| Label | Type | Description | Mandatory |
| Household Members | BENEFIT_DELIVERY_SYSTEM_MEMBERS | The household members who are part of the Dental Plan. If you selected 'Individual Child' on the Select Benefit Delivery System Details page, this displays only one child's name. If you selected 'All children in the assistance unit' on the Select Benefit Delivery System Details page, this displays all children in the assistance unit. If you have originally navigated from the New Benefit Delivery System Details page or from the Change link on the Modify Benefit Delivery System Details page, this displays only one child's name. | No |
| County | NAME | The county where the household member resides. This cannot be modified. | No |
|
| Search Results |
| Label | Type | Description | Mandatory |
| Benefit Delivery System | NAME | The name of the dental plan available for selection. If fee for service is available in the county, this will display 'Fee for Service System'. | No |
| Benefit Delivery System Type | ISP_DENTAL_PLAN_TYPE | The type of benefit delivery system, for example, dental plan or fee for service. | No |
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| Action |
| Label | Type | Description | Mandatory |
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