Triumph Dental
2024/2025 Calculator
Please complete the form below to create a quote.
Agent/Agency Information
Name:
Email:
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Group Information
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State:
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District of Columbia
Zip Code:
Industry Code:
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01-09 Agriculture, Fishing & Forestry (-10%)
10-14 Mining (-10%)
15-19 Construction (-10%)
20-39 Manufacturing (-10%)
40-59 Transportation & Public Utilities (-10%)
60-69 Finance, Insurance, Real Estate (+10%)
70-79 Services
81 NOT AVAILABLE Legal Services (+0%)
82 NOT AVAILABLE Education Services (+0%)
80-99 Services, Public Administration (+10%)
All Other Industries
Effective Date:
Dental Plan Design
Select a Plan:
Please choose...
Triumph Elite
Triumph Classic
Reimbursement:
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MAC
UNC
Employee Enrollment:
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2-4 enrolled
5-9 enrolled
10+ enrolled
Choose a Deductible:
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$50/$150 Calendar Year
$25/$75 Calendar Year (+5%)
$0 Calendar Year (+15%)
$100 Lifetime
Annual Maximum:
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$1,000 Annual Maximum
$1,250 Annual Maximum (+12%)
$1,500 Annual Maximum (+19%)
$2,000 Annual Maximum (+28%)
$2,500 Annual Maximum (+35%)
$3,000 Annual Maximum (+41%)
Additional Options
2 year rate guarantee (+2%)
Move Endodontic/Periodontal to 80% (+7%)
Waive waiting period on Major Services (+7%)
Cover 3 cleanings per 12 months (+1%)
Cover 4 cleanings per 12 months (+2%)
Add child orthodontics (+flat)
Add adult and child orthodontics (+flat)
Child Ortho Maximum:
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$1,000
$1,500
$2,000
Adult Ortho Maximum:
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$1,000
Vision Plan Design
Plan Base:
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Triumph Vision (EyeMed 100/80 $20 copay)
Triumph Vision Plus (EyeMed 130/120 $10 copay)
Triumph Vision Premier (VSP 200/200 $0 copay)
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