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.
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.
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,
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
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.