use your HumanaOne Dental benefits. Choose HumanaOne dental benefits. HumanaOne Dental Prepaid HI215 Plan. Be healthy

Deseret Dental. Your Deseret Dental Handbook... DENTAL INSURANCE. Deseret Dental Table of Contents. Keys to making the most of your coverage:

Dental Coverage. Hawai i. Coordinated Care Plans. H2491_H _WCM_BRO_ENG CMS Approved WellCare 2011 HI_07_11_WC

Transcription:

Group Dental Plan Proposal Plan Highlights Voluntary or employer paid Rates as low as $10.75 a month Large statewide network of providers No waiting periods on any benefits Orthodontic (braces) for children & adults Plan provided by: Beta Health Association, Inc. Dental Plan Specialists since 1990

Attached please find our formal dental proposal. We appreciate the opportunity you have given us to present our dental plan for your consideration. The plan administrator is Beta Health Association, Inc. (BHA). BHA has been a leader in providing both voluntary and employer paid dental benefits in Colorado since 1990. They still represent over 94% of their original clients. There are over 92,000 members and 4,200 employer groups enrolled in a BHA dental program throughout Colorado! Our new dental product line is a perfect fit for your group. Each of the employees would be able to select from a certified and credentialed network of dentists that consists of over 500 dentists across Colorado including the Western Slope. This is by far the largest network of this type here in Colorado. The highlights of this plan are: Can be offered on a totally voluntary or employer paid basis. Rates are reduced is it is employer paid on the single rate. Rates are as low as $10.75 a month for an employee and only $30.75 a month for a family. Specific rates by location are included in this proposal for your review. Only one employee needs to participate. Normal voluntary participation is approximately 60% even if the employee is paying the full monthly cost. Employees want and need a dental plan! No waiting periods on any benefits (even major work or orthodontics) Unlimited benefits each year. Employees and their dependents can use the plan as much as they like each year. Employees will save an average of 65% off of the dentist s normal full fee. The plan will pay for itself in the benefit cost savings if they just have their cleanings done each year. Spanish speaking enrollment material is also available Certified and credentialed dentists statewide. 98% of all enrolled members would recommend the plan to a friend or neighbor and 91% stay with the first dentist they select! We are very confident that this new dental plan will provide you with a quality product for your employees and their dependents. Your employees would greatly appreciate you making this plan available to them as they would love to save some cost on their dental expenses every year! Sincerely, Rocky Mountain Health Plans Marketing Department

Who is Beta Health Association, Inc.? Beta Health Association, Inc. (BHA) is a Colorado based dental carrier which has specialized in both voluntary (employee paid) and contributory (employer paid) dental products since 1990. We also have a great individual dental product which is available on a national basis. Our Corporate Office is located in Denver, Colorado with Regional Marketing Offices in Grand Junction and Pueblo. Current membership is approximately 92,000 members. Company History and Product Line At first, BHA was designed to market and administer only a singular product line the Alpha Dental Plan. This plan is a discount fee-for-service network dental plan which is offered on a group and individual basis. Over the next 16 years, our company grew to include the administration and marketing of an additional discount fee-for-service network dental plan, which is called the CarePOS product. This product offers our members the flexibility of seeing one of over 33,000 national dental providers in 48 states. We also offer a host of indemnity and PPO dental plans where our members can visit any dentist, which was created through marketing alliances between BHA, Securian Dental, Companion Life, and AIG. These three indemnity products can be purchased separately or can be combined with the Alpha and CarePOS dental plans to create our group Triple Choice Dental Plan product. This product line does not require any employer contribution and allows each employee the choice between three different dental plan options i.e. the Alpha Dental Colorado Network Plan, the CarePOS Dental National Network Plan, or the Securian Dental, Companion Life, or AIG Dental Plan where they can see any dentist. Throughout our history, we have remained steadfast in our focus in offering high quality products and exceptional service to all of our members. BHA is operated on a daily basis by a wellseasoned and experienced management team. Even after a substantial amount of growth over the years, our company retains the feeling of a hometown, privately owned and operated business. A collection of supremely committed, qualified and conscientious dental plan experts, the BHA team has earned the trust and respect of countless members, participating dentists, and insurance agents across Colorado and the nation. We have proven our competency and demonstrated our skills. Each employee at BHA shares the same focus on delivering superior service and contributes daily to the same purpose of maintaining high quality, high value dental products for all participants. We are truly the Dental Plan Specialists in Colorado!

A company is known by the company it keeps Here are some of the over 4,200 Beta Health Association, Inc. clients Capco, Inc. Weld County Lehrer s Flowers The City of Greeley Colorado Materials Palace Construction The Pueblo Chieftain Union Printers Home O Meara Ford Center El Pueblo Boys Ranch Iliff School of Theology Hospital Shared Services Burt Automotive Network The University of Denver Rocky Mountain Materials Moreland Automotive Group Columbine Health Management Colorado Springs Health Partners Rocky Mountain Motorists (AAA) Lower Valley Hospital Association 11 th Judicial District-District Attorney s Office Colorado Association of Non-Profit Organizations (CANPO)

What are the low monthly rates? Front Range Voluntary Employer Paid Employee only $11.25 $10.75 Employee and one dependent $21.25 $20.75 Employee and two or more dependents $31.25 $30.75 Rate guarantee: 2 years 3 years Western Slope Voluntary Employer Paid Employee only $12.25 $11.75 Employee and one dependent $24.50 $24.00 Employee and two or more dependents $35.50 $35.00 Rate guarantee: 2 years 3 years Important guidelines: The employer paid rates are based upon the group contributing a minimum of 100% of the single employee only rate. The above rates apply only to non-current Beta Health Association, Inc. clients.

Dental Plan Highlights Large statewide network of dentists to select from Cosmetic dentistry included No waiting on any services.ever! Orthodontics (braces) discounted for children and adults No forms to complete No age limits for members No limit on visits No exclusions for dental health conditions No limits on access to discounts (use as much as you like each year) The enclosed fee schedule represents the pre-negotiated discounts we have arranged in advance with the General Dentists who are participating in the plan. Simply pay these amounts directly to your participating dentist at the time services are rendered it s that easy!

Beta Health Association Inc. Marketing Fee Schedule Alpha #19 June 1, 2006 ADA CODE DENTAL PROCEDURE/ADA CODE DESCRIPTION NORMAL FEE ALPHA PLAN #19 YOU SAVE Diagnostic Services (Exams and X-rays) 999 ROUTINE OFFICE VISIT $ 35 $ 5 86% 120 PERIODIC ORAL EVALUATION $ 49 No Cost 100% 140 LIMITED ORAL EVALUATION-PROBLEM FOCUSED $ 73 $ 14 81% 150 COMPREHENSIVE ORAL EVALUATION-NEW OR ESTABLISHED PATIENT $ 88 $ 11 87% 210 X-RAY INTRAORAL COMPLETE SERIES INC. BITEWINGS $ 122 $ 26 79% 220 X-RAY INTRAORAL-PERIAPICAL-FIRST FILM $ 28 $ 6 79% 230 X-RAY INTRAORAL PERIAPICAL EACH ADDITIONAL FILM $ 22 $ 4 80% 240 X-RAY INTRA ORAL-OCCLUSAL FILM $ 42 $ 4 89% 250 X-RAY EXTRAORAL-FIRST FILM $ 70 $ 4 94% 260 X-RAY EXTRAORAL-EACH ADDITIONAL FILM $ 53 $ 4 92% 270 X-RAY BITEWING-SINGLE FILM $ 28 No Cost 100% 272 X-RAY BITEWING-2 FILMS $ 42 No Cost 100% 274 X-RAY BITEWING-4 FILMS $ 60 No Cost 100% 330 X-RAY PANORAMIC FILM $ 105 $ 44 58% 340 CEPHALOMETRIC FILM $ 127 $ 56 56% 460 PULP VITALITY TEST $ 55 No Cost 100% 470 DIAGNOSTIC CASTS $ 106 $ 42 60% 999 EMERGENCY VISIT (SAME DAY) $ 90 $ 25 72% Preventive Services (Cleanings) 1110 PROPHYLAXIS-ADULT CLEANING (EVERY 6 MONTHS) $ 89 $ 15 83% 1120 PROPHYLAXIS-CHILD CLEANING (EVERY 6 MONTHS) $ 66 $ 15 77% 1203 TOPICAL APPLICATION OF FLUORIDE NOT INCL/PROPHY-CHILD $ 37 $ 11 71% 1330 ORAL HYGIENE INSTRUCTIONS $ 53 No Cost 100% 1351 SEALANT PER TOOTH $ 53 $ 11 79% 1510 SPACE MAINTAINER FIXED UNILATERAL $ 312 $ 160 49% 1515 SPACE MAINTAINER FIXED BILATERAL $ 423 $ 230 46% 1520 SPACE MAINTAINER-REMOVABLE-UNILATERAL $ 381 $ 194 49% 1525 SPACE MAINTAINER-REMOVABLE-BILATERAL $ 478 $ 225 53% 1550 RE-CEMENTATION OF SPACE MAINTAINER $ 80 $ 15 81% 1999 ADDITIONAL PROPHY (FOR PERIO MAINTENANCE) $ 89 $ 38 57% Restorative Services (Fillings, Crowns, Inlays and Onlays) 2140 AMALGAM-1 SURFACE (PRIMARY OR PERMANENT) $ 132 $ 29 78% 2150 AMALGAM-2 SURFACES (PRIMARY OR PERMANENT) $ 169 $ 38 77% 2160 AMALGAM-3 SURFACES (PRIMARY OR PERMANENT) $ 206 $ 48 77% 2161 AMALGAM-4 OR MORE SURFACES (PRIMARY OR PERMANENT) $ 238 $ 55 77% 2330 RESIN BASED COMPOSITE 1 SURFACE (ANTERIOR) $ 153 $ 41 73% 2331 RESIN BASED COMPOSITE 2 SURFACES (ANTERIOR) $ 194 $ 53 73% 2332 RESIN BASED COMPOSITE 3 SURFACES (ANTERIOR) $ 238 $ 69 71% 2335 RESIN 4 OR MORE SURFACES OR INVOLVING INCISAL ANGLE (ANTERIOR) $ 290 $ 110 62% 2390 RESIN BASED COMPOSITE CROWN ( ANTERIOR) $ 435 $ 239 45% 2391 RESIN BASED COMPOSITE ONE SURFACE (POSTERIOR) $ 169 $ 88 48% 2392 RESIN BASED COMPOSITE TWO SURFACE (POSTERIOR) $ 221 $ 123 44% 2393 RESIN BASED COMPOSITE THREE SURFACE (POSTERIOR) $ 276 $ 155 44% 2394 RESIN BASED COMPOSITE FOUR OR MORE SURFACES (POSTERIOR) $ 330 $ 171 48% *2510 INLAY-METALLIC-ONE SURFACE $ 823 $ 271 67% *2520 INLAY-METALLIC-TWO SURFACE $ 823 $ 271 67% *2530 INLAY-METALLIC-THREE OR MORE SURFACES $ 904 $ 298 67% *2542 ONLAY-METALLIC-TWO SURFACES $ 933 $ 308 67% *2543 ONLAY-METALLIC-THREE SURFACES $ 979 $ 323 67% *2544 ONLAY-METALLIC-FOUR OR MORE SURFACES $ 876 $ 289 67% *2610 INLAY-PORCELAIN/CERAMIC-ONE SURFACE $ 900 $ 297 67% *2650 INLAY-RESIN BASED COMPOSITE-ONE SURFACE $ 841 $ 277 67% *2651 INLAY-RESIN BASED COMPOSITE-TWO SURFACES $ 849 $ 280 67% *2652 INLAY-RESIN BASED COMPOSITE-THREE OR MORE SURFACES $ 889 $ 293 67% *2710 CROWN-RESIN BASED COMPOSITE (INDIRECT) $ 858 $ 284 67% *2720 CROWN-RESIN WITH HIGH NOBLE METAL $ 985 $ 325 67% *2721 CROWN-RESIN WITH PREDOMINANTLY BASE METAL $ 950 $ 313 67% *2722 CROWN RESIN WITH NOBLE METAL $ 952 $ 314 67% *2740 CROWN PORCELAIN/CERAMIC SUBSTRATE $ 1,058 $ 349 67% *2750 CROWN PORCELAIN FUSED TO HIGH NOBLE METAL $ 1,042 $ 344 67% *2751 CROWN-PORCELAIN FUSED TO PREDOMINANTLY BASE METAL $ 961 $ 288 70% *2752 CROWN-PORCELAIN FUSED TO NOBLE METAL $ 1,005 $ 341 66% Current Dental Terminology American Dental Association Page 1

