Common use of FAMILY DENTAL PLAN Clause in Contracts

FAMILY DENTAL PLAN. All full-time members covered by this bargaining unit shall be permitted to enroll after the first of the month following three (3) full months of employment in a Family Dental Plan. The Family Dental Plan will be made available to eligible employees, spouses and children to age 19. The maximum total cost for services per patient per benefit year is limited to $1,000. There will be a $25.00 deductible per patient per benefit year, to be paid by the employee, for up to the first three members of each family. However, this deductible is not applicable to preventive and diagnostic services as described below: If the patient utilizes a participating dentist the percentage of coverage indicated next to each class of dental care will prevail: Preventive and diagnostic (x-rays, cleaning, check-up, etc.). 100% Treatment and therapy (Fillings). 80% Prosthodontics and periodontics, inlays, caps and crowns, oral surgery (ambulatory). 50% Orthodontics (Limited to $800.00 per patient over a 5 year period). 50%

FAMILY DENTAL PLAN. All full-time members covered by this bargaining unit and working thirty-five (35) hours or more shall be permitted to enroll after the first of the month following three (3) full months of employment in a Family Dental Plan. The Family Dental Plan will be made available to eligible employees, spouses and children to age 19. The maximum total cost for services per patient per benefit year is limited to $1,000. There will be a $25.00 deductible per patient per benefit year, to be paid by the employee, for up to the first three members of each family. However, this deductible is not applicable to preventive and diagnostic services as described below: . If the patient utilizes a participating dentist the percentage of coverage indicated next to each class of dental care will prevail: Preventive and diagnostic (x-rays, cleaning, check-up, etc.). 100% Treatment and therapy (Fillings). 80% Prosthodontics and periodontics, inlays, caps and crowns, oral surgery (ambulatory). 50% Orthodontics (Limited limited to $800.00 per patient over a 5 year period). ) 50%

FAMILY DENTAL PLAN. All full-time members covered by this bargaining unit shall be permitted to enroll after the first of the month following three (3) full months of employment in a the Family Dental Plan. The Family Dental Plan will be made available to eligible employees, spouses and children to age 19. The maximum total cost for services per patient per benefit year is limited to $1,000. There will be a $25.00 deductible per patient per benefit year, to be paid by the employee, for up to the first three members of each family. However, this deductible is not applicable to preventive and diagnostic services as described below: . If the patient utilizes a participating dentist the percentage of coverage indicated next to each class of dental care will prevail: Preventive and diagnostic (x-rays, cleaning, check-up, etc.). 100% Treatment and therapy (Fillings). 80% Prosthodontics and periodontics, inlays, caps and crowns, oral surgery (ambulatory). ) 50% Orthodontics (Limited limited to $800.00 800. per patient over a 5 year period). ) 50%

FAMILY DENTAL PLAN. All full-time members covered by this bargaining unit and working thirty-two and one- half (32.5) hours or more shall be permitted to enroll after the first of the month following three (3) full months of employment in a Family Dental Plan. The Family Dental Plan will be made available to eligible employees, spouses and children to age 19. The maximum total cost for services per patient per benefit year is limited to $1,000. There will be a $25.00 deductible per patient per benefit year, to be paid by the employee, for up to the first three members of each family. However, this deductible is not applicable to preventive and diagnostic services as described below: If the patient utilizes a participating dentist the percentage of coverage indicated next to each class of dental care will prevail: Preventive and diagnostic (xX-rays, cleaning, check-up, etc.). 100% Treatment and therapy (Fillings). 80% Prosthodontics and Prosthodontics, periodontics, inlays, caps and crowns, oral surgery (ambulatory). Ambulatory) 50% Orthodontics (Limited to $800.00 800. per patient over a 5 year period). ) 50%