Spirit Ameritas Calculator
Please complete the form below to create a quote.
Agent/Agency Information
Name:
Email:
Phone Number:
Group Information
Employer Name:
State:
Please choose...
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
South Carolina
South Dakota
Tennessee
Utah
Virginia
Vermont
Wisconsin
West Virginia
Wyoming
Zip Code:
Industry Code:
Please choose...
Schools, Government, Legal/Law Firms (+20%)
Schools/Educational (+20%)
City, County, State or Federal Governmental Agencies (+20%)
Interior Decorating or Design (+20%)
Religious, Charitable, Political, Membership or Fundraising Organization Administrative Staffs (+20%)
Insurance Agents, Brokers, Carriers or Title Insurance Offices (+20%)
Banks, Law Firms or Law Offices (+20%)
Jewelry stores (+20%)
Real Estate Offices (+20%)
All Other Industries
Dental Plan Design
Plan Base:
Ameritas Classic Network
Ameritas Value Network
Dual Choice
Employee Enrollment:
2-4 Lives
5-9 Lives
10-149 Lives
Participation:
75% or More
Voluntary, less than 75% (+5%)
12 Months Comparable Prior Group Dental Coverage:
Please choose...
Yes Prior Coverage
No Prior Coverage (+25%)
Choose a Deductible:
$100 Lifetime
$50/$150 Calendar Year (+5%)
$25/$75 Calendar Year (+12%)
$0/$0 Calendar Year (+20%)
Annual Maximum:
$1,000 Annual Maximum
$1,500 Annual Maximum (+14%)
$2,000 Annual Maximum (+20%)
$3,000 Annual Maximum (+30%)
$5,000 Annual Maximum (+50%)
Additional Options
100% Family-related enrolled, applies to dental & vision (+15%)
$1,500 Lifetime Child & Adult Orthodontia (not available in CT, IL, NJ, NY) (+flat amount)
Endodontics/Periodontics to Basic Services (+12%)
Optional Teeth Bleaching (+3%)
Dental Rewards Program (+2%)
Vision Plan Design
(VSP not available in MA)
Choose a Network:
Please choose...
Spirit EyeMed
Spirit VSP
Spirit EyeMed Plan Options
Plan Base:
Please choose...
Plan A - 12/12/12 $0/$0
Plan B - 12/24/24 $0/$0
Plan C - 12/12/12 $10/$10
Plan D - 12/24/24 $10/$10
Plan E - 12/12/12 $10/$20
Plan F - 12/24/24 $10/$20
Plan G - Materials Only 12/24
Plan H - Materials Only 12/12
Participation:
Please choose...
75% or More
Voluntary, less than 75% (+5%)
Spirit VSP Plan Options
Plan Base:
Please choose...
Plan 1 - 12/12/24 $10/$25
Plan 2 - 12/12/24 $10/$10
Plan 3 - 12/12/12 $10/$25
Plan 4 - 12/12/12 $10/$10
Tier:
Please choose...
Tier 3 -- Employee, Employee + 1, Employee + Family
Tier 4 -- Employee, Employee + 1, Employee + Child(ren), Employee + Family
Submit
