Magnum – Minnesota
Employer:
Preparing Agent/Agency:
Agent/Agency Email: (required)
Phone Number:
Zipcode:
State:
Minnesota
Dental Plan
Choose a Plan:
Magnum I
Magnum II
Group Size:
5 + Eligible Employees
2 – 4 Eligible Employees
Verities of (Family) Size:
Subscriber Only
Subscriber + Spouse
Subscriber + Child(ren)
Family
Plan Factors:
$1,250 Annual Maximum Rewards
$1,500 Annual Maximum Rewards
$2,000 Annual Static Maximum
Add Options:
Move Endodontic/Periodontal coinsurance to Basic
Under 60% Employee Participation
Add Orthodontics. Applies to Subscriber + child(ren) and family rates.
(children 8 through 18 only for groups of 5 or more enrolled)
Vision Plan
Choose a Plan:
Access Choice – Vis 3
Access Choice – Vis 4
Access Choice – Vis 6
Access Choice – Vis 7
Group Size:
5 - 99 Eligible Employees
2 – 4 Eligible Employees
Plan Factors:
Voluntary – Under 60% Employee Participation
