Notes:
¢ The waiting periods for basic, major and orthodontic dental services shall be reduced by the number of months for which each current employee was covered under the company's prior comparable dental plan. Any waiting period listed under the Dental Limitations and Exclusions can never be waived.

£ Platinum Plans
     In-Network General Dentist & Specialist - All payments made by the plan are based on the Platinum fee schedule.
     In-Network General Dentist - Accept the Platinum fee schedule as payment in full.
     For services from all Out-of-Network Dentists, you are responsible for charges exceeding the UCR.

¥ Specialists
   Discount only - no benefit will be paid.
     In-Network Secialist - You receive 20-25% off the specialist fee for covered services.
     You are responsible for the difference between the plan payment and the discounted specialist's fee.

§ Endodontics
     For Groups of 20 or more enrolled employees, Endodontics is a basic Benefit.
     For Groups of 6-19 enrolled employees, Endodontics is a major benefit.

All Plans: The group's effective date is the first of the month. Current employees and their dependents must enroll within 31 days of the group's first effective datre, and may not enroll again until the group's annual renewal date or within 31 days of a qualifying event. New emplyees have 31 days after their hire date or eligibility date to enroll. Employees who cancel their plan may not enroll again until the group's next renewal date.