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 |
|
