Benefit Funded by the Trust
The Plan provides Dental benefits only to Eligible Employees and their Dependents and to Retired Participants and their Dependents, age 65 and over.
| Dental Calendar Year Deductible | $75 per Participant; waived for Orthodontics only |
|---|---|
| Dental Calendar Year Maximum Benefit | $2,000 per Participant |
| % of Covered Expenses | |
| Class I – Diagnostic and Preventive | 80% |
| Class II – Basic Dental | 80% |
| Class III – Major Dental | 50% |
| Orthodontics – Dependent children under age 19 | 50%; up to $1,200 lifetime; $75 deductible waived |