ADA CODE DENTAL PROCEDURE/ADA CODE DESCRIPTION NORMAL FEE ALPHA PLAN #19 YOU SAVE Restorative Services (Fillings, Crowns, Inlays and Onlays) Con't *2790 CROWN FULL CAST HIGH NOBLE METAL $ 1,005 $ 318 68% *2791 CROWN FULL CAST PREDOMINANTLY BASE METAL $ 929 $ 288 69% *2792 CROWN FULL CAST NOBLE METAL $ 976 $ 318 67% 2910 RECEMENT INLAY, ONLAY, OR PARTIAL COVERAGE RESTORATION $ 102 $ 13 88% 2920 RECEMENT CROWN $ 104 $ 28 73% 2930 PREFAB. STAINLESS STEEL CROWN-PRIMARY $ 265 $ 92 65% 2931 PREFAB STAINLESS STEEL CROWN-PERMANENT $ 323 $ 112 65% 2932 PREFAB. RESIN CROWN $ 344 $ 143 58% 2933 PREFAB. STAINLESS STEEL CROWN WITH RESIN WINDOW $ 358 $ 161 55% 2940 SEDATIVE FILLING $ 110 $ 31 72% 2950 CORE BUILDUP INCLUDING ANY PINS $ 265 $ 75 72% 2951 PIN RETENTION PER TOOTH IN ADD. TO RESTORATION $ 74 $ 21 71% 2952 CAST POST & CORE IN ADDITION TO CROWN $ 423 $ 124 71% 2954 PREFAB POST & CORE IN ADDITION TO CROWN $ 330 $ 96 71% 2955 POST REMOVAL (NOT IN CONJUNCTION WITH ENDODONTIC THERAPY) $ 300 $ 132 56% 2960 LABIAL VENEER RESIN LAMINATE (CHAIRSIDE) $ 661 $ 173 74% 2999 BLEACHING (PER ARCH) $ 260 $ 156 40% 2999 $125 ADDTL.CHARGE P/UNIT FOR MULTIPLE CROWN UNITS/COMPLEX REHABILITATION *These co-payments do not include an allowable $138 lab fee (per unit). Doctors, please make sure that all members understand what their fees will be and what the savings are from your Usual and Customary fees. Temporary crowns are included with permanent crown preparation. Endodontic Services (Root Canals) 3110 PULP CAP DIRECT EXCLUDING FINAL RESTORATION $ 83 $ 24 72% 3120 PULP CAP INDIRECT EXCLUDING FINAL RESTORATION $ 85 $ 25 71% 3220 THERAPEUTIC PULPOTOMY EXCLUDING FINAL RESTORATION $ 196 $ 65 67% 3230 PULPAL THERAPY ANTERIOR, PRIMARY TOOTH EXCLUDING REST. $ 275 $ 86 69% 3240 PULPAL THERAPY POSTERIOR, PRIMARY TOOTH EXCLUDING REST $ 317 $ 96 70% 3310 ROOT CANAL THERAPY 1 CANAL (EXCLUDING FINAL RESTORATION) $ 671 $ 238 65% 3320 ROOT CANAL THERAPY 2 CANALS (EXCLUDING FINAL RESTORATION) $ 783 $ 287 63% 3330 ROOT CANAL THERAPY 3 CANALS OR MORE $ 952 $ 360 62% 3410 APICOECTOMY/PERIRADICULAR SURGERY-ANTERIOR $ 671 $ 297 56% 3421 APICOECTOMY/PERIRADICULAR SURGERY-BICUSPID (FIRST ROOT) $ 733 $ 333 55% 3425 APICOECTOMY/PERIRADICULAR SURGERY-MOLAR (FIRST ROOT) $ 863 $ 386 55% 3426 APICOECTOMY/PERIRADICULAR SURGERY-EACH ADDITIONAL ROOT $ 397 $ 142 64% 3430 RETROGRADE FILLING-PER ROOT $ 291 $ 107 63% 3910 SURGICAL PROCEDURE FOR ISOLATION OF TOOTH WITH RUBBER DAM $ 248 $ 57 77% Periodontic Services (Gum Disease) 4210 GINGIVOPLASY OR GIGIVECTOMY- 4+ CONTIGUOUS OR BOUNDED SP. TEETH P/QUAD $ 635 $ 300 53% 4211 GINGIVECTOMY OR GINGIVOPLASTY-1 TO 3 CONTIGUOUS OR BOUNDED SP. TEETH P/QUAD $ 265 $ 146 45% 4240 GINGIVAL FLAP PROCEDURE, INCL.ROOT PLNG -4+ CONTIG. OR BOUNDED SP. TEETH P/QUAD $ 741 $ 318 57% 4260 OSSEOUS SURG. INCL. FLAP ENTRY & CLOSURE-4+ CONTIG. OR BOUNDED SP. TEETH P/QUAD $ 1,032 $ 472 54% 4320 PROVISIONAL SPLINTING-INTRACORNIAL $ 529 $ 247 53% 4321 PROVISIONAL SPLINTING-EXTRACORNIAL $ 487 $ 228 53% 4341 PERIODONTAL SCALING & ROOT PLNG- 4+ TEETH PER QUAD $ 240 $ 101 58% 4355 FULL MOUTH DEBRIDEMENT TO ENABLE COMP.EVAL. & DIAGNOSIS $ 185 $ 83 55% 4910 PERIODONTAL MAINTENANCE $ 135 $ 53 61% 4999 PERIO SCREENING AND SCORING $ 30 $ 10 67% Prosthodontics (Removable/Complete Dentures, etc.) 5110 COMPLETE DENTURE-MAXILLARY $ 1,600 $ 474 70% 5120 COMPLETE DENTURE-MANDIBULAR $ 1,661 $ 492 70% 5130 IMMEDIATE DENTURE-MAXILLARY $ 1,738 $ 691 60% 5140 IMMEDIATE DENTURE-MANDIBULAR $ 1,744 $ 693 60% 5211 MAXILLARY PART. DENTURE-RESIN BASE (INCL. CLASPS & TEETH) $ 1,270 $ 399 69% 5212 MANDIBULAR PARTIAL DENTURE-RESIN BASE (INCL. CLASPS & TEETH) $ 1,323 $ 404 69% 5213 MAXILLARY PART. DENT.-CST MTL FRMEWRK W/RESIN DENT. BASE (INCL/CLASPS & TEETH) $ 1,720 $ 499 71% 5214 MANDIBULAR PART. DENT.-CST MTL FRMEWRK W/RESIN DENT. BASE (INCL/CLASPS & TEETH) $ 1,720 $ 496 71% 5410 ADJUST COMPLETE DENTURE-MAXILLARY $ 86 $ 32 63% 5411 ADJUST COMPLETE DENTURE-MANDIBULAR $ 85 $ 32 63% 5421 ADJUST PARTIAL DENTURE-MAXILLARY $ 85 $ 32 63% 5422 ADJUST PARTIAL DENTURE-MANDIBULAR $ 85 $ 32 63% 5510 REPAIR BROKEN COMPLETE DENTURE BASE $ 200 $ 76 62% 5520 REPLACE MISSING OF BROKEN TEETH-COMP.DENTURE-EACH TOOTH $ 180 $ 57 68% 5610 REPAIR RESIN DENTURE BASE $ 202 $ 74 63% 5620 REPAIR CAST FRAMEWORK $ 286 $ 127 56% 5630 REPAIR OR REPLACE BROKEN CLASP $ 265 $ 97 63% 5640 REPLACE BROKEN TEETH-PER TOOTH $ 181 $ 62 66% 5650 ADD TOOTH TO EXISTING PARTIAL DENTURE $ 216 $ 83 62% 5660 ADD CLASP TO EXISTING PARTIAL DENTURE $ 268 $ 111 59% Current Dental Terminology American Dental Association Page 2

