|
COVERED
EXPENSES |
Present Coverage |
Proposed Coverage |
|
DENTAL BENEFITS |
Eligible employees will be able to select from one of the two following options or waive coverage. Elections must be maintained for a two-year period before option election may be changed. |
Same as Current Coverage |
|
|
LOW COVERAGE OPTION
|
|
|
PREVENTATIVE SERVICES: |
80%*
of reasonable and customary charges. |
Same
as Current Coverage |
|
Routine (Basic)
Services (fillings and extractions) |
50%
of Reasonable and Customary Charges |
Same
as Current Coverage |
|
Restorative (Major)
Services |
50%
of Reasonable and Customary Charges |
Same
as Current Coverage |
|
Orthodontia |
None |
Same as Current Coverage |
|
DEDUCTIBLES: |
|
|
|
Preventative |
None |
Same as Current Coverage |
|
All other covered Dental Services |
*Annual
Deductible Per Person - $50.00 (Max.
of 3 deductibles per family) Expenses applied toward the deductible in October,
November and December will be applied to the deductible for the next calendar
year. |
Same
as Current Coverage |
|
Maximum Benefit |
$750.00 per person annually |
Same as Current Coverage |
|
CONTRIBUTIONS |
|
|
|
Dental Contributions |
The
premium cost is paid by the Company for employee only coverage. With respect to any and all other levels
of Dental coverage (spouse, children or family) the total premium cost is
shared 50% and 50%. |
Effective January 1, 2007 with respect to Dental
benefits, the premium costs with respect to all levels of Dental coverage
(employee, spouse, children or family) the total premium cost will be shared
50% and 50%. |
|
COVERED
EXPENSES |
Present Coverage |
Proposed Coverage |
|
|
HIGH COVERAGE OPTION
|
|
|
PREVENTATIVE
SERVICES: |
100% of Reasonable and Customary charges. Not more than two (2) routine exams per calendar year. |
Same as Current Coverage |
|
Routine (Basic)
Services (fillings and extractions) |
80%* of R&C Charges. |
Same as Current
Coverage |
|
Restorative (Major)
Services |
60%* of R&C
Charges. |
Same as Current
Coverage |
|
Orthodontia |
60%* of R&C Charges. $1250 lifetime maximum. |
Same as Current Coverage |
|
DEDUCTIBLES: |
|
|
|
Preventative |
None |
Same as Current Coverage |
|
All other covered Dental Services |
*Annual Deductible - $50 per individual or $150
per family per year. |
Same as Current Coverage |
|
Maximum Benefit |
$1500 per person annually |
Same as Current Coverage |
|
CONTRIBUTIONS |
|
|
|
Dental Contributions |
The
premium cost is paid by the Company for employee only coverage. With respect to any and all other levels
of Dental coverage (spouse, children or family) the total premium cost is
shared 50% and 50%. |
Effective January 1, 2007 with respect to Dental
benefits, the premium costs with respect to all levels of Dental coverage
(employee, spouse, children or family) the total premium cost will be shared
50% and 50%. |