Other Related Documents
Introduction
Membership
Who is covered by the plan When coverage starts Seasonal employees Leave without pay Termination of coverage Identity card
Benefits
Eligible services Maximum reimbursement for dental services Limitations on reimbursement Covered charges Treatment Plans
Claims procedure
Duplicate protection Claims payment Claims dispute
Appendix A - Table of monthly contributions
Appendix B - Eligible Dental Services
Appendix C - Exclusions and limitations
Appendix D - Claims Offices