ADA CODE DENTAL PROCEDURE/ADA CODE DESCRIPTION NORMAL FEE ALPHA PLAN #19 YOU SAVE Prosthodontics (Removable/ Complete Dentures, etc.) Con't 5710 REBASE COMPLETE MAXILLARY DENTURE $ 561 $ 246 56% 5711 REBASE COMPLETE MANDIBULAR DENTURE $ 561 $ 246 56% 5720 REBASE MAXILLARY PARTIAL DENTURE $ 542 $ 205 62% 5721 REBASE MANDIBULAR PARTIAL DENTURE $ 546 $ 207 62% 5730 RELINE COMPLETE MANDIBULAR DENTURE (CHAIRSIDE) $ 370 $ 161 56% 5731 RELINE COMPLETE MANDIBULAR DENTURE (CHAIRSIDE) $ 370 $ 161 56% 5740 RELINE MAXILLARY PARTIAL DENTURE (CHAIRSIDE) $ 367 $ 154 58% 5741 RELINE MANDIBULAR PARTIAL DENTURE (CHAIRSIDE) $ 370 $ 154 58% 5750 RELINE COMPLETE MAXILLARY DENTURE (LABORATORY) $ 462 $ 142 69% 5751 RELINE COMPLETE MANDIBULAR DENTURE (LABORATORY) $ 462 $ 142 69% 5760 RELINE MAXILLARY PARTIAL DENTURE (LABORATORY) $ 450 $ 142 69% 5761 RELINE MANDIBULAR PARTIAL DENTURE (LABORATORY) $ 450 $ 141 69% 5850 TISSUE CONDITIONING MAXILLARY $ 202 $ 57 72% 5851 TISSUE CONDITIONING MANDIBULAR $ 205 $ 57 72% NOTE: In addition to the fees listed above in section 5000 thru 6000, additional fees may be charged for upgraded teeth and enhanced cosmetics, personalization beyond norm or techniques involving precision dentures. Prosthodontics (fixed/partialdentures, etc.) *6210 PONTIC-CAST HIGH NOBLE METAL $ 1,016 $ 322 68% *6211 PONTIC-CAST PREDOMINANTLY BASE METAL $ 952 $ 278 71% *6212 PONTIC-CAST NOBLE METAL $ 979 $ 292 70% *6240 PONTIC-PORCELAIN FUSED TO HIGH NOBLE METAL $ 1,032 $ 340 67% *6241 PONTIC-PORCELAIN FUSED TO PREDOMINANTLY BASE METAL $ 961 $ 283 71% *6242 PONTIC-PORCELAIN FUSED TO NOBLE METAL $ 995 $ 304 69% *6250 PONTIC-RESIN WITH HIGH NOBLE METAL $ 995 $ 316 68% *6251 PONTIC-RESIN WITH PREDOMINANTLY BASE METAL $ 955 $ 296 69% *6252 PONTIC-RESIN WITH NOBLE METAL $ 979 $ 305 69% *6720 CROWN-RESIN WITH HIGH NOBLE METAL $ 1,032 $ 340 67% *6721 CROWN-RESIN WITH PREDOMINANTLY BASE METAL $ 952 $ 314 67% *6722 CROWN-RESIN WITH NOBLE METAL $ 990 $ 327 67% *6750 CROWN-PORCELAIN FUSED TO HIGH NOBLE METAL $ 1,042 $ 344 67% *6751 CROWN-PORCELAIN FUSED TO PREDOMINANTLY BASE METAL $ 959 $ 287 70% *6752 CROWN-PORCELAIN FUSED TO NOBLE METAL $ 1,004 $ 312 69% *6790 CROWN-FULL CAST HIGH NOBLE METAL $ 1,004 $ 318 68% *6791 CROWN-FULL CAST PREDOMINANTLY BASE METAL $ 952 $ 295 69% *6792 CROWN-FULL CAST NOBLE METAL $ 1,000 $ 304 70% 6930 RECEMENT FIXED PARTIAL DENTURE $ 171 $ 64 63% These co-payments do not include an allowable $138 lab fee (per unit). Doctors, please make sure that all members understand what their fees will be and what the savings are from your Usual and Customary fee. Oral Surgery (Extractions, etc.) 7140 EXTRACTION, ERUPTED TOOTH OR EXPOSED ROOT (ELEVATION AND/OR FORCEPS REMOVAL) $ 159 $ 39 75% 7210 SURGICAL EXT. ERUPTED TOOTH WITH REMOVAL OF BONE $ 265 $ 72 73% 7220 REMOVAL OF IMPACTED TOOTH-SOFT TISSUE $ 307 $ 82 73% 7230 REMOVAL OF IMPACTED TOOTH PARTIALLY BONY $ 386 $ 150 61% 7240 REMOVAL OF IMPACTED TOOTH-COMPLETELY BONY $ 476 $ 190 60% 7241 REMOVAL OF IMPACTED TOOTH-COMPLETELY BONY W/ UNUSUAL SURG. COMPLICATION $ 566 $ 221 61% 7250 SURGICAL REMOVAL OF RESIDUAL TOOTH ROOTS (CUTTING PROCEDURE) $ 309 $ 113 63% 7270 TOOTH REIMPL. AND/OR STAB. OF ACC.EVULSED OR DISPL. TOOTH $ 540 $ 216 60% 7280 SURGICAL ACCESS OF AN UNERUPTED TOOTH $ 479 $ 209 56% 7285 BIOPSY OF ORAL TISSUE-HARD (BONE-TOOTH) $ 409 $ 179 56% 7286 BIOPSY OF ORAL TISSUE-SOFT $ 316 $ 138 56% 7310 ALVEOPLASTY IN CONJ. WITH EXT.- PER QUAD $ 289 $ 111 62% 7320 ALVEOPLASTY NOT IN CONJ WITH EXT- PER QUAD $ 471 $ 174 63% 7510 INCISION AND DRAINAGE ABSCESS- INTRAORAL SOFT TISSUE $ 222 $ 86 61% 7910 SUTURE OF RECENT SMALL WOUNDS UP TO 5CM $ 317 No Cost 100% 7960 FRENULECTOMY (FRENECTOMY OR FRENOTOMY)- SEPARATE PROCEDURE $ 442 $ 114 74% 7970 EXCISION OF HYPERPLASTIC TISSUE- PER ARCH $ 524 $ 186 64% General Miscellaneous Services 9110 EMERGENCY PALATIVE TREATMENT OF DENTAL PAIN- MINOR PROCEDURE $ 123 $ 43 65% 9230 ANALGESIA, ANXIOLYSIS, INHALATION OF NITROUS OXIDE - FIRST 30 MINUTES $ 79 $ 22 72% 9310 CONSULTATION (DIAG. SERV. PROV. BY DENTIST OR PHYSICIAN OTHER THAN PRACTIONER PROV. TREATMNT) $ 141 No Cost 100% 9910 APPLICATION OF DESENSITIZING MEDICAMENT $ 66 $ 5 92% 9941 FABRICATION OF ATHLETIC MOUTHGUARD $ 282 $ 96 66% 9951 OCCLUSAL ADJUSTMENT-LIMITED $ 185 $ 67 64% 9952 OCCLUSAL ADJUSTMENT-COMPLETE $ 670 $ 248 63% 9999 MISSED APPOINTMENT (WITHOUT 24 HOUR NOTICE) $ 54 $ 30 44% Current Dental Terminology American Dental Association Page 3

ADA CODE DENTAL PROCEDURE/ADA CODE DESCRIPTION NORMAL FEE ALPHA PLAN #19 YOU SAVE Orthodontics (Braces) for Children & Adults Monthly Payment 13 MONTH TREATMENT PLAN ($125/MONTH) $ 2,852 $ 2,200 23% 16 MONTH TREATMENT PLAN ($125/MONTH) $ 3,320 $ 2,575 22% 19 MONTH TREATMENT PLAN ($125/MONTH) $ 3,787 $ 2,950 22% 22 MONTH TREATMENT PLAN ($125/MONTH) $ 4,218 $ 3,325 21% 25 MONTH TREATMENT PLAN ($125/MONTH) $ 4,724 $ 3,700 22% 28 MONTH TREATMENT PLAN ($125/MONTH) $ 5,192 $ 4,075 22% 31 MONTH TREATMENT PLAN ($125/MONTH) $ 5,659 $ 4,450 21% 34 MONTH TREATMENT PLAN ($125/MONTH) $ 6,127 $ 4,825 21% 36 MONTH TREATMENT PLAN ($125/MONTH) $ 6,439 $ 5,075 21% Other Orthodontic Guidelines 1. A $350 charge will apply at the end of treatment (included in the above amounts) to cover all retention office visits (unlimited). 2. Services not listed above will be discounted 30% off of the participating Orthodontist's Usual and Customary fees (except #5 listed below). 3. Services must only be provided by a contracted Orthodontic Specialist. 4. The amounts listed above also include an initial one-time $225 charge for all records, mold, x-rays, etc. to determine the Orthodontic Treatment for the patient. 5. Invisalign procedures are to be discounted 15% off the participating Orthodontist's Usual and Customary fees. All Plans General Limitations and Exclusions 1. All fees listed above do not include all appropriate lab fees. Member must agree (in writing) to all upgraded materials before treatment is started. See each section for specific details (if applicable). 2. All patients are responsible for paying all fees (as listed above) at the time services are rendered. 3. These fees are for General Dentists only. A participating specialist list is available by calling our office at 303-744-3007 or 1-800-807-0706. 4. Any procedures not listed will be discounted 20% off the participating General Dentists normal fees. 5. Medical costs associated with any dental procedures are not covered. 6. Dentures or appliances will be replaced only after 3 years have elapsed since such dentures or appliances were provided under any plan program, unless the denture or appliance becomes unserviceable due to illness or other causes not controlled by other means. Replacement of dentures, appliances, or bridgework due to loss or theft are not covered. 7. Any dental treatment started prior to the Member's eligibility to receive services under this plan or started after a Member's termination are not covered. 8. Failure to follow the prescribed treatment or accidents occurring during the course of treatment may result in additional charges by your plan provider. 9. Failure to pay scheduled fees at the time service is rendered may prevent future dental services from being received until all fees have been paid in full. 10. Services provided by non-participating dentists are not covered. 11. Services which, in the opinion of the attending dentist, are not necessary for the patient's dental health, or are contrary to established dental ethics are not covered. 12. Cosmetic dental procedures are covered only if the attending dentist and patient agree on the specific procedure. 13. Services which are compensable under Worker's Compensation or employer liability laws are not covered. 14. General anesthesia and IV sedation are not covered. 15. Myofunctional therapy procedure for training, treating or developing muscles in and around the jaw or mouth including TMJ are not covered except by participating plan specialists. 16. Any dental procedure or service that cannot be performed in the dental office due to general and/or physical limitations of a member are not covered. 17. Expenses incurred for dental procedures initiated prior to member's eligibility or after termination are not covered. 18. Any services that the Participating General Dentist recommends be performed by a specialist are covered only by a plan participating specialist. 19. The liability of Beta Health Association, Inc. is limited to the return of the membership fee's paid for one year by the member. 20. Extractions for asymptomatic third molars (wisdom teeth) are not covered unless causing movement of the teeth. An example of symptomatic include severe decay, and ontogenic cysts, chronic pericoronitis, and infection. 21. The Beta Health Association, Inc. dental programs do not constitute dental insurance and are considered discount, fee-forservice dental plans. 22. Fees are subject to change on an as needed basis. Please contact Beta Health Association, Inc. for current fees. Current Dental Terminology American Dental Association Page 4

