Dental Benefit Plans Sample Clauses
The "Dental Benefit Plans" clause defines the scope and terms under which dental insurance or coverage is provided to eligible individuals. It typically outlines what dental services are covered, such as routine cleanings, fillings, or orthodontics, and may specify limitations, exclusions, or required copayments. This clause ensures that both the provider and the insured understand the extent of dental benefits available, thereby preventing misunderstandings and clarifying financial responsibilities related to dental care.
Dental Benefit Plans. A. Contribution Amounts
1. From July 1, 1999 to July 31, 1999, the State agrees to pay the following contribution for dental benefits. To be eligible for this contribution, an employee must positively enroll in a dental plan administered by the Department of Personnel Administration.
a. The State shall pay $23.97 per month for coverage of an eligible employee.
b. The State shall pay $43.41 per month for coverage of an eligible employee plus one dependent.
c. The State shall pay $63.54 per month for coverage of an eligible employee plus two or more dependents.
2. From August 1, 1999 to June 30, 2001, the State agrees to pay the following contributions for dental benefits. To be eligible for this contribution, an employee must positively enroll in a dental plan administered by the Department of Personnel Administration.
a. The State shall pay $30.70 per month for coverage of an eligible employee.
b. The State shall pay $55.60 per month for coverage of an eligible employee plus one dependent.
c. The State shall pay $81.38 per month for coverage of an eligible employee plus two or more dependents.
3. The employee will pay any premium amount for the dental plan in excess of the State’s contribution, except that the employee’s share of the cost shall not exceed 25 percent of the total premium.
4. The State agrees that $15,602.80 of the money remaining in the Delta Dental Surplus Account shall be applied to the employees’ share of any rate increases incurred in the dental indemnity program during the plan year ending December 31, 1999. If no rate increase occurs, then said amount shall be applied to the employees’ share of any dental benefit rate increase occurring during the plan year ending December 31, 2000. The Union agrees that this is a full and final settlement and release of all known and all unknown disputes, claims, injuries, debts, or damages relating to Delta Dental premiums deducted under the terms of the 1992-1995 collective bargaining agreement.
B. Employee Eligibility Employee eligibility for dental benefits will be the same as that prescribed for health benefits under Section 9.1 B 1.
C. Family Member Eligibility Family member eligibility for dental benefits will be the same as that prescribed for health benefits under Section 9.1 B.2.
Dental Benefit Plans. 29 (S)4.3 Covenants of Buyer................................................... 29 (a)
Dental Benefit Plans. Your dental benefit is a contract between you or your employer and the dental benefit plan. Benefits and payments received are based on the terms of the contract negotiated between you or your employer and the plan. We are happy to help our patients with dental benefit plans to understand and maximize their coverage.
Dental Benefit Plans