Full-time Employee Benefits
Dental Benefits |
Benefit Amount |
Calendar Year Maximum (per covered individual) Includes Preventive, Basic and Periodontal |
$2,000 |
Dental Co-Insurance |
|
Type A expenses, i.e. preventive (deductible waved) |
100% |
Type B expenses, i.e. basic services (deductible applies) |
80% |
Type C expenses, i.e. major services (deductible applies) |
50% |
Type B expenses, i.e. orthodontia (deductible applies) |
50% |
Deductible Per Calendar Year (applies to types B, C, and D) |
|
Per Covered Individual |
$100 |
Per Covered Family |
$300 |
Lifetime Maximum for Orthodontia (per covered individual) |
$2,000 |