Our Contracted Providers Are Proven Professionals! We are known by the quality of our contracted dentists Beta Health Association has developed network relationships with some of the finest dentists in the cities and suburbs where our members live and work. Our reputation depends on dentists who are dedicated to providing quality services Beta Health Association believes that the single most important consideration of our provider network is quality dental care. The key to quality dental care is the building of dental networks that allow for the convenience of location, adequate appointment availability, band the availability of a wide selection of private practice dentists who are committed to establishing a positive patient/ dentist relationship. We use high standards to select our dentists All participating Family Dentists and Specialists are subject to a credentialing process to ensure their qualifications meet our high standards. The program provides that Beta Health Association should: Perform background checks with the State Board of Dental Examiners We believe that the single most important consideration of our provider network is quality dental care Validate proof of current dental license Validate proof of current DEA and Radiology Certification where applicable Validate proof of professional liability insurance Review information regarding any past malpractice history, including past or present license sanctions

Proven Professionals Page 2 Practice standards set us apart Our experienced provider relations staff goes to great lengths to carefully measure all elements of a dental practice, including the following: The overall attitude and demeanor of the office staff Accessibility, including: parking, waiting room, and appointment availability The office follows established infection control procedures, and is compliant with OSHA standards The dental equipment is state of the art A patient recall system is in place to encourage preventive dental care Adequate record keeping and patient health history to encourage quality care Accessibility of Dental Services Access to emergency treatment, 7 days a week, 24 hours a day Routine appointments generally available within 5 to 6 weeks Family Dentists with office hours at least 3 days per week Multilingual and after-hour capabilities by some Family Dentists are available More than you might expect Admittedly, few patients ever scrutinize a dental provider the way we do. And our interest in customer service extends to the area of member satisfaction, with regular evaluations of selected dental offices and the care received there. We randomly survey our members to determine how our program is performing, not from our standpoint but from their standpoint. These results are currently as follows: 94.3% feel as though they receive good to excellent care 97.3% are satisfied with the scheduling of their first appointment 96.8% would recommend our plan to their friends and family members 91% of our members stay with the first dentist they select when they enroll

Alpha Dental Plan Complete Provider Directory 10/20/2006 Complete Participating Provider Directory (For Alpha Dental Plan ) Statewide Telephone number 1-800-807-0706 PLEASE NOTE: UNDER THE PROVIDER COLUMN THE ADP # IS FOR ALPHA DENTAL PLAN 19 AND A. (Providers are listed in alphabetical order according to city) NAME OFFICE NAME PROVIDER ADDRESS PHONE CITY SPECIALTY CODES Richard Williams Dr. Richard Williams ADP #56 315 Edison 719-589-3686 Alamosa General Dentist *, **, C, E1-2, E3-4, N Howard Stringert Dr. Howard Stringert Not Needed 511 Main St. 719-589-6496 Alamosa Orthodontist None Kathy Tomlinson Comfort Dental - North Arvada ADP #36 8390 W. 80th Ave. 303-425-6419 Arvada General Dentist *, **, C, E1-2, E3-4, N Juan Materon Comfort Dental - North Arvada ADP #36 8390 W. 80th Ave. 303-425-6419 Arvada General Dentist *, **, C, E1-2, E3-4, N Shayna Barr Comfort Dental - North Arvada ADP #36 8390 W. 80th Ave. 303-425-6419 Arvada General Dentist *, **, C, E1-2, E3-4, N Anita Vedi New Impressions Dental ADP #39 9122 W. 88th Ave. 303-422-0836 Arvada General Dentist **, C, E1-2 M. Scott Peppler New Impressions Dental ADP #39 9122 W. 88th Ave. 303-422-0836 Arvada General Dentist **, C, E1-2 Alan Bueltel Comfort Dental - Arvada ADP #62 12380 W. 64th Ave. 303-421-7000 Arvada General Dentist *, C, E1-2, E3-4, N Neil Zimmet Comfort Dental - Arvada ADP #62 12380 W. 64th Ave. 303-421-7000 Arvada General Dentist *, C, E1-2, E3-4, N Mark Dean Comfort Dental - Arvada ADP #62 12380 W. 64th Ave. 303-421-7000 Arvada General Dentist *, C, E1-2, E3-4, N James R. Mayo Comfort Dental - Arvada ADP #62 12380 W. 64th Ave. 303-421-7000 Arvada General Dentist *, C, E1-2, E3-4, N Damon C. WIlkerson Colo Orthodontics Not Needed 6390 Gardenia St., #200 303-421-2616 Arvada Orthodontist None James H. Mason Colo Orthodontics Not Needed 6390 Gardenia St., #200 303-421-2616 Arvada Orthodontist None John Bailey Colo Orthodontics Not Needed 6390 Gardenia St., #200 303-421-2616 Arvada Orthodontist None Roy Theriot Dr. Roy Theriot ADP #10 941 S. Havana, #200 303-341-5313 Aurora General Dentist *, C Matthew Snyder Bright Now Dental - Smoky Hill ADP #107 23963 Prospect Ave., Ste. HV2BE 303-400-9898 Aurora General Dentist *, C, E1-2, E3-4 Charles Stirewalt Bright Now Dental - Smoky Hill ADP #107 23963 Prospect Ave., Ste. HV2BE 303-400-9898 Aurora General Dentist *, C, E1-2, E3-4 Kris Komanduri Hanu Dental Care ADP #163 11275 E. Mississippi Ave., #1 W2 303-340-0087 Aurora General Dentist *, **, C, E1-2, E3-4 Steven Perry Dental Health Center ADP #168 250 S. Sable 303-360-0991 Aurora General Dentist *, **, C, E1-2, E3-4 Saadia Basit Dental Health Center ADP #168 250 S. Sable 303-360-0991 Aurora General Dentist *, **, C, E1-2, E3-4 Frank Weir Dental Health Center ADP #168 250 S. Sable 303-360-0991 Aurora General Dentist *, **, C, E1-2, E3-4 Matthew Rowan Comfort Dental - Aurora ADP #173 1050 S. Peoria 303-367-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Jeffrey Gilliam Comfort Dental - Aurora ADP #173 1050 S. Peoria 303-367-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Zachary D. Bergeson Comfort Dental - Aurora ADP #173 1050 S. Peoria 303-367-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Gerald Edwards Comfort Dental - Aurora ADP #173 1050 S. Peoria 303-367-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Scott Henderson Comfort Dental - Orchard Rd. ADP #177 15250 E. Orchard Rd. 303-680-9990 Aurora General Dentist *, **, C, E1-2, E3-4, N Jeffrey Hamilton Comfort Dental - Orchard Rd. ADP #177 15250 E. Orchard Rd. 303-680-9990 Aurora General Dentist *, **, C, E1-2, E3-4, N Michael Gioia Comfort Dental - Orchard Rd. ADP #177 15250 E. Orchard Rd. 303-680-9990 Aurora General Dentist *, **, C, E1-2, E3-4, N Lorraine Loustalet Comfort Dental - East Aurora ADP #34 2131 S. Chambers Rd. 303-750-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Jeffrey A. Varner Comfort Dental - East Aurora ADP #34 2131 S. Chambers Rd. 303-750-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Sean Phelan Comfort Dental - East Aurora ADP #34 2131 S. Chambers Rd. 303-750-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Jim Parfitt Comfort Dental - East Aurora ADP #34 2131 S. Chambers Rd. 303-750-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Jeffrey A. Ranta Wohlgemuth & Rush, DDS ADP #41 1450 S. Havana, #200 303-755-8388 Aurora General Dentist C, N Steven Rush Wohlgemuth & Rush, DDS ADP #41 1450 S. Havana, #200 303-755-8388 Aurora General Dentist C, N Barry Wohlgemuth Wohlgemuth & Rush, DDS ADP #41 1450 S. Havana, #200 303-755-8388 Aurora General Dentist C, N Robert Browning Robert Browning, DDS ADP #44 11275 E. Mississippi Ave., # 2-5-6 303-343-3910 Aurora General Dentist *, C, E1-2, E3-4 Thomas E. Daniel Dr. Thomas E. Daniel ADP #46 1101 Havana 303-366-3577 Aurora General Dentist C Page 1 of 7

