PHYSICAL ADDRESS MAILING ADDRESS

500 Steed Rd. P.O. Box 14067

Ridgeland, MS 39157 Jackson, MS 39236

PHONE 888-859-3795 FAX 601-956-3795

December 08, 2021

Subscriber Name: Elizabeth Chuakay

Dental for Everyone Gold Plan

As the Plan Administrator for Delta Dental Insurance Company, MWG Administrators would like to personally
welcome and thank you for your business. Your enrollment has been received and processed with an effective
date of 01/01/2022. We look forward to extending our quality service to you.

For instant access to your plan documents, billing and enrollment information please go to my.mwadmin.com
and register for the Client Portal by MWG; where you may also view or print your Certificate of Coverage which is
located on the Enrollment Documents page.

Please find your ID cards below.

Should you have questions please contact our Customer Service Department at (877)759-5726.

Thank you for selecting Delta Dental Insurance Company, as your dental coverage. We are confident you will
enjoy the assurance and service Delta Dental Insurance Company, Dental for Everyone, provides.

Sincerely,

MWG Administrators
A Division of Morgan White Group

WWW.MORGANW HITE.COM
 Send Claims to:
P.O. Box 1809
Alpharetta, GA 30023-1809
www.deltadentalins.com

Welcome. We are pleased that you have selected Delta Dental Insurance Company as your dental
benefits carrier. As a Delta Dental enrollee, you now have access to the largest dental provider
network in the U.S.

Delta Dental’s world-class approach to service addresses every aspect of the customer experience:
accurate claims processing, ease of use and administration, personalized service and a commitment
to advancing dental health in the community. We offer you this same unfailing commitment – to
make quality customer service our very highest priority.

The enrollee cards below are furnished to you as a service when you enroll with us. Please retain
these cards. They provide you and your dentist our toll-free number and our web address to verify
your benefits and eligibility. Delta Dental dentists will submit your claims for you; however if you visit
a non-Delta Dental dentist and need to submit your own claims, please use the address listed on the
front of this card.

For inquiries about your dental benefits, or to find a participating dentist please go to
www.deltadentalins.com or call Customer Service at (877) 759-5726

Delta Dental looks forward to being your partner in great oral health.

ENROLLEE DENTAL CARD – PLEASE DO NOT DISCARD

Delta Dental Insurance Company Delta Dental Insurance Company

P.O. Box 1809
Alpharetta, GA 30023-1809
This card is for information purposes only and is not a guarantee
of coverage. For current eligibility and benefits please call the
number below or visit our web site at www.deltadentalins.com
P.O. Box 1809
Alpharetta, GA 30023-1809
This card is for information purposes only and is not a guarantee
of coverage. For current eligibility and benefits please call the
number below or visit our web site at www.deltadentalins.com

Automated Information Line: (877) 759-5726 Automated Information Line: (877) 759-5726

Group ID#: 05604 Group ID#: 05604

Use Subscriber’s SSN Use Subscriber’s SSN
Subscriber: Elizabeth Chuakay Subscriber: Elizabeth Chuakay

Use Subscriber’s SSN Subscriber:

WEB_ID_DD_DFE