Dental Plan Summaries

The following summaries are listed for your convenience. For the most up-to-date information and additional plans please visit Aetna's Producer World at: https://www.aetna.com/producer/Login.do. 

• Aetna Dental Plan Grid

Dental Forms & Flyers

• UT Employer Application PPO (2-50)
• Small Group Dental Underwriting Brochure (2-50 eligible employees)
• Small Group Dental Employee Enrollment/Change Form
• Dental Claim Form

Plan Summaries

The following summaries are listed for your convenience. Upon implementation benefit summaries will be generated for the group, and  groups should review their Policy and Certificate for complete details. If you'd like to request a summary not seen below then please contact us.

• 100/80/50 1K Endo-Pero Basic 90th
• 100/80/50 1.5K Endo-Pero Basic 90th
• 100/80/50 1.5K Endo-Pero Basic 90th Child Ortho 1K
• 100/80/50 2K Endo-Pero Basic 90th
• 100/80/50 2K Endo-Pero Basic 90th Child Ortho 1K
• 100/80/50 2K Endo-Pero Basic 90th Child Ortho 1.5K
• 100/90/60 - 100/80/50 1.5K Endo-Pero Basic 90th
• 100/90/60 - 100/80/50 2K Endo-Pero Basic 90th

Forms

• MetLife Group Application 
• MetLife Non-Standard Commission Agreement
• MetLife Standard Commission Agreement
• Producer Appointment Inquiry
• MetLife New Group Submission Form
• MetLife Enrollment Template - Excel
• MetLife HIPAA Authorization Form
• Dental Claim Form

Flyers

• MetLife Group Benefits Overview
• MetLife Group Benefits Overview Product Quick Hits List
• MetLife Broker Quick Start Guide
• Dental Slipsheet 2-9 Employees
• Dental Slipsheet 10-99 Employees
• Dental Allocations & Limitations Flyer
• Find a Dental Provider Flyer
• Digital Servicing Capabilities for Dental Flyer

Vision Plan Summaries

• 2025 Vision Plan Grid

Forms

• UT Employer Application PPO (2-50)
• Aetna Small Group Vision Underwriting Guidelines (2-50 eligible employees)
• Small Group Vision Employee Enrollment/Change Form
• Out of Network Visions Claim Form

Flyers

• 2025 Vision Benefit Grid
• Aetna Vision Preferred Flyer
• Using Aetna Vision Preferred Flyer

Small group vision plan summaries can be found online in Aetna's Producer World at  https://www.aetna.com/producer/SmallGroup/plan-designs-vision.html

Plan Summaries

The following summaries are listed for your convenience. Upon implementation benefit summaries will be generated for the group, and  groups should review their Policy and Certificate for complete details. If you'd like to request a summary not seen below then please contact us.

• Vision Plan 1
• Vision Plan 2
• Vision Plan 3
• Vision Plan 4
• Vision Plan 5
• Vision Plan 6
• Vision Plan Summary $100 Frame Allowance
• Vision Plan Summary $150 Frame Allowance
• MetLife Vision Slipsheet 10-99 Employees 

Forms

• MetLife Group Application 
• MetLife Non-Standard Commission Agreement
• MetLife Standard Commission Agreement
• Producer Appointment Inquiry
• MetLife New Group Submission Form
• MetLife Enrollment Template - Excel
• MetLife HIPAA Authorization Form

Flyers

• Find a Vision Provider Flyer
• MetLife Group Benefits Overview
• MetLife Group Benefits Overview Product Quick Hits List
• MetLife Broker Quick Start Guide

Upon implementation, benefit summaries will be generated for the group, and groups should review their Policy and Certificate for complete details. If you'd like to request a summary, please contact us.

• Life Insurance Infographic Flyer
• Grief Counseling Flyer

Upon implementation, benefit summaries will be generated for the group, and groups should review their Policy and Certificate for complete details. If you'd like to request a summary, please contact us.

Flyers

• MetLife Short Term Disability Flyer
• MetLife Disability Claim - Mobile App Flyer
• Short Term Disability Claims Timeline
• Long Term Disability Claims Timeline