Plan Rules: 

• Coverage through MetLife

• Group Number: 5779670

• Provider directory: www.metlife.com (Network: PDP Plus)

• Claims must be submitted within 90 days of date of service

• Orthodontics available only for Children up to age 26 (subject to takeover provision/lifetime max)

• The chart below is a sample of covered services. Please see the Plan Certificate for a detailed listing of services in their entirety.