Group Dental Insurance

Plan Features:

Plan I:

Deductible:
(Each Calendar Year) $50 per person Maximum $150 per family.No Deductible for Preventive Care.

Plan Type	What the plan pays*	Waiting Period
TYPE I PREVENTIVE Exams Cleanings X-rays Fluoride Space Maintainers	100% from the first day of coverage	none
TYPE II BASIC CARE Fillings Oral Surgery Extractions Periodontics Endodontics	60% in the first 12 months after waiting period, 70% in the second 12 months, 80% thereafter	6 months
TYPE III MAJOR CARE Crowns Bridges Dentures	50%	12 months
TYPE IV Orthodontics	50% with a $1,000 Lifetime Maximum	24 months
Annual Max.	$1,000 per person

Deductible:
(Each Calendar Year) $75 per person Maximum $225 per family No Deductible for Preventive Care.

Plan Type	What the plan pays*	Waiting Period
TYPE I PREVENTIVE Exams Cleanings X-rays Fluoride Space Maintainers	100% from the first day of coverage	none
TYPE II BASIC CARE Fillings Xrays	50%	6 months
TYPE III MAJOR CARE Oral Surgery Crowns Bridges Dentures Periodontics Endodontics	50%	18 months
TYPE IV Orthodontics	50% with a $1,000 Lifetime Maximum	24 months
Annual Max.	$1,000 per person