Dental Care Benefits. (a) The Court shall provide such regular, full-time seniority employee (and his eligible dependents*) the 100/75/50 Co-Pay Dental Plan in effect as of January 1, 2014, subject to such terms, conditions, exclusions, limitations, deductibles, co-payments and other provisions of the plan. Commencing March 18, 2014 the Court shall pay 95% of the illustrated premium cost of such benefits and the employee shall pay the balance. Coverage shall commence on the day following the employee's ninetieth (90th) day of continuous employment.
(b) To qualify for the group dental care benefits as above described, each employee must individually enroll and make proper application for such benefits at the Human Resources Department upon the commencement of his regular employment with the Court. Forms shall be provided to employees by the Human Resources Department.
(c) When on an authorized unpaid leave of absence for more than two weeks, the employee will be responsible for his benefit costs for the period he is not on the active payroll. Employees electing to continue such benefits shall pay the full cost of such continued benefits. Proper application and arrangements for the payment of such continued benefits must be made at the Human Resources Department prior to the commencement of the leave. If such application and arrangements are not made as herein described, the employee's dental care benefits shall automatically terminate upon the effective date of the unpaid leave of absence of more than two weeks.
(d) Except as otherwise provided under COBRA, an employee's dental care benefits shall terminate on the date the employee goes on a leave of absence of more than two weeks, terminates, retires, or is laid off. Upon return from a leave of absence or layoff, an employee's dental care benefits coverage shall be reinstated commencing with the employee's return.
(e) An employee who is on layoff or leave of absence of more than two weeks or who terminates may elect under COBRA to continue at his own cost the coverage herein provided.
(f) The Court reserves the right to change the plan, carrier and/or manner in which it provides the above benefits, provided that the benefits are equal to or better than the benefits outlined above.
(g) An employee who desires to waive dental care benefits for himself, his spouse, and dependents shall submit a written request for such to the Human Resources Department annually.
Dental Care Benefits. The Dental Care Insurance shall be Employer’s Dental Care Benefits program, with benefits not less than those in effect as of the date of this Agreement.
Dental Care Benefits. (1) Plan A - 80%*
(2) Plan B - 50% - Maximum of $3,000 per year (if coverage begins in second half of the year, the benefit is reduced by 50%).
(3) Plan C - 50% - $1,500 lifetime per child. *Plan A to include the composite fillings for all teeth.
Dental Care Benefits. Effective March 22, 2016 the Dental Care Plan provides for coverage 90% of the expenses for routine dental care and 75% of expenses for major dental care subject to a calendar year deductible of $35.00 per person, but not more than $35.00 per family to a maximum annual benefit of $1,500. per person. Eligible employees and their dependants will be covered for expenses as follows: Charges up to the maximum benefit for: oral examinations, cleaning of teeth, fluoride treatments and bite wing x-rays: twice in any calendar year, but not more than once in any six month period for dependants under age 18, and not more than once in each nine months for adults, beginning September 1, 1994. Scaling Units - Maximum scaling units will be 8 units per year. full mouth series of x-rays: once every 24 months for dependants under age 18 and not more than once in each 36 months for adults. extractions and alveolectomy (bone work) at time of tooth extraction dental surgery general anaesthesia and diagnostic x-ray and laboratory procedures required for dental surgery amalgam, silicate, acrylic, composite and white fillings necessary treatment for relief of dental pain cost of medication and injections given in the dentist's office space maintainers for missing primary teeth and habit breaking appliances consultations required by the attending dentist surgical removal of tumors, cysts, neoplasms incision and drainage of abscess endodontics (root canal therapy) periodontal treatment (gum and tissue treatment) Charges up to the benefit maximum for: provision of crowns, inlays and onlays provision of an initial prosthodontic appliance (e.g. fixed bridge restoration, removable partial or complete dentures) replacement of an existing prosthodontic appliance if:
Dental Care Benefits. The Board shall make available to teachers a dental care plan with benefits (subject to usual and reasonable charges) summarized as follows: Diagnostic (No Deductible) 100%
Dental Care Benefits. The State shall continue to provide dental benefits at the same level as were in effect March 31, 2009, except as modified as follows:
(a) The allowances paid shall be at a level sufficient to retain or add participating dentists and specialists. The State shall continue to pay the full premium of the dental insurance plan.
