SCHEDULE OF DENTAL BENEFITS

Plan Effective Date: January 1, 1994
Employee Eligible: All full-time employees except those who normally work less than 35 hours per week.
Dependents Eligible: All dependents as defined.
Plan Contributions: Plan Contributions: The "Teachers Association Benefits Trust" pays the entire cost of Dental Insurance for you, and your dependents (Teaching and Administrators), based on on your current contract. Non-teaching employees must refer to your current contract.

Non-Contributory Dental Benefits for you and your dependents:

 

Maximum Dental Benefit (per calendar year) $2,500.00
Maximum Orthodontic (Lifetime Benefit)
    This is subject to the Maximum Dental Benefit.
$3,000.00
Maximum Periodontal Benefit (Lifetime Benefit)
    This is subject to the Maximum Dental Benefit.
$3,000.00
Maximum Implant Benefit (Lifetime Benefit)
    This is subject to the Maximum Dental Benefit.
$2,000.00
Treatment Plan limit $200.00

There is no DENTAL DEDUCTIBLE
Important: Read your booklet carefully. See “Not Covered” and “General Information”
for other conditions that may affect coverage.