Online Group Application (or download PDF) Group Application Form For enrolling a new group Enrollment or Change App. (PDF) For adding or changing employee information Autopay Form (PDF)   For setting up automatic payment services SmallGroup 2008 Including SOCA Available in most of Ohio (except Northern Ohio Counties) Northern Ohio Small Group Choice 2-19 Eligibles 2008 Northern Ohio Small Group Preferred 2-19 Eligibles 2008 Available in select Northern Ohio Counties Available in select Northern Ohio Counties Kentucky Small Group Choice 2-19 Eligibles 2008 Kentucky Small Group Preferred 2-19 Eligibles 2008 Available in select counties Available throughout Kentucky

SMILE RIDER™ Program Superior Dental Care's SMILE RIDER™ is a supplemental cosmetic rider that is offered to all Superior Dental Care plans at no additional cost. The cosmetic rider provides a 15% discount for elective cosmetic services such as teeth whitening, veneers, bonding and porcelain facings. Vision Plan In conjunction with EyeMed, we offer all plan participants discounts on eye exams, laser vision surgery, frames, lenses, contact lenses and accessories.