Additional Benefits
| Dental Benefits |
| Annual Maximum Benefits |
$750 |
| Deductible |
$50 |
| Coverage A - Exams, Intraoral Films and Bitewings |
| Waiting Period |
0 |
| Coinsurance |
80% |
| Coverage B - Filings, Oral Surgery Repairs for Crowns, Bridges and Dentures |
| Waiting Period |
3 months |
| Coinsurance |
60% |
| Coverage C - Periodontics, Crown, Bridges, Endodontics and Dentures |
| Waiting Period |
12 months |
| Coinsurance |
50% |
| Short-Term Disability Plan |
| Maximum Benefit Amount per Week |
$150 |
| Percentage of Weekly Base Pay |
60% |
| Waiting Period (Benefits will begin paying immediately if hospitalized) |
7 days |
| Term Life Plan |
| Employee Life Benefit (reduces to 75% at age 65, 50% at age 70) |
$10,000 |
| Spouse (terminates at age 70) |
$5,000 |
| Dependent (6 months to 24 years) |
$5,000 |
| Dependent (15 days to 6 months) |
$1,000 |
| Dependent (under 15 days) |
$0 |
|
