Common use of Dental Care Benefits Clause in Contracts

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. Effective March 22, 2016 the The Dental Care Plan provides for coverage 90of 100% of the expenses for routine dental care and 7550% 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 $1,5001,200. 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, acrylic and 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:: (a)it is over five years old and cannot be repaired;

Dental Care Benefits. Effective March 22, 2016 the The Dental Care Plan provides for coverage 90of 100% of the expenses for routine dental care and 7550% 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 $1,5001,200. 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, acrylic and 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. Effective March 22, 2016 the The Dental Care Plan provides for coverage 90of 100% of the expenses for routine dental care and 7550% 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 $1,5001,200. 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, acrylic and 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. Effective March 22, 2016 the The Dental Care Plan provides for coverage 90of 100% of the expenses for routine dental care and 7550% 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 $1,5001,325. 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, acrylic and 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. Effective March 22, 2016 the The Dental Care Plan provides for coverage 90of 100% of the expenses for routine dental care and 7550% 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 $1,5001,325. 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, acrylic and 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  neoplasm’s . 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:: (a)it is over five years old and cannot be repaired;