Dental Insurance

You can bite back at the high cost of quality dental care with three plan options available through two insurance carriers.

  • DHMO – Dental Health Maintenance
    Organization offering no claim forms no deductibles, no maximum annual dollar limits and no waiting periods. Services received from an in-network provider with scheduled co-payments from the subscriber.

  • PPO – Preferred Provider Organization
    Offering the flexibility to select a participating in-network dentist for lower out-of-pocket costs and no claim forms or use any licensed dentist (out-of-network).  Claim forms required for out-of-network providers and reimbursement is based upon the insurance carriers maximum allowable charges.

  • Discount Program – Negotiated Discounted Percentage Payment
    Economical plan offering discounts for procedures and services.  A specific fee schedule applies with care received from an in-network dentist.
All completed forms/applications should be sent to Gallagher Bollinger at:

Gallagher Bollinger
400 Market Street, Suite 450
Philadelphia, PA 19106
Fax: 215-351-9012
Email: PICPA@BollingerInsurance.com

PLEASE NOTE: Benefits for this plan are based on a calendar year basis.

Forms and Documents

United Concordial Dental Plan
United Concordia Rate Letter
United Concordia PPO Flex - Benefit Summary
United Concordia DHMO Plus - Benefit Summary
United Concordia Enrollment/Change Form
United Concordia Dependent Certification Form
Uniited Concordia Diabetic Wellness Form
Find a Provider

Dominion Dental Plan
Dominion Dental Online Enrollment
Dominion Dental Plans Summary and Application (Paper Enrollment)