Dental Plan Benefits. The Dental Plan shall provide benefits to members and eligible dependents. Members shall be eligible for reimbursement in respect of covered benefits and services rendered in accordance with the following: 7.03.01 One hundred percent (100%) reimbursement for diagnostic, preventive, minor restorative and certain oral surgical services, periodontics (treatment of gum diseases), endodontics (root canal work), removable prosthodontics (removable dentures), and the additional services of applicable anaesthesia, house/hospital visits and special office visits.
Dental Plan Benefits. The Dental Plan shall provide benefits to members and eligible dependents. Members shall be eligible for reimbursement in respect of covered benefits and services rendered in accordance with the following:
Dental Plan Benefits for full-time teachers the Board will pay 100% of the cost of a Dental Plan A (100% payment of claims), Plan B (50% payment of claims) and Plan C (50% of claims for orthodontic work for teachers' children up to the age of 20, to a lifetime maximum of $1,250.00). Effective July 1, 2018, major dental coverage is per provincial minimum. Effective July 1, 2015, orthodontics coverage and lifetime maximum are per provincial minimums. Participation in the plan shall be a condition of employment for all teachers hired after January 1, 1978, unless they provide proof of coverage under another dental plan.
Dental Plan Benefits. The University shall contribute six hundred ($600) dollars per year towards a contributory dental plan for each full-time faculty member of the bargaining unit who participates in the voluntary dental plan. The maximum benefit shall be four thousand five hundred ($4,500) dollars.
Dental Plan Benefits. The Dental Plan shall provide benefits to members and eligible dependents. Members shall be eligible for reimbursement in respect of covered benefits and services rendered in accordance with the following: 7.03.01 100% reimbursement for diagnostic, preventive, minor restorative and certain oral surgical services, periodontics (treatment of gum diseases), endodontics (root canal work), removable prosthodontics (removable dentures), and the additional services of applicable anesthesia, house/hospital visits and special office visits. 7.03.02 80% reimbursement for work on existing fixed prosthodontics (crowns and bridges), major restorative and other services (recementing of inlays/onlays and crowns, removal of crowns and inlays/onlays, retentive pre-formed posts). 7.03.03 50% reimbursement for new fixed prosthodontics (crowns and bridges) and major restorative benefits.
Dental Plan Benefits a) Employees who are eligible for membership, but do not become members of the Dental Plan as of their eligibility date due to other plan membership, including another City Dental Plan, may only join the plan within 30 days of a Life Event and shall have restricted coverage for the first 12 calendar months, as outlined in Part II 7.04 above. b) Employees who are members of the Dental Plan, and elect to subsequently opt out of the Plan due to membership in another Dental Plan, including another City Dental Plan, may do so only within 30 days of a Life Event. 7.05 In this Plan, the percentage reimbursement provided in respect of any benefit or service shall, in all cases, be calculated on the basis of the dentist's xxxx or the applicable fee as described in the current Alberta Blue Cross Usual and Customary Dental Fee Guide, whichever is the lesser. 7.06 In the event that the expected cost of treatment or service exceeds $500, the member should submit the proposed treatment or service plan, completed and signed by the dentist, to the administrative agent for review. The member shall then be informed as to the extent of the liability of the Plan and can determine whether or not they wish to proceed with the proposed treatment or service plan. The procedure is for the convenience of the member and shall not be required in the case of emergency treatment where sufficient time is not available to submit such a plan. However, under no circumstances shall the Plan be liable to pay costs, of any dental treatment or service, which exceed the amount of liability as established under Part II 7.06.
Dental Plan Benefits. The existing provisions of the dental care plan coverage will be maintained for the duration of the collective agreement. Furthermore, Schedule A expenses will be reimbursed at 100% up to the applicable limits.
Dental Plan Benefits. The Group Dental Plan effective October 1, 1999 includes a Preferred Provider Organization (PPO) which provides three (3) levels of comprehensive benefits based upon whether the service is obtained through the PPO network (In-Network), outside the PPO network (Out-of-Network), or through a voluntarily elected Dental Health Maintenance Organization (DHMO). Employees who live in areas where no PPO network is available are paid in accordance with the In-Network benefits. In-Network shall be defined as at least two (2) general practitioners within a ten (10) mile radius. Features of the Group Dental Plan are as follows: DENTAL HMO --------------------------------------------------------------------- DENTAL SERVICE BENEFITS PAYABLE DEDUCTIBLE MAXIMUM --------------------------------------------------------------------- Class I 100% of network fees None None --------------------------------------------------------------------- Class II 90% of network fees None None --------------------------------------------------------------------- Class III 80% of network fees None None --------------------------------------------------------------------- Class IV 60% of network fees None None --------------------------------------------------------------------- IN-NETWORK (PPO) ----------------------------------------------------------------------------------------------- DENTAL SERVICE BENEFITS PAYABLE DEDUCTIBLE MAXIMUM ----------------------------------------------------------------------------------------------- Class I (Preventive) 100% of None $3000 per calendar (Oral Exams) network fees year per member inclusive of Class I, (X-rays) II, III ----------------------------------------------------------------------------------------------- Class II 90% of network $100 per calendar $3000 per calendar (Minor Restorative) fees year per member year per member (Periodontal) inclusive of Class II inclusive of Class I, (Fillings) and III II, III (Root Canals) ----------------------------------------------------------------------------------------------- Class III 60% of network $100 per calendar $3000 per calendar (Major Restorative) fees year per member year per member (Crowns) (Bridges) inclusive of Class II inclusive of Class I, (Dentures) and III II, III ----------------------------------------------------------------------------------------------- Class IV 50% of network $100 per member $1500 per member for (Orthodontics) fees for life life ----------------------------------...
Dental Plan Benefits. The Dental Plan shall provide benefits to members and eligible dependents. Members shall be eligible for reimbursement in respect of covered benefits and services rendered in accordance with the following: 7.03.01 One hundred percent (100%) reimbursement for diagnostic, preventive, minor restorative and certain oral surgical services, periodontics (treatment of gum diseases), endodontics (root canal work), removable prosthodontics (removable dentures), and the additional services of applicable anesthesia, house/hospital visits and special office visits. 7.03.02 Eighty percent (80%) reimbursement for work on existing fixed prosthodontics (crowns and bridges), major restorative and other services (recementing of inlays/onlays and crowns, removal of crowns and inlays/onlays, retentive pre - formed posts). 7.03.03 Fifty percent (50%) reimbursement for new fixed prosthodontics (crowns and bridges) and major restorative benefits. 7.03.04 Fifty percent (50%) reimbursement for orthodontic services subject to a maximum lifetime payment in respect of any covered person of two thousand dollars ($2,000). 7.04 Employees who are eligible for membership but who do not become members of the Dental Plan as of their eligibility date, due to membership in another Dental Plan, may subsequently become members of this Dental Plan subject to the provision that, during the 12 calendar months following the date of joining this Plan, benefits shall be restricted to 100 percent reimbursement for diagnostic, preventive, minor restorative and minor surgical services. Following the completion of the 12 calendar month restricted period, such members shall be eligible for the full benefits as described in Article 7.03. a) Employees who are eligible for membership, but do not become members of the Dental Plan as of their eligibility date due to other plan membership, including another City Dental Plan, may only join the plan within 30 days of a Life Event and shall have restricted coverage for the first 12 calendar months, as outlined in
Dental Plan Benefits. Through December 31, 2010, the Company will allow eligible bargaining unit employees to continue to participate in the following coverage options under the Entergy Corporation Companies‟ Benefits Plus Dental Plan:
