Orthodontic Plan Clause Samples

The Orthodontic Plan clause outlines the terms and conditions under which orthodontic services are provided, typically as part of a broader dental or health benefits agreement. It specifies the scope of orthodontic coverage, such as which treatments are included, eligibility requirements, and any limitations or exclusions that may apply. For example, the clause may detail whether braces, retainers, or other corrective devices are covered and set age or treatment duration limits. Its core function is to clearly define the extent of orthodontic benefits, helping both providers and patients understand what services are available and under what circumstances, thereby preventing misunderstandings and disputes over coverage.
Orthodontic Plan. The Region shall provide a rider to the plan to provide for orthodontic services to a lifetime maximum of $2500.00 with fifty (50%) percent of the cost of the treatment paid by the employee and the remainder provided by the plan.
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Orthodontic Plan. During the term of this MOU the City agrees to provide orthodontic coverage for the employee plus two or more dependents with the City paying up to the family premium for full-time regular employees. For employees selecting “employee only” coverage and those selecting “employee plus one dependent” coverage, the City’s contribution shall not exceed the lesser of the “employee only” or “employee plus one dependent” monthly rates respectively or the maximum contribution. Selection of the carrier is at the discretion of the City. The selected plan shall have a 50/50 co-payment and a $1,500 lifetime maximum benefit for each person. For part-time regular employees working at least 20 hours per week, the City will make a pro-rated premium contribution based on the percentage of hours regularly scheduled to work in relation to full-time. The pro-rated premium is based on the contribution maximum for regular full-time employees.
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Orthodontic Plan i) Dependents - Eligible dependents include unmarried children under the age of 18 and the spouse of an eligible employee provided treatment of children commences before the 18th birthday. ii) Benefit Payment – 50/50 Co-pay (eg. billed for treatment $4,000.00, company pays $2,000.00,
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Orthodontic Plan. Effective January 1, 2009, the employer will provide dependent (18 years or under) orthodontic coverage up to $1000.00 lifetime maximum. Employee premiums may be adjusted annually at the same rate as all other employees in Canada. The employee premiums shall not count towards the 75/25 split. “▇▇▇▇▇ ▇▇▇▇” “▇▇▇▇ ▇▇▇▇▇▇▇▇” Director of Operations Union Representative Dated: August 28, 2008
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Orthodontic Plan. The City shall provide an orthodontic plan providing employee and dependent coverage of 50% to a lifetime maximum of $2,000 per covered individual. The City shall pay the full cost of this coverage for employees and their eligible dependents during the term of this Agreement.
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Related to Orthodontic Plan

  • HEALTH PROGRAM 3701 Health examinations required by the Employer shall be provided by the Employer and shall be at the expense of the Employer. 3702 Time off without loss of regular pay shall be allowed at a time determined by the Employer for such medical examinations and laboratory tests, provided that these are performed on the Employer’s premises, or at a facility designated by the Employer. 3703 With the approval of the Employer, a nurse may choose to be examined by a physician of her/his own choice, at her/his own expense, as long as the Employer receives a statement as to the fitness of the nurse from the physician. 3704 Time off for medical and dental examinations and/or treatments may be granted and such time off, including necessary travel time, shall be chargeable against accumulated income protection benefits.

  • Health Plans A. The health plans offered and benefits provided by those plans shall be those recommended by the JLMBC, approved by the City Council, and administered by the Personnel Department in accordance with LAAC Section 4.

  • Medical Plan ‌ Eligible employees and dependants shall be covered by the British Columbia Medical Services Plan or carrier approved by the British Columbia Medical Services Commission. The Employer shall pay one hundred percent (100%) of the premium. An eligible employee who wishes to have coverage for other than dependants may do so provided the Medical Plan is agreeable and the extra premium is paid by the employee through payroll deduction. Membership shall be a condition of employment for eligible employees who shall be enrolled for coverage following the completion of three (3) months’ employment or upon the initial date of employment for those employees with portable service as outlined in Article 14.12.

  • Orthodontics We Cover orthodontics used to help restore oral structures to health and function and to treat serious medical conditions such as: cleft palate and cleft lip; maxillary/mandibular micrognathia (underdeveloped upper or lower jaw); extreme mandibular prognathism; severe asymmetry (craniofacial anomalies); ankylosis of the temporomandibular joint; and other significant skeletal dysplasias.

  • Medical Benefits - Prescription Drugs Administered by a Provider (other than a pharmacist)