Dental insurance is underwritten by United of Omaha Life Insurance Company, Mutual of Omaha Plaza, Omaha, NE 68175. United of Omaha Life Insurance Company is licensed nationwide, except in New York. Policy form number
7000GM-U-EZ-2010 or state equivalent (7000GM-U-EZ 2010 NC). In New York, dental insurance is underwritten by Mutual of Omaha Insurance Company, Mutual of Omaha Plaza, Omaha, NE 68175, 1-800-769-7159. Policy form number
7000GM-M-EZ-2010. This policy provides dental insurance only. The expected benefit ratio for this policy is 75.5%. This ratio is the portion of future premiums which the company expects to return as benefits, when
averaged over all people with this policy. Some exclusions, limitations and reductions may apply. Each company is responsible for its own contractual and financial obligations.