Alpha Dental Plan Complete Provider Directory 10/20/2006 NAME OFFICE NAME PROVIDER ADDRESS PHONE CITY SPECIALTY CODES Michael Buchler Blue Mesa Dental - S. Chambers Rd. ADP #70 1700 S. Chambers Rd. 303-337-0789 Aurora General Dentist **, C, E1-2, E3-4 Robert Utberg Bright Now Dental - S. Tower Rd. ADP #74 3551 S. Tower Rd., #C 303-400-3669 Aurora General Dentist *, **, C, E1-2 James E. Berwick Bright Now Dental - S. Tower Rd. ADP #74 3551 S. Tower Rd., #C 303-400-3669 Aurora General Dentist *, **, C, E1-2 Charles Stirewalt Bright Now Dental - S. Tower Rd. ADP #74 3551 S. Tower Rd., #C 303-400-3669 Aurora General Dentist *, **, C, E1-2 James Lui Comfort Dental - Quincy & Buckley ADP #76 16981 E. Quincy D1-D3 303-617-8400 Aurora General Dentist **, C, E1-2, N John W. Thousand, III Comfort Dental - Quincy & Buckley ADP #76 16981 E. Quincy D1-D3 303-617-8400 Aurora General Dentist **, C, E1-2, N Nicole Ward Comfort Dental - Quincy & Buckley ADP #76 16981 E. Quincy D1-D3 303-617-8400 Aurora General Dentist **, C, E1-2, N Camillo DiLizia Comfort Dental - Quincy & Buckley ADP #76 16981 E. Quincy D1-D3 303-617-8400 Aurora General Dentist **, C, E1-2, N James H. Mason Colo Orthodontics Not Needed 2993 S. Peoria St., #260 303-751-5700 Aurora Orthodontist None John Bailey Colo Orthodontics Not Needed 2993 S. Peoria St., #260 303-751-5700 Aurora Orthodontist None Damon C. WIlkerson Colo Orthodontics Not Needed 2993 S. Peoria St., #260 303-751-5700 Aurora Orthodontist None Hilary Neilberg-Baskin Comfort Smile Center Not Needed 15403 E. Hampden Ave. 303-680-3295 Aurora Orthodontist None Jack E. Duran Dr. Jack E. Duran Not Needed 11275 E. Mississippi Ave., Unit #1 N-2 303-789-9251 Aurora Orthodontist None Roy M. Lorenz Roy M. Lorenz, DMD, MS Not Needed 14991 E. Hampden Ave. #320 303-690-2333 Aurora Orthodontist None Theresa Shaver Theresa Shaver Orthodontics, PC Not Needed 14001 E. Iliff, #201 303-755-5505 Aurora Orthodontist None Damon C. WIlkerson University of Colorado Department of Orthodontics Not Needed 1635 N. Ursula St. 720-848-2538 Aurora Orthodontist None Voytek Bobak Dr. Voytek Bobak Not Needed 460 County Rd. 43 303-988-0844 Bailey Orthodontist None Wojciech Bobak Dr. Wojciech Bobak Not Needed 460 County Rd. 43 303-988-0844 Bailey Orthodontist None Sharon Poczatek Todays Choice Dental ADP #11 2800 Valmont Rd. 303-444-3232 Boulder General Dentist *, **, C, E1-2, E3-4 Lisa Sheldon Comfort Dental - Boulder ADP #112 3400 Arapahoe Rd. 303-444-2129 Boulder General Dentist *, C, E1-2, E3-4 April Sousa Comfort Dental - Boulder ADP #112 3400 Arapahoe Rd. 303-444-2129 Boulder General Dentist *, C, E1-2, E3-4 Christopher Mehlhoff Bright Now Dental - Boulder ADP #136 1840 Folsom St. 303-417-9401 Boulder General Dentist *, C, E1-2, E3-4 Charles Stirewalt Bright Now Dental - Boulder ADP #136 1840 Folsom St. 303-417-9401 Boulder General Dentist *, C, E1-2, E3-4 Mary Connolly Dental Health Center ADP #169 2525 28th St., #140 303-443-0070 Boulder General Dentist *, **, C, E1-2, E3-4 Allen Skromme Dental Health Center ADP #169 2525 28th St., #140 303-443-0070 Boulder General Dentist *, **, C, E1-2, E3-4 Steven Perry Dental Health Center ADP #169 2525 28th St., #140 303-443-0070 Boulder General Dentist *, **, C, E1-2, E3-4 Steven J. Hood Dental Health Center ADP #169 2525 28th St., #140 303-443-0070 Boulder General Dentist *, **, C, E1-2, E3-4 John Walker Dr. John Walker Not Needed 350 Broadway #120 303-494-3535 Boulder Orthodontist None Cindy Sue Wilson Cindy Sue Wilson, D.D.S. ADP #14 80 Garden Center North D 303-635-2640 Broomfield General Dentist C, E1-2 Lyndon Mata Mata Dental ADP #58 6363 W. 120th Ave., #230 303-635-0100 Broomfield General Dentist *, C, E1-2, N Charles Stirewalt Bright Now Dental - Castle Rock ADP #49 1001 S. Perry St., #105-A 303-688-0252 Castle Rock General Dentist **, C Joseph Feller Bright Now Dental - Castle Rock ADP #49 1001 S. Perry St., #105-A 303-688-0252 Castle Rock General Dentist **, C Jason Ray Blue Mesa Dental - Southglenn ADP #116 2001 E. Easter Ave., #200 303-703-4544 Centennial General Dentist C, E1-2, E3-4 Richard Handelman Blue Mesa Dental - Southglenn ADP #116 2001 E. Easter Ave., #200 303-703-4544 Centennial General Dentist C, E1-2, E3-4 Jeanette Berner Comfort Dental - Centennial ADP #6 8223 S. Quebec St., Unit A 303-689-2273 Centennial General Dentist *, C, E1-2, E3-4 Scott H. Ash Comfort Dental - Centennial ADP #6 8223 S. Quebec St., Unit A 303-689-2273 Centennial General Dentist *, C, E1-2, E3-4 Jacqueline Blasko Comfort Dental - Centennial ADP #6 8223 S. Quebec St., Unit A 303-689-2273 Centennial General Dentist *, C, E1-2, E3-4 Richard W. Arbuckle Reliable Dental ADP #66 4490 Bent Brothers Blvd. #D1 719-676-3361 Colorado City General Dentist C, E1-2 Richard H. Wiedey Dr. Richard H. Wiedey ADP #106 1819 North Circle #6 719-520-5884 Colorado Springs General Dentist **, E1-2, E3-4, N Michael Stoor Comfort Dental - Citadel Crossing ADP #108 509 N. Academy Blvd. 719-591-7599 Colorado Springs General Dentist *, C, E1-2 John Rollow, IV Comfort Dental - Citadel Crossing ADP #108 509 N. Academy Blvd. 719-591-7599 Colorado Springs General Dentist *, C, E1-2 Dwight Douglas Olson Comfort Dental - North Powers ADP #118 6076 Stetson Hills Blvd. 719-637-2079 Colorado Springs General Dentist *, **, C, E1-2, E3-4 Andrew Killgore Comfort Dental - North Powers ADP #118 6076 Stetson Hills Blvd. 719-637-2079 Colorado Springs General Dentist *, **, C, E1-2, E3-4 Steve Carter Comfort Dental - North Powers ADP #118 6076 Stetson Hills Blvd. 719-637-2079 Colorado Springs General Dentist *, **, C, E1-2, E3-4 Michael D. Millward Bright Now Dental - Parkmoor Village ADP #159 3208 N. Academy Blvd., #140 719-596-7000 Colorado Springs General Dentist C, E1-2, E3-4 Charles Stirewalt Bright Now Dental - Parkmoor Village ADP #159 3208 N. Academy Blvd., #140 719-596-7000 Colorado Springs General Dentist C, E1-2, E3-4 Kathleen Brower Jade Dental Professionals South ADP #164 2130 S. Academy Blvd., #100 719-380-5733 Colorado Springs General Dentist C, E1-2 Page 2 of 7

