Dental Plan

EFFECTIVE DATE 1-1-2010

STANDARD PLAN

2,000 Annual Maximum

2 Cleanings per year

$50 Individual Deductible in/out of network, waived for preventive

100/80/80 Network Access Plan

$50 Lifetime Ortho deductible with 50% benefit for adults and children

$2,000 Lifetime Ortho maximum

ENHANCED PLAN

$3,000 Annual Maximum

3 Cleanings per year

Implant coverage under Major

$50 Individual deductible in/out of network, waived for preventive

100/80/80 Network Access Plan

$50 Lifetime Ortho deductible with 50% benefit for adults and children

$3,000 Lifetime Ortho Max