Welfare Summary Plan Description

DENTAL CARE BENEFIT – See Section 9

Benefit Funded by the Trust
The Plan provides Dental benefits only to Eligible Employees and their Dependents.

  % of Covered Expenses
Dental Calendar Year Deductible $75 per Participant; waived for Diagnostic and Preventive and Orthodontics only
Dental Calendar Year Maximum Benefit $2,000 per Participant (age 19 and older)
Class I – Diagnostic and Preventive 80%; $75 deductible waived
  % of Covered Expenses
Class II – Basic Dental 80%
Class III – Major Dental 50%
Orthodontics – Individuals under age 19 50%; up to $1,200 lifetime; $75 deductible waived