(b) The Plan shall include coverage for the application of sealants to the primary teeth of dependent children age 13 and under.
(c) The nonparticipating provider reimbursement will be increased to an amount equal to 100 percent of the schedule for basic and prosthetic services.
(d) The maximum annual benefit for covered participating and nonparticipating services is $2300 per person.
(e) The maximum lifetime benefit for orthodontic treatment is $2300.
(f) Anesthesia administered in a dentist office shall be a covered benefit under the participating and nonparticipating components of the dental plan.
Dental Care Benefits. 282 1. The University shall provide and maintain dental care benefits for each employee regularly assigned to work twenty (20) or more hours per week, commencing on the 91st day of service. Such benefits plan shall be subject to reasonable and customary charge determination as follows: Benefits Dental Plan Pays Employee Pays Diagnostic1 100% 0% Preventive1 100% 0% Emergency Palliative1 100% 0% Radiographs1 100% 0% Oral Surgery1 75% 25% Restorative1 75% 25% Periodontics1 75% 25% Endodontics1 75% 25% Prosthetic Appliances1 50% 50% Orthodontics2 50% 50% Maximum Contract Benefit 1$1,000.00 per person total per contract year 2Lifetime maximum benefit of $1,500.00 per person
283 2. To qualify for dental care benefits as above described, each employee must individually enroll and make proper application for such benefits at the Benefits Office within thirty (30) calendar days of the commencement of his regular employment with the University. An employee who fails to enroll and make proper application as herein provided is specifically and expressly excluded from such benefits plan until such time as he enrolls and makes proper application with the Benefits Office.
284 3. Provided proper application and enrollment is made by an employee, the University agrees to pay the cost for maintaining the above described benefits plan for the employee, his spouse, and eligible dependent children under twenty-five (25) years of age, at a cost not to exceed the applicable cost for single person, two (2) persons, or full family benefits.
285 4. Employees laid off or on an authorized unpaid leave of absence may request the continuation of their dental care benefits subject to the same rules set forth in A.6. above for the continuation of group medical benefits.
286 5. An employee’s dental care benefits plan shall terminate on the day that an employee terminates, is laid off, or the dental care benefits plan terminates. Employees are eligible for continuation of dental care benefits after their initial coverage continuation. Please reference A.6. above. An employee who retires from the University is covered through the end of the month in which he/she retires. 287 In the event that either federal or state healthcare reform legislation cause a substantial impact to the healthcare-related benefits described in this Agreement, the parties agree to meet promptly and to negotiate in good faith measures for containing and reducing that cost.
Dental Care Benefits. The Board will provide without cost to each full-time employee and his/her spouse and eligible dependents a Delta Dental Care Program which will pay 100% of Class I benefits such as radiographs, preventive services, and emergency palliative services. The remainder of basic services will be paid at 90%. Payment for Class II benefits (bridges, partials and dentures) will be at 60%. There will be no deductible amounts for any services. This program provides for internal and external coordination of benefits. The Board may elect to provide identical dental insurance to that listed above via self insurance beginning September 1, 1989, or continue the present plan. The premium contributions for less than full-time employees will be on a pro rata basis.
Dental Care Benefits. The Board will provide without cost to each full-time employee and his/her spouse and eligible dependents a Dental Care Program which will pay 100% of Class I benefits such as radiographs, preventive services, and emergency palliative services. The remainder of basic services will be paid at 90%. Payment for Class II benefits (bridges, partials and dentures) will be at 60%. There will be no deductible amounts for any services. This program provides for internal and external coordination of benefits. The Board may elect to provide identical dental insurance to that listed above via self insurance beginning September 1, 1989. Beginning with the 2012-2013 school year, the Board and Association have agreed that the Board will offer the benefits described above through the fully insured MetLife program. The premium contributions for less than full-time employees will be on a pro rata basis.
Dental Care Benefits. The Dental Care Insurance provided in Paragraph B above shall be the MESSA dental plan administered by Delta Dental of Michigan. The plan includes 100% diagnostic and preventative services, 80% basic services, 80% major services and 50% orthodontics services with a $2,000 individual lifetime maximum. The dental plan will be fully paid by the employer.
