| 44113NY0440052 |
Empire Dental Family Enhanced, NS, OON, Prime Marketplace Network, Dep25, Adult/Family Dental, WP |
2023 |
NYN001
|
Jan 23, 2023 |
| 44113NY0440051 |
Empire Dental Family Enhanced, NS, OON, Prime Marketplace Network, Dep25, Adult/Family Dental, WP |
2023 |
NYN001
|
Jan 23, 2023 |
| 44113NY0440003 |
Empire Dental Family, NS, OON, Prime Marketplace Network, Dep25, Adult/Family Dental, WP |
2023 |
NYN001
|
Jan 23, 2023 |
| 44113NY0440001 |
Empire Dental Family, NS, OON, Prime Marketplace Network, Dep25, Adult/Family Dental, WP |
2023 |
NYN001
|
Jan 23, 2023 |
| 44113NY0440005 |
Empire Dental Family Value, NS, OON, Prime Marketplace Network, Dep25, Adult/Family Dental, WP |
2023 |
NYN001
|
Jan 23, 2023 |
| 44113NY0440004 |
Empire Dental Family Value, NS, OON, Prime Marketplace Network, Dep25, Adult/Family Dental, WP |
2023 |
NYN001
|
Jan 23, 2023 |
| 44113NY0420003 |
Empire Dental Pediatric, ST, OON, Prime Marketplace Network, Pediatric Dental |
2023 |
NYN001
|
Jan 23, 2023 |
| 44113NY0420001 |
Empire Dental Pediatric, ST, OON, Prime, Pediatric Marketplace Network Dental |
2023 |
NYN001
|
Jan 23, 2023 |
| 44113NY0370105 |
Empire EPO 25 0 8500 Gold INN Blue Access Dep 25 Wellness Pediatric Dental DP C Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370097 |
Empire EPO 25 0 8500 Gold INN Blue Access Dep 25 Wellness Pediatric Dental DP C Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370108 |
Empire EPO 25 0 8500 Gold INN Blue Access Dep 25 Wellness Pediatric Dental DP C Opt Out RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370100 |
Empire EPO 25 0 8500 Gold INN Blue Access Dep 25 Wellness Pediatric Dental DP C Opt Out RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370104 |
Empire EPO 25 0 8500 Gold INN Blue Access Dep 25 Wellness Pediatric Dental DP FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370112 |
Empire EPO 25 0 8500 Gold INN Blue Access Dep 25 Wellness Pediatric Dental DP FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370103 |
Empire EPO 25 0 8500 Gold INN Blue Access Dep 25 Wellness Pediatric Dental DP FP RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370111 |
Empire EPO 25 0 8500 Gold INN Blue Access Dep 25 Wellness Pediatric Dental DP FP RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370098 |
Empire EPO 25 0 8500 Gold INN Blue Access Dep 29 Wellness Pediatric Dental DP C Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370106 |
Empire EPO 25 0 8500 Gold INN Blue Access Dep 29 Wellness Pediatric Dental DP C Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370099 |
Empire EPO 25 0 8500 Gold INN Blue Access Dep 29 Wellness Pediatric Dental DP C Opt Out RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370107 |
Empire EPO 25 0 8500 Gold INN Blue Access Dep 29 Wellness Pediatric Dental DP C Opt Out RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370109 |
Empire EPO 25 0 8500 Gold INN Blue Access Dep 29 Wellness Pediatric Dental DP FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370101 |
Empire EPO 25 0 8500 Gold INN Blue Access Dep 29 Wellness Pediatric Dental DP FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370110 |
Empire EPO 25 0 8500 Gold INN Blue Access Dep 29 Wellness Pediatric Dental DP FP RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370102 |
Empire EPO 25 0 8500 Gold INN Blue Access Dep 29 Wellness Pediatric Dental DP FP RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370049 |
Empire EPO 3000 50 9100 Silver INN Connection Dep 25 Wellness Pediatric Dental DP C Opt Out |
2023 |
NYN003
|
Jan 23, 2023 |
| 44113NY0370052 |
Empire EPO 3000 50 9100 Silver INN Connection Dep 25 Wellness Pediatric Dental DP C Opt Out RE A Opt Out |
2023 |
NYN003
|
Jan 23, 2023 |
| 44113NY0370056 |
Empire EPO 3000 50 9100 Silver INN Connection Dep 25 Wellness Pediatric Dental DP FP |
2023 |
NYN003
|
Jan 23, 2023 |
| 44113NY0370055 |
Empire EPO 3000 50 9100 Silver INN Connection Dep 25 Wellness Pediatric Dental DP FP RE A Opt Out |
2023 |
NYN003
|
Jan 23, 2023 |
| 44113NY0370050 |
Empire EPO 3000 50 9100 Silver INN Connection Dep 29 Wellness Pediatric Dental DP C Opt Out |
2023 |
NYN003
|
Jan 23, 2023 |
| 44113NY0370051 |
Empire EPO 3000 50 9100 Silver INN Connection Dep 29 Wellness Pediatric Dental DP C Opt Out RE A Opt Out |
2023 |
NYN003
|
Jan 23, 2023 |
