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%.