Alpha Dental Plan Complete Provider Directory 10/20/2006 NAME OFFICE NAME PROVIDER ADDRESS PHONE CITY SPECIALTY CODES Joseph A. Woods Blue Mesa Citadel Dental, PC ADP #175 825 Citadel Dr. East #200 719-380-7100 Colorado Springs General Dentist *, C, E1-2 Richard Handelman Blue Mesa Citadel Dental, PC ADP #175 825 Citadel Dr. East #200 719-380-7100 Colorado Springs General Dentist *, C, E1-2 Paul Rygg Stafford Dental Group ADP #25 559 E. Pikes Peak Ave., #208 719-636-3311 Colorado Springs General Dentist **, E1-2, E3-4 Leopoldo Rodríguez Leopoldo Rodríguez ADP #31 1304 N. Academy Blvd., #104 719-596-3939 Colorado Springs General Dentist C, E1-2 Paul Hennegan Bright Now Dental - Citadel Dr. ADP #50 701 Citadel Dr. East 719-574-7288 Colorado Springs General Dentist **, C, E1-2, E3-4 Charles Stirewalt Bright Now Dental - Citadel Dr. ADP #50 701 Citadel Dr. East 719-574-7288 Colorado Springs General Dentist **, C, E1-2, E3-4 Benjamin Butler Bright Now Dental - Citadel Dr. ADP #50 701 Citadel Dr. East 719-574-7288 Colorado Springs General Dentist **, C, E1-2, E3-4 Curtis Broeker Premier Dentistry ADP #73 5745 Erindale Dr. #100 719-264-9355 Colorado Springs General Dentist *, C, E1-2, E3-4 Julia Arnold Interquest Dental Group, Inc. ADP #75 1310 United Heights Dr. #220 719-266-5150 Colorado Springs General Dentist C Paul Rodríguez Dr. Paul Rodríguez ADP #77 703 N. Tejon St., #D 719-633-5501 Colorado Springs General Dentist **, C, E1-2, E3-4 Steven Castillo Castillo Dental Associates ADP #88 1910 Vindicator Dr., #103 719-268-9030 Colorado Springs General Dentist C, E1-2, E3-4 Colleen Jenson Jade Dental Associates ADP #89 703 N. Tejon St., #A 719-633-0770 Colorado Springs General Dentist C, E1-2, E3-4 Natalie Jones Comfort Dental - North Academy ADP #9 1634 York Rd. 719-522-0800 Colorado Springs General Dentist *, C, E1-2, E3-4, N Rick Christensen Comfort Dental - North Academy ADP #9 1634 York Rd. 719-522-0800 Colorado Springs General Dentist *, C, E1-2, E3-4, N Steven Krendl Comfort Dental - North Academy ADP #9 1634 York Rd. 719-522-0800 Colorado Springs General Dentist *, C, E1-2, E3-4, N Daniel Ward Comfort Dental - North Academy ADP #9 1634 York Rd. 719-522-0800 Colorado Springs General Dentist *, C, E1-2, E3-4, N David Schroeder Apple Orthodontics Not Needed 1694 E. Cheyenne Mtn. Blvd. 719-538-4671 Colorado Springs Orthodontist None Louis Talmoumis Apple Orthodontics Not Needed 1694 E. Cheyenne Mtn. Blvd. 719-538-4671 Colorado Springs Orthodontist None Scott Sutter Front Range Ortho Not Needed 3100 N. Academy Blvd., #200 719-550-0222 Colorado Springs Orthodontist None Voytek Bobak Dr. Voytek Bobak Not Needed 26697 Pleasant Park Rd., #B-120 303-988-0844 Conifer Orthodontist None Wojciech Bobak Dr. Wojciech Bobak Not Needed 26697 Pleasant Park Rd., #B-120 303-988-0844 Conifer Orthodontist None Robert Unrath Comfort Dental - North Denver ADP #113 4901 W. 38th Ave. 303-455-2273 Denver General Dentist *, **, C, E1-2, E3-4 James Li-Hang Liu Comfort Dental - North Denver ADP #113 4901 W. 38th Ave. 303-455-2273 Denver General Dentist *, **, C, E1-2, E3-4 Tom Marschner Comfort Dental - North Denver ADP #113 4901 W. 38th Ave. 303-455-2273 Denver General Dentist *, **, C, E1-2, E3-4 Gary Saddler Comfort Dental - North Denver ADP #113 4901 W. 38th Ave. 303-455-2273 Denver General Dentist *, **, C, E1-2, E3-4 Alan Coombs Alpha Dental II, PC ADP #12 1660 S. Albion, #715 303-758-4287 Denver General Dentist ** Norris Sadler Dr. Norris Sadler ADP #13 3025 W. 38th Ave. 303-458-7051 Denver General Dentist *, E1-2, E3-4, N Thomas Sniegowski Dr. Thomas Sniegowski ADP #151 7475 Dakin St., Ste. #309 303-429-2727 Denver General Dentist *, E1-2 Dr. Mayya Acherkan Affordable Dental Care ADP #157 677 S. Federal Blve. 303-936-6188 Denver General Dentist **, E1-2, E3-4 Stephen Brown Affordable Dental Care ADP #157 677 S. Federal Blve. 303-936-6188 Denver General Dentist **, E1-2, E3-4 Makala Bannister Dental Health Center ADP #170 1600 Stout St., #600 303-592-1133 Denver General Dentist *, C, E1-2 Steven Perry Dental Health Center ADP #170 1600 Stout St., #600 303-592-1133 Denver General Dentist *, C, E1-2 Karen Suchyta Dental Health Center ADP #171 2005 Franklin St., #590 303-832-8611 Denver General Dentist *, **, C, E1-2, E3-4, N Amir Hashemi Dental Health Center ADP #171 2005 Franklin St., #590 303-832-8611 Denver General Dentist *, **, C, E1-2, E3-4, N Steven Perry Dental Health Center ADP #171 2005 Franklin St., #590 303-832-8611 Denver General Dentist *, **, C, E1-2, E3-4, N David Dinsmore Comfort Dental - Cherry Creek ADP #183 201 University Blvd., #101 303-321-2233 Denver General Dentist *, C, E1-2, E3-4 Todd Light Comfort Dental - Cherry Creek ADP #183 201 University Blvd., #101 303-321-2233 Denver General Dentist *, C, E1-2, E3-4 Mark Jolested Comfort Dental - Cherry Creek ADP #183 201 University Blvd., #101 303-321-2233 Denver General Dentist *, C, E1-2, E3-4 Donald Mardis Comfort Dental - East Colfax ADP #26 5200 E. Colfax Ave. 303-377-3876 Denver General Dentist *, **, C, E1-2 Gary Rotolo Comfort Dental - East Colfax ADP #26 5200 E. Colfax Ave. 303-377-3876 Denver General Dentist *, **, C, E1-2 Thomas Pyne Dr. Thomas Pyne ADP #29 12075 E. 45th Ave., #333 303-371-9131 Denver General Dentist *, C, E1-2, E3-4 Charles Stirewalt Bright Now Dental - Denver Downtown ADP #30 1955 Arapahoe St., Ste. A 303-296-0888 Denver General Dentist C, E1-2, E3-4 Christina Lee Dental Health Center ADP #37 5031 S. Ulster St., #100 303-779-8587 Denver General Dentist **, C Donald Langley Dental Health Center ADP #37 5031 S. Ulster St., #100 303-779-8587 Denver General Dentist **, C Joseph Feller Bright Now Dental - Cherry Creek ADP #47 3865 Cherry Creek Dr. North, #200 303-321-1181 Denver General Dentist C, N Charles Stirewalt Bright Now Dental - Cherry Creek ADP #47 3865 Cherry Creek Dr. North, #200 303-321-1181 Denver General Dentist C, N Thomas Borris Bright Now Dental - Cherry Creek ADP #47 3865 Cherry Creek Dr. North, #200 303-321-1181 Denver General Dentist C, N Page 3 of 7

Alpha Dental Plan Complete Provider Directory 10/20/2006 NAME OFFICE NAME PROVIDER ADDRESS PHONE CITY SPECIALTY CODES David R. Huskey David R. Huskey, DDS ADP #51 2465 S. Downing, #104 A 303-722-0204 Denver General Dentist C, E1-2, N Timothy Wachuta Dr. Timothy Wachuta ADP #53 2709 S. Colorado Blvd. 303-756-2770 Denver General Dentist C, E1-2, E3-4 Kenneth Chernoff Dr. Timothy Wachuta ADP #53 2709 S. Colorado Blvd. 303-756-2770 Denver General Dentist C, E1-2, E3-4 Ekatrina Butkevich Dr. Timothy Wachuta ADP #53 2709 S. Colorado Blvd. 303-756-2770 Denver General Dentist C, E1-2, E3-4 Greg Schlagel AAA Dental Center ADP #84 3805 Newton St. 303-455-0233 Denver General Dentist **, E1-2, E3-4 Kelly White Auraria Dental Centre ADP #96 1050 W. Colfax, Ste. G 303-573-5533 Denver General Dentist **, E1-2, E3-4 Paul Rocke Downtown Orthodontics Not Needed 1050 W. Colfax, Ste. G 303-573-5533 Denver Orthodontist None Michael D. Bellon Dr. Michael D. Bellon Not Needed 7200 E. Hampden, #203 303-692-9610 Denver Orthodontist None Neil Cowen Dr. Neil Cowen ADP #33 3535 S. Lafayette, Suite 108 303-761-8688 Englewood General Dentist *, C, E1-2 David Rebber Comfort Dental - Englewood ADP #45 2780 S. Broadway 303-783-0100 Englewood General Dentist *, C, E1-2, E3-4, N Larry Nessel Comfort Dental - Englewood ADP #45 2780 S. Broadway 303-783-0100 Englewood General Dentist *, C, E1-2, E3-4, N Jeffrey Spiegel Comfort Dental - Englewood ADP #45 2780 S. Broadway 303-783-0100 Englewood General Dentist *, C, E1-2, E3-4, N William Case Dr. William Case ADP #71 7180 E. Orchard Rd., #302 720-488-6600 Englewood General Dentist *, C Jennifer Mansky Blue Mesa Dental - S. Quebec ADP #72 8100 S. Quebec, #A-14 720-489-9800 Englewood General Dentist C, E1-2, E3-4 David Richter Dr. David Richter - Englewood Not Needed 5031 S. Ulster St., #100 303-779-8587 Englewood Orthodontist None Jack E. Duran Orthodontics Exlusively Not Needed 3601 S. Clarkson 303-789-9257 Englewood Orthodontist None King Campbell Comfort Dental - Ft. Collins ADP #32 934 S. Lemay 970-498-8300 Fort Collins General Dentist *, C, E1-2, E3-4, N Douglas Haschke Comfort Dental - Ft. Collins ADP #32 934 S. Lemay 970-498-8300 Fort Collins General Dentist *, C, E1-2, E3-4, N Matthew Draper Comfort Dental - Ft. Collins ADP #32 934 S. Lemay 970-498-8300 Fort Collins General Dentist *, C, E1-2, E3-4, N Alois Tripam Comfort Dental - Ft. Collins ADP #32 934 S. Lemay 970-498-8300 Fort Collins General Dentist *, C, E1-2, E3-4, N Charles Stirewalt Bright Now Dental - Fort Collins ADP #38 1217 E. Elizabeth St., #5 970-498-8706 Fort Collins General Dentist C, E1-2 James E. Berwick Bright Now Dental - Fort Collins ADP #38 1217 E. Elizabeth St., #5 970-498-8706 Fort Collins General Dentist C, E1-2 Joseph Feller Bright Now Dental - Fort Collins ADP #38 1217 E. Elizabeth St., #5 970-498-8706 Fort Collins General Dentist C, E1-2 Scott Novak Bright Now Dental - Fort Collins ADP #38 1217 E. Elizabeth St., #5 970-498-8706 Fort Collins General Dentist C, E1-2 William W. Iversen Dr. William W. Iversen Not Needed 1103 S. Shields 970-484-3214 Fort Collins Orthodontist None Thomas L. Losacco Dr. Thomas L. Losacco ADP #8 801 6th St. 303-569-3141 Georgetown General Dentist *, C, E1-2, E3-4, N Robert A. Woods Glenwood Meadows Dental ADP #178 40 - A Market Street 970-947-1717 Glenwood Springs General Dentist **, C, E1-2, E3-4 William McGlashan Comfort Dental - Glenwood Springs ADP #91 1512 Grand Ave. 970-947-1273 Glenwood Springs General Dentist *, **, C, E1-2, E3-4 Michael Shea Comfort Dental - Glenwood Springs ADP #91 1512 Grand Ave. 970-947-1273 Glenwood Springs General Dentist *, **, C, E1-2, E3-4 Timothy Wachuta Dr. Timothy Wachuta ADP #128 2305 Jackson St. 303-278-2800 Golden General Dentist C, E1-2, E3-4 Kenneth Chernoff Dr. Timothy Wachuta ADP #128 2305 Jackson St. 303-278-2800 Golden General Dentist C, E1-2, E3-4 Ekatrina Butkevich Dr. Timothy Wachuta ADP #128 2305 Jackson St. 303-278-2800 Golden General Dentist C, E1-2, E3-4 Michael Miller Golden View Dental ADP #21 727 Simms St., #E 303-232-3636 Golden General Dentist *, C, E1-2 Joe Taylor Golden View Dental ADP #21 727 Simms St., #E 303-232-3636 Golden General Dentist *, C, E1-2 Paulette Dilizia Comfort Dental - Golden ADP #90 17531 S. Golden Rd. 303-278-6953 Golden General Dentist *, **, C, E1-2, E3-4 Eric Morrison Comfort Dental - Golden ADP #90 17531 S. Golden Rd. 303-278-6953 Golden General Dentist *, **, C, E1-2, E3-4 Christine M. Isaacs Comfort Dental - Golden ADP #90 17531 S. Golden Rd. 303-278-6953 Golden General Dentist *, **, C, E1-2, E3-4 James M. Tarr Dr. James M. Tarr ADP #102 2531 W. Pinyon Ave. 970-242-5367 Grand Junction General Dentist C, E1-2 Robert R. Harmen Denture Depot ADP #122 1119 N. 1st St., Unit D 970-245-5040 Grand Junction General Dentist *, C Brad Nelson Grand Valley Family Dental ADP #97 132 Walnut Ave., #6 970-242-5151 Grand Junction General Dentist C, E1-2 T. Allan Hymas Mesa Orthodontics Not Needed 1190 Bookcliff, Ave., Ste. 202 970-245-8810 Grand Junction Orthodontist None Steven Perry Dental Health Center ADP #48 1600 23rd Ave., #200 970-353-4329 Greeley General Dentist *, C, E1-2, E3-4, N Charles Johnson Dental Health Center ADP #48 1600 23rd Ave., #200 970-353-4329 Greeley General Dentist *, C, E1-2, E3-4, N Randy Hatch Dental Health Center ADP #48 1600 23rd Ave., #200 970-353-4329 Greeley General Dentist *, C, E1-2, E3-4, N Stephen Brown Dr. Stephen Brown ADP #65 3400 W. 16th St., Bldg. 3, Ste. S 970-356-8118 Greeley General Dentist **, E1-2 Patrick Rinaldis Comfort Dental - Greeley ADP #67 3766 West 10th St. 970-304-1273 Greeley General Dentist *, **, C, E1-2, E3-4 Courtney Stevens Comfort Dental - Greeley ADP #67 3766 West 10th St. 970-304-1273 Greeley General Dentist *, **, C, E1-2, E3-4 Page 4 of 7