| 44113NY0370053 |
Empire EPO 3000 50 9100 Silver INN Connection Dep 29 Wellness Pediatric Dental DP FP |
2023 |
NYN003
|
Jan 23, 2023 |
| 44113NY0370054 |
Empire EPO 3000 50 9100 Silver INN Connection Dep 29 Wellness Pediatric Dental DP FP RE A Opt Out |
2023 |
NYN003
|
Jan 23, 2023 |
| 44113NY0370009 |
Empire EPO 300 10 3200 Platinum INN Blue Access Dep 25 Wellness Pediatric Dental DP C Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370001 |
Empire EPO 300 10 3200 Platinum INN Blue Access Dep 25 Wellness Pediatric Dental DP C Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370012 |
Empire EPO 300 10 3200 Platinum INN Blue Access Dep 25 Wellness Pediatric Dental DP C Opt Out RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370004 |
Empire EPO 300 10 3200 Platinum INN Blue Access Dep 25 Wellness Pediatric Dental DP C Opt Out RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370016 |
Empire EPO 300 10 3200 Platinum INN Blue Access Dep 25 Wellness Pediatric Dental DP FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370008 |
Empire EPO 300 10 3200 Platinum INN Blue Access Dep 25 Wellness Pediatric Dental DP FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370015 |
Empire EPO 300 10 3200 Platinum INN Blue Access Dep 25 Wellness Pediatric Dental DP FP RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370007 |
Empire EPO 300 10 3200 Platinum INN Blue Access Dep 25 Wellness Pediatric Dental DP FP RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370010 |
Empire EPO 300 10 3200 Platinum INN Blue Access Dep 29 Wellness Pediatric Dental DP C Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370002 |
Empire EPO 300 10 3200 Platinum INN Blue Access Dep 29 Wellness Pediatric Dental DP C Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370011 |
Empire EPO 300 10 3200 Platinum INN Blue Access Dep 29 Wellness Pediatric Dental DP C Opt Out RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370003 |
Empire EPO 300 10 3200 Platinum INN Blue Access Dep 29 Wellness Pediatric Dental DP C Opt Out RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370013 |
Empire EPO 300 10 3200 Platinum INN Blue Access Dep 29 Wellness Pediatric Dental DP FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370005 |
Empire EPO 300 10 3200 Platinum INN Blue Access Dep 29 Wellness Pediatric Dental DP FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370014 |
Empire EPO 300 10 3200 Platinum INN Blue Access Dep 29 Wellness Pediatric Dental DP FP RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370006 |
Empire EPO 300 10 3200 Platinum INN Blue Access Dep 29 Wellness Pediatric Dental DP FP RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370041 |
Empire EPO 4550 50 9100 Silver INN Blue Access Dep 25 Wellness Pediatric Dental DP C Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370033 |
Empire EPO 4550 50 9100 Silver INN Blue Access Dep 25 Wellness Pediatric Dental DP C Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370036 |
Empire EPO 4550 50 9100 Silver INN Blue Access Dep 25 Wellness Pediatric Dental DP C Opt Out RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370044 |
Empire EPO 4550 50 9100 Silver INN Blue Access Dep 25 Wellness Pediatric Dental DP C Opt Out RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370040 |
Empire EPO 4550 50 9100 Silver INN Blue Access Dep 25 Wellness Pediatric Dental DP FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370048 |
Empire EPO 4550 50 9100 Silver INN Blue Access Dep 25 Wellness Pediatric Dental DP FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370039 |
Empire EPO 4550 50 9100 Silver INN Blue Access Dep 25 Wellness Pediatric Dental DP FP RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370047 |
Empire EPO 4550 50 9100 Silver INN Blue Access Dep 25 Wellness Pediatric Dental DP FP RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370034 |
Empire EPO 4550 50 9100 Silver INN Blue Access Dep 29 Wellness Pediatric Dental DP C Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370042 |
Empire EPO 4550 50 9100 Silver INN Blue Access Dep 29 Wellness Pediatric Dental DP C Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370043 |
Empire EPO 4550 50 9100 Silver INN Blue Access Dep 29 Wellness Pediatric Dental DP C Opt Out RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370035 |
