Dependents: Eligible dependents include your spouse and /or unmarried children from birth to 19 years of age, or 25 years of age if a full-time student or fully dependent on you for support.

I am applying for dental coverage and by my initials below, I understand this dental plan is a (1) year non-refundable program. I authorize the dentist who has rendered services to me or members of my family to make available to Argus Dental & Vision my dental records, photocopies or information regarding such services to the extent permitted by law. If information is not complete and your signature is not present, the application will not be processed. Any person who knowingly and with intent to injure, defraud or deceive any insurer, files a statement of claim or an application containing any false, incomplete or misleading information is guilty of a felony of the third degree.

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