Alpha Dental Plan Complete Provider Directory 10/20/2006 NAME OFFICE NAME PROVIDER ADDRESS PHONE CITY SPECIALTY CODES Patrick Harrison Sunrise Dental Center ADP #83 10006 A. St. 970-352-0048 Greeley General Dentist *, **, C, E1-2, E3-4 Kent Day Sunrise Dental Center ADP #83 10006 A. St. 970-352-0048 Greeley General Dentist *, **, C, E1-2, E3-4 Alex Knecht Sunrise Dental Center ADP #83 10006 A. St. 970-352-0048 Greeley General Dentist *, **, C, E1-2, E3-4 Shivaun McArtor Sunrise Dental Center ADP #83 10006 A. St. 970-352-0048 Greeley General Dentist *, **, C, E1-2, E3-4 Dinorah Moya Sunrise Dental Center ADP #83 10006 A. St. 970-352-0048 Greeley General Dentist *, **, C, E1-2, E3-4 David Richter Dr. David Richter Not Needed 1600 23rd Ave., #200 970-353-4329 Greeley Orthodontist None Gary Barth Dr. Gary Barth Not Needed 1003 29th Ave. Ct. 970-353-4249 Greeley Orthodontist None John C. Gentile Front Range Orthodontic Specialists Not Needed 2855 35th Ave., #D 970-330-5363 Greeley Orthodontist None David Richter West Greeley Orthodontics Not Needed 7251 W. 20th St. 970-392-1733 Greeley Orthodontist None Michael Vetowich Comfort Dental - Highlands Ranch ADP #40 129 W. County Line Rd. 303-738-9499 Highlands Ranch General Dentist *, **, C, E1-2, E3-4 Christopher Hasselback Comfort Dental - Highlands Ranch ADP #40 129 W. County Line Rd. 303-738-9499 Highlands Ranch General Dentist *, **, C, E1-2, E3-4 Mark Jolested Comfort Dental - Highlands Ranch ADP #40 129 W. County Line Rd. 303-738-9499 Highlands Ranch General Dentist *, **, C, E1-2, E3-4 Michael Love Comfort Dental - Highlands Ranch ADP #40 129 W. County Line Rd. 303-738-9499 Highlands Ranch General Dentist *, **, C, E1-2, E3-4 Khiem Hoang Comfort Dental - Highlands Ranch ADP #40 129 W. County Line Rd. 303-738-9499 Highlands Ranch General Dentist *, **, C, E1-2, E3-4 Joseph Feller Bright Now Dental - Highlands Ranch ADP #93 3626 Highlands Rnch. Pkwy #107 303-488-9922 Highlands Ranch General Dentist **, C Brian S. Gurinsky Bright Now Dental - Highlands Ranch ADP #93 3626 Highlands Rnch. Pkwy #107 303-488-9922 Highlands Ranch General Dentist **, C Dwight M. Bratton Bright Now Dental - Highlands Ranch ADP #93 3626 Highlands Rnch. Pkwy #107 303-488-9922 Highlands Ranch General Dentist **, C Rhett M. Quist Bright Now Dental - Highlands Ranch ADP #93 3626 Highlands Rnch. Pkwy #107 303-488-9922 Highlands Ranch General Dentist **, C Charles Stirewalt Bright Now Dental - Highlands Ranch ADP #93 3626 Highlands Rnch. Pkwy #107 303-488-9922 Highlands Ranch General Dentist **, C Christopher Baer Bright Now Dental - Highlands Ranch ADP #93 3626 Highlands Rnch. Pkwy #107 303-488-9922 Highlands Ranch General Dentist **, C Bryan Nelson Dr. Bryan Nelson Not Needed 9567 S.University Blvd., #C-1A 720-344-2662 Highlands Ranch Orthodontist None Paul Rocke Front Range Ortho Not Needed 7901 S. Park Plaza, #204 303-730-7002 Highlands Ranch Orthodontist None Howard Stringert Dr. Howard Stringert Not Needed 313 W. 3rd St., #104 719-384-5583 La Junta Orthodontist None Hanaa Jebril Comfort Dental - Lafayette ADP #187 535 W. South Boulder Rd., #200 303-604-2804 Lafayette General Dentist *, **, C, E1-2, E3-4 Vien Tran Comfort Dental - Lafayette ADP #187 535 W. South Boulder Rd., #200 303-604-2804 Lafayette General Dentist *, **, C, E1-2, E3-4 Efren Martinez Dr. Efren Martinez ADP #130 1200 S. Wadsworth 303-733-7533 Lakewood General Dentist **, E1-2, E3-4 Richard Glucksman Alpha Dental XX ADP #3 7373 W. Jefferson, #203 303-988-1530 Lakewood General Dentist C Puja Taneja Bright Now Dental - Lakewood ADP #92 7611 W. Colfax Ave., #D 303-202-0900 Lakewood General Dentist *, C James H. Mason Colo Orthodontics Not Needed 12018 W. Jewell Ave., #B 303-980-6411 Lakewood Orthodontist None John Bailey Colo Orthodontics Not Needed 12018 W. Jewell Ave., #B 303-980-6411 Lakewood Orthodontist None Damon C. WIlkerson Colo Orthodontics Not Needed 12018 W. Jewell Ave., #B 303-980-6411 Lakewood Orthodontist None Voytek Bobak Dr. Voytek Bobak Not Needed 1840 S. Wadsworth Blvd. 303-988-0844 Lakewood Orthodontist None Wojciech Bobak Dr. Wojciech Bobak Not Needed 1840 S. Wadsworth Blvd. 303-988-0844 Lakewood Orthodontist None Andrey Nazarov Front Range Ortho Not Needed 7125 W. Jefferson, #380 303-989-5607 Lakewood Orthodontist None Zachery Bacus Highplains Community Health Center ADP #54 200 Kendall Drive 719-336-8445 Lamar General Dentist **, C, E1-2 Ibraheem Ackall Highplains Community Health Center ADP #54 200 Kendall Drive 719-336-8445 Lamar General Dentist **, C, E1-2 Bill Bender Dr. Bill Bender ADP #23 202 2nd St. 970-284-7930 Lasalle General Dentist *, **, C, E1-2 Thomas Klumb Comfort Dental - Littleton ADP #182 8420 W. Coal Mine Ave. 303-904-2273 Littleton General Dentist *, C, E1-2, E3-4 Bill Oldershaw Comfort Dental - Littleton ADP #182 8420 W. Coal Mine Ave. 303-904-2273 Littleton General Dentist *, C, E1-2, E3-4 Brad Weekes Comfort Dental - Littleton ADP #182 8420 W. Coal Mine Ave. 303-904-2273 Littleton General Dentist *, C, E1-2, E3-4 Steven Echols Belleview Dental Associates ADP #69 10184 W. Belleview 303-932-1077 Littleton General Dentist * Ellias Najjar Belleview Dental Associates ADP #69 10184 W. Belleview 303-932-1077 Littleton General Dentist * Margareta Pavel Dutch Creek Dental ADP #78 8370 W. Coal Mine Ave., #103 303-978-1522 Littleton General Dentist *, C, E1-2, E3-4 Hilary Neilberg-Baskin Comfort Smile Center Not Needed 5055 S. Kipling Pkwy. 303-933-8464 Littleton Orthodontist None Michael D. Bellon Dr. Michael D. Bellon Not Needed 7325 S. Pierce St., #204 303-933-6830 Littleton Orthodontist None Robert B. Gardner Dr. Robert B. Gardner Not Needed 9878 W. Belleview Ave. 303-978-1316 Littleton Orthodontist None Voytek Bobak Dr. Voytek Bobak Not Needed 5728 S. Gallup St. 303-794-4043 Littleton Orthodontist None Page 5 of 7

