DENTAL Good oral care enhances overall physical health, appearance and mental well-being. Problems with the teeth and gums are common and easily treated health problems. Keep your teeth healthy and your smile bright with our dental benefit plan. Hoverovertheinsurancetermsbelowtolearnwhattheymean! DPPO LOW PLAN DPPO HIGH PLAN ANNUAL Individual: $50 Individual: $50 DEDUCTIBLE Family: $150 Family: $150 PREVENTIVE 100% 100% SERVICES BASIC 70% 70% SERVICES MAJOR 50% 50% SERVICES ANNUAL PLAN $1,000 $1,000 MAXIMUM ORTHO 50% 50% SERVICES Children Only Children Only ORTHO LIFETIME $1,000 $1,500 MAXIMUM RATES PER Employee: $10.00 Employee: $10.00 BIWEEKLY Employee + Spouse: $20.00 Employee + Spouse: $20.00 PAY PERIOD Employee + Children: $30.00 Employee + Children: $30.00 Family: $40.00 Family: $40.00 The benefits and rates in this guide are for illustrative purposes only. To the extent the rates or the benefit plan information summarized herein differs from the underlying plan details specified in the insurance documents that govern the terms and conditions of the plans of insurance described in this guide, the underlying insurance documents will govern in all cases.