Network Waivers and Service Area Maps
Dental Network Maps and Waivers 2026

Please note: Waivers are not required for networks meeting all geographic access requirements.

ADA notice
To obtain this information in a different format, call 651-201-5100 or email networkadequacy@state.mn.us

Companion Life Insurance Company

• Premier Maps-MNN001 (PDF)
  Premier Waivers-MNN001 (EXCEL)
• Advantage Maps MNN002 (PDF)
  Advantage Waivers MNN002 (EXCEL)

Delta Dental of Minnesota

• PPO Premier Maps - MNN001 (PDF)
  Advantage Waivers MNN002 (EXCEL)

Dentegra Insurance Company

• Dentegra PPO Maps - MNN001 (PDF)
  Dentegra PPO Waivers - MNN001 (EXCEL)

The Guardian Life Insurance Company of America

• DentalGuard Preferred Maps - MNN001 (PDF)

Humana Insurance Company

• Humana Dental PPO Maps-MNN001 (PDF)
  Humana Dental PPO Waivers-MNN001 (EXCEL)

The Minnesota Department of Health evaluates network waiver requests as part of annual reviews of individual and small group networks which include standalone dental plans. Waiver requests are effective with the approval of the dental plan’s network.

See detailed Network Adequacy Submission Instructions (PDF) for further details and instructions.

For more information, email networkadequacy@state.mn.us.