Alpha Dental Plan Complete Provider Directory 10/20/2006 NAME OFFICE NAME PROVIDER ADDRESS PHONE CITY SPECIALTY CODES Wojciech Bobak Dr. Wojciech Bobak Not Needed 5728 S. Gallup St. 303-794-4043 Littleton Orthodontist None Paul Rocke Front Range Orthodontic Not Needed 200 West County Line Rd., #340 303-730-7002 Littleton Orthodontist None David Albert Personalized Orthodontic Not Needed 7889 S. Lincoln Ct., #102 303-798-0928 Littleton Orthodontist None Eunic P. Lee SouthPark Orthodontics Not Needed 8199 South Park Lane #150 303-738-8828 Littleton Orthodontist * Amir R. Fereydouni SouthPark Orthodontics Not Needed 8199 South Park Lane #150 303-738-8828 Littleton Orthodontist * Jason Ray Blue Mesa Dental - Lone Tree ADP #176 10047 Park Meadows Dr. #B 303-768-8848 Lone Tree General Dentist C, E1-2, E3-4 Richard Handelman Blue Mesa Dental - Lone Tree ADP #176 10047 Park Meadows Dr. #B 303-768-8848 Lone Tree General Dentist C, E1-2, E3-4 Matthew Draper Comfort Dental - Longmont ADP #156 1750 Mountain View 303-678-7783 Longmont General Dentist *, **, C, E1-2, E3-4 Jolly Johnson Comfort Dental - Longmont ADP #156 1750 Mountain View 303-678-7783 Longmont General Dentist *, **, C, E1-2, E3-4 Steven Perry Dental Health Center ADP #172 1260 S. Hover Rd., #H 303-678-1125 Longmont General Dentist *, C, E1-2, E3-4 Ronald Magnuson Dental Health Center ADP #172 1260 S. Hover Rd., #H 303-678-1125 Longmont General Dentist *, C, E1-2, E3-4 Robert Hamblin Dental Health Center ADP #172 1260 S. Hover Rd., #H 303-678-1125 Longmont General Dentist *, C, E1-2, E3-4 Stephen Brown Affordable Dental Clinic ADP #22 2051 Terry St. 303-678-7232 Longmont General Dentist *, E1-2 John Weber Comfort Dental - Louisville ADP #17 339 McCaslin Blvd., #B 303-673-0500 Louisville General Dentist *, **, C, E1-2, E3-4, N Kelvin Webster Comfort Dental - Louisville ADP #17 339 McCaslin Blvd., #B 303-673-0500 Louisville General Dentist *, **, C, E1-2, E3-4, N Jonathan Weinbach Smile Zone Orthodontics Not Needed 1075 S. Boulder Rd., #235 303-604-0300 Louisville Orthodontist None Ciaran Finbar Murphy Bright Now Dental - Loveland ADP #146 1440 W. 29th St., #400 970-622-0922 Loveland General Dentist **, E1-2 Charles Stirewalt Bright Now Dental - Loveland ADP #146 1440 W. 29th St., #400 970-622-0922 Loveland General Dentist **, E1-2 J. Kallio Comfort Dental - Thompson Valley ADP #185 1405 10th St. S.W. 970-962-9995 Loveland General Dentist C, E1-2, N King Campbell Comfort Dental - Thompson Valley ADP #185 1405 10th St. S.W. 970-962-9995 Loveland General Dentist C, E1-2, N Douglas Haschke Comfort Dental - Thompson Valley ADP #185 1405 10th St. S.W. 970-962-9995 Loveland General Dentist C, E1-2, N K. Sorensen Comfort Dental - Thompson Valley ADP #185 1405 10th St. S.W. 970-962-9995 Loveland General Dentist C, E1-2, N Alois Tripam Comfort Dental - Thompson Valley ADP #185 1405 10th St. S.W. 970-962-9995 Loveland General Dentist C, E1-2, N Stuart Moss Stuart Moss & Associates ADP #4 421 W. 104th Ave., #201 303-427-6462 Northglenn General Dentist *, **, C, E1-2 Scott Welch Stuart Moss & Associates ADP #4 421 W. 104th Ave., #201 303-427-6462 Northglenn General Dentist *, **, C, E1-2 Michael G. Hale Dr. Michael G. Hale ADP #27 9750 E. Parker Square Dr. #105 303-841-3322 Parker General Dentist C, N Roger B. Elton Dr. Roger B. Elton Not Needed 10522 S. Parker Rd. 303-364-6433 Parker Orthodontist None Andrey Nazarov Front Range Ortho Not Needed 11211 S. Dransfeldt Rd. #122 720-842-4544 Parker Orthodontist None Anthony Knowlton Sandalwood Dental Care Center ADP #42 3939 Sandalwood Lane 719-564-5833 Pueblo General Dentist *, C, E1-2, E3-4 Richard C. Moreschini Dr. Richard C. Moreschini ADP #52 1000 W. 6th St. 719-542-7420 Pueblo General Dentist C, E1-2, N Christopher Hasselback Comfort Dental - Pueblo - North ADP #63 2025 W. US Hwy. 50, Ste. A 719-542-2472 Pueblo General Dentist *, **, C, E1-2, E3-4 Phillip Holden Comfort Dental - Pueblo - North ADP #63 2025 W. US Hwy. 50, Ste. A 719-542-2472 Pueblo General Dentist *, **, C, E1-2, E3-4 Steve Carter Comfort Dental - Pueblo - North ADP #63 2025 W. US Hwy. 50, Ste. A 719-542-2472 Pueblo General Dentist *, **, C, E1-2, E3-4 Bradley Michael Almond Comfort Dental - Pueblo - South ADP #80 1221 S. Pueblo Blvd. 719-565-2274 Pueblo General Dentist *, **, C, E1-2, E3-4 Russell Allen Poole Comfort Dental - Pueblo - South ADP #80 1221 S. Pueblo Blvd. 719-565-2274 Pueblo General Dentist *, **, C, E1-2, E3-4 Gino Ortegon Dr. Gino Ortegon ADP #85 401 W.12th St. 719-583-0555 Pueblo General Dentist **, C, E1-2, N Gary Graves Dr. Gary Graves ADP #99 2099 W. Highway 50, #120 719-542-3595 Pueblo General Dentist *, **, C, E1-2 Howard Stringert Dr. Howard Stringert Not Needed 3955 Sandelwood Lane 719-564-3333 Pueblo Orthodontist None Gary Weber Dr. Gary Weber ADP #15 1402 S. 3rd Ave. 970-522-6280 Sterling General Dentist *, C, E1-2, E3-4 Greg Schlagel AAA Family Dental Center ADP #154 710 Eppinger Blvd. 303-289-3358 Thornton General Dentist *, C, E1-2, E3-4, N Damon C. WIlkerson Colo Orthodontics Not Needed 3984 E. 120th Ave. 303-428-8800 Thornton Orthodontist None John Bailey Colo Orthodontics Not Needed 3984 E. 120th Ave. 303-428-8800 Thornton Orthodontist None James H. Mason Colo Orthodontics Not Needed 3984 E. 120th Ave. 303-428-8800 Thornton Orthodontist None Greg Stoll Dr. Greg Stoll Not Needed 3861 E. 120th Ave. 303-450-2211 Thornton Orthodontist None Michael D. Bellon Family Dental Care VII Not Needed 2200 E. 104th Ave. 303-208-7385 Thornton Orthodontist None Jack Moss Dental Health Center ADP #129 7970 Sheridan Blvd., 3rd Fl. 303-427-0730 Westminster General Dentist *, C, E1-2, E3-4 Steven Perry Dental Health Center ADP #129 7970 Sheridan Blvd., 3rd Fl. 303-427-0730 Westminster General Dentist *, C, E1-2, E3-4 Page 6 of 7

Alpha Dental Plan Complete Provider Directory 10/20/2006 NAME OFFICE NAME PROVIDER ADDRESS PHONE CITY SPECIALTY CODES Allen Skromme Dental Health Center ADP #129 7970 Sheridan Blvd., 3rd Fl. 303-427-0730 Westminster General Dentist *, C, E1-2, E3-4 Damon C. WIlkerson Colo Orthodontics Not Needed 2701 W. 84th Ave. 303-428-8800 Westminster Orthodontist None James H. Mason Colo Orthodontics Not Needed 2701 W. 84th Ave. 303-428-8800 Westminster Orthodontist None Hilary Neilberg-Baskin Comfort Smile Center Not Needed 8113 W. 94th Ave. 303-432-9773 Westminster Orthodontist None Jonathan Weinbach Smile Zone Orthodontics Not Needed 8120 Sheridan, #C-120 303-430-4200 Westminster Orthodontist None Thomes Jorgensen Sante Fe Dental ADP #114 6175 W. 38th Ave. 303-940-9755 Wheat Ridge General Dentist *, **, C, E1-2, E3-4 Thomas Herrera Sante Fe Dental ADP #114 6175 W. 38th Ave. 303-940-9755 Wheat Ridge General Dentist *, **, C, E1-2, E3-4 Kevin Marshall Comfort Dental - Wheat Ridge ADP #153 9990 W. 26th Av.e #100 303-232-4500 Wheat Ridge General Dentist *, **, C, E1-2, E3-4 Christopher Hasselback Comfort Dental - Wheat Ridge ADP #153 9990 W. 26th Av.e #100 303-232-4500 Wheat Ridge General Dentist *, **, C, E1-2, E3-4 Lewis Sherman Comfort Dental - Wheat Ridge ADP #153 9990 W. 26th Av.e #100 303-232-4500 Wheat Ridge General Dentist *, **, C, E1-2, E3-4 Bottom page General Provisions: Code Definitions: All specialty care (except for Orthodontics) has been contracted at a 20% discount. You must select a General Dentist for primary care. You may see any of the Specialists as the need arises. Call the plan office for a list of participating specialists. * - These offices have nitrous oxide. C - Accepts most children age 4 and up for routine care. Other offices may accept older children, please check with your dental office. Orthodontic co-pays are listed in your schedule of benefits. E1-2 - These offices have indicated they will provide 1 and 2 canal Endodontic Services (root canal) in certain situations. Each family member must see the same dentist. You may change your selected dentist at any time by calling the Dental Plan administrative office. E3-4 - These offices have indicated they will provide 3 and 4 canal Endodontic Services (root canal) in certain situations. N These offices will accept new patients the 1 st of the month only, not mid-month. ** Estos consultorios tienen personal de habla hispana. Page 7 of 7

ATTENTION EMPLOYEES! DENTAL PLAN OPEN ENROLLMENT ENDS SOON! We are proud to make available to all of our employees a new dental plan. The features of this plan are as follows: Save a minimum of 65% on all of your dental expenses No waiting periods on any benefits (even crowns and Ortho) No Claim Forms to Complete or age limits Unlimited benefits each year Orthodontics (child & adult) No Pre-authorizations Cosmetic Dentistry included Very low monthly rates to participate! PLEASE NOTE! EMPLOYEES MUST EITHER ENROLL OR COMPLETE THE WAIVER FORM. EMPLOYEES WAIVING WILL NOT BE ABLE TO ENROLL AGAIN UNTIL THE NEXT ENROLLMENT PERIOD (ONE YEAR FROM NOW) ASK YOUR SUPERVISOR OR HUMAN RESOURCES TODAY FOR YOUR ENROLLMENT PACKET OR WHEN THE ENROLLMENT MEETING(S) WILL BE