Empire EPO 4550 50 9100 Silver INN Blue Access Dep 29 Wellness Pediatric Dental DP C Opt Out RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370045 |
Empire EPO 4550 50 9100 Silver INN Blue Access Dep 29 Wellness Pediatric Dental DP FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370037 |
Empire EPO 4550 50 9100 Silver INN Blue Access Dep 29 Wellness Pediatric Dental DP FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370046 |
Empire EPO 4550 50 9100 Silver INN Blue Access Dep 29 Wellness Pediatric Dental DP FP RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370038 |
Empire EPO 4550 50 9100 Silver INN Blue Access Dep 29 Wellness Pediatric Dental DP FP RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370081 |
Empire EPO 8450 50 9100 Bronze INN Blue Access Dep 25 Wellness Pediatric Dental DP C Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370089 |
Empire EPO 8450 50 9100 Bronze INN Blue Access Dep 25 Wellness Pediatric Dental DP C Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370084 |
Empire EPO 8450 50 9100 Bronze INN Blue Access Dep 25 Wellness Pediatric Dental DP C Opt Out RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370092 |
Empire EPO 8450 50 9100 Bronze INN Blue Access Dep 25 Wellness Pediatric Dental DP C Opt Out RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370088 |
Empire EPO 8450 50 9100 Bronze INN Blue Access Dep 25 Wellness Pediatric Dental DP FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370096 |
Empire EPO 8450 50 9100 Bronze INN Blue Access Dep 25 Wellness Pediatric Dental DP FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370095 |
Empire EPO 8450 50 9100 Bronze INN Blue Access Dep 25 Wellness Pediatric Dental DP FP RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370087 |
Empire EPO 8450 50 9100 Bronze INN Blue Access Dep 25 Wellness Pediatric Dental DP FP RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370090 |
Empire EPO 8450 50 9100 Bronze INN Blue Access Dep 29 Wellness Pediatric Dental DP C Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370082 |
Empire EPO 8450 50 9100 Bronze INN Blue Access Dep 29 Wellness Pediatric Dental DP C Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370091 |
Empire EPO 8450 50 9100 Bronze INN Blue Access Dep 29 Wellness Pediatric Dental DP C Opt Out RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370083 |
Empire EPO 8450 50 9100 Bronze INN Blue Access Dep 29 Wellness Pediatric Dental DP C Opt Out RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370085 |
Empire EPO 8450 50 9100 Bronze INN Blue Access Dep 29 Wellness Pediatric Dental DP FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370093 |
Empire EPO 8450 50 9100 Bronze INN Blue Access Dep 29 Wellness Pediatric Dental DP FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370094 |
Empire EPO 8450 50 9100 Bronze INN Blue Access Dep 29 Wellness Pediatric Dental DP FP RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370086 |
Empire EPO 8450 50 9100 Bronze INN Blue Access Dep 29 Wellness Pediatric Dental DP FP RE A Opt Out |
2023 |
NYN004
|
Jan 23, 2023 |
| 44113NY0370073 |
Empire EPO 8450 50 9100 Bronze INN Connection Dep 25 Wellness Pediatric Dental DP C Opt Out |
2023 |
NYN003
|
Jan 23, 2023 |
| 44113NY0370076 |
Empire EPO 8450 50 9100 Bronze INN Connection Dep 25 Wellness Pediatric Dental DP C Opt Out RE A Opt Out |
2023 |
NYN003
|
Jan 23, 2023 |
| 44113NY0370080 |
Empire EPO 8450 50 9100 Bronze INN Connection Dep 25 Wellness Pediatric Dental DP FP |
2023 |
NYN003
|
Jan 23, 2023 |
| 44113NY0370079 |
Empire EPO 8450 50 9100 Bronze INN Connection Dep 25 Wellness Pediatric Dental DP FP RE A Opt Out |
2023 |
NYN003
|
Jan 23, 2023 |
| 44113NY0370074 |
Empire EPO 8450 50 9100 Bronze INN Connection Dep 29 Wellness Pediatric Dental DP C Opt Out |
2023 |
NYN003
|
Jan 23, 2023 |
| 44113NY0370075 |
Empire EPO 8450 50 9100 Bronze INN Connection Dep 29 Wellness Pediatric Dental DP C Opt Out RE A Opt Out |
2023 |
NYN003
|
Jan 23, 2023 |
| 44113NY0370077 |
Empire EPO 8450 50 9100 Bronze INN Connection Dep 29 Wellness Pediatric Dental DP FP |
2023 |
NYN003
|
Jan 23, 2023 |
| 44113NY0370078 |
Empire EPO 8450 50 9100 Bronze INN Connection Dep 29 Wellness Pediatric Dental DP FP RE A Opt Out |
2023 |
NYN003
|
Jan 23, 2023 |
