Spirit Ameritas Calculator
for NY

Please complete the form below to create a quote.

SPECIAL NOTICE: Group policies currently written under Reliance Standard, Ameritas, The Standard Insurance Company or Dental Select are not eligible for a Spirit Group plan.

Agent/Agency Information

Name:

Email:

Phone Number:

Group Information

Employer Name:

State:

New York

NOTE: zip codes starting with 102 are ineligible for coverage.

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 NetworkAmeritas Value NetworkDual Choice

Employee Enrollment:

2-4 Lives5-9 Lives10-149 Lives

Participation:

75% or More, Employer pays at least 25% of premiumVoluntary, less than 75% (+5%)75% or More, Employer pays less than 25% of premium (+5%)

12 Months Comparable Prior Group Dental Coverage:

Please choose...Yes Prior CoverageNo 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 (+36%)$5,000 Annual Maximum (+56%)

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Additional Options

100% Family-related enrolled (+15%)

Endodontics/Periodontics to Basic Services (+12%)

Optional Teeth Bleaching (+3%)

Dental Rewards Program (+2%)

Increase from 80th to 90th Percentile (+4%)

Vision Plan Design

Choose a Network:

Please choose...Spirit EyeMedSpirit VSP

Spirit EyeMed Plan Options

Plan Base:

Please choose...Plan A - 12/12/12 $0/$0Plan B - 12/24/24 $0/$0Plan C - 12/12/12 $10/$10Plan D - 12/24/24 $10/$10Plan E - 12/12/12 $10/$20Plan F - 12/24/24 $10/$20Plan G - Materials Only 12/24Plan H - Materials Only 12/12

Participation:

Please choose...75% or MoreVoluntary, less than 75% (+5%)

Spirit VSP Plan Options

Plan Base:

Please choose...Plan 1 - 12/12/24 $10/$25Plan 2 - 12/12/24 $10/$10Plan 3 - 12/12/12 $10/$25Plan 4 - 12/12/12 $10/$10

Tier:

Please choose...Tier 3 -- Employee, Employee + 1, Employee + FamilyTier 4 -- Employee, Employee + 1, Employee + Child(ren), Employee + Family

Enroll 50+ lives

Submit