Dental Savings #021307

[William R. Strack]

------------------------------------- Name: William R. Strack E-mail: William R. Strack<us02...@interramp.com> Date: 02/13/96 Time: 11:01:29 THE CO-HEALTH BENEFIT PLAN PRESENTS VALUE DENT: 20% - 40% SAVINGS ON DENTAL CARE FOR $39.95 PER FAMILY PER YEAR NATIONAL SURVEYS SHOW A VOLUNTARY DENTAL PLAN IS THE NO. 1 HEALTH NEED OF AMERICANS TAKE THE BITE OUT OF DENTAL COSTS ENROLL TODAY ! There is no reason to put off Dental Care. Now you can get quality dental care for the entire family at an affordable price through Value Dent. Value Dent is a non-insured discount dental program that can save you 20% - 40% below the usual and customary fees charged by dentists. The Value Dent program is administered by Dental Network of America (DNOA), the nations foremost administrator of managed care dental programs. Founded in 1985, Dental Network of America has 13,000 dental locations nationwide including all specialties (orthodontists, oral surgeons, etc.). Each of the participating dentists have agreed to provide the discounts through reduced fees and maintain the standards required by DNOA. * Discount on all Dental Procedures * Everyone Automatically Eligible * No Age Limitations * No Pre-Existing Exclusions * No Limit to Number of Times Plan Can Be Used * No Maximums on Benefits * Does Not Conflict with Any Other Insurance Plans * The Entire Family is Included for One Low Annual Cost * No Claim Forms to Complete APPLICATION: Name:_________________________________________________ Date of Birth: _______________________________________ Social Security #: ___________________________________ Address: _____________________________________________ City: __________________ State: _____ Zip: __________ Name and ages of dependents to be included in the Program: ______________________________________________________ Annual Cost: $39.95 (single or family) Payment Enclosed: Check #, Amount: ___________________ Visa/MasterCard #: ___________________________________ Expiration Date: _____________________________________ Primary Member Signature: ____________________________ Please make check payable and mail with application to: Value Dent - Suite 101 Senior Marketing Associates 2350 E. Devon Des Plaines, IL 60018 Call 1-800-373-0881 (9-4:30 CST) to register by phone or to answer any questions. SMAI has been in business since 1990, providing guaranteed customer satisfaction. After SMAI receives your application, you will be sent your ID card immediately with an informative brochure. It is easy to use Value Dent. Simply call DNOA using the telephone number on the back of your ID card. Identify yourself as a member through Co-Health. Your eligibility will be confirmed and you will be given the names of participating dentists in your area. Make an appointment and show your ID card to receive your discount. In an emergency away from home, call DNOA to locate the nearest provider. The customer staff at DNOA will be happy to answer any question about the program or the dentist.