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 bene昀椀t plan. Hover over the insurance terms below to learn what they mean. SMARTPREMIUM IN-NETWORK OUT-OF-NETWORK Review Individual: $50 Plan Summary ANNUAL DEDUCTIBLE Family: $150 PREVENTIVE SERVICES Plan pays 100% Plan pays 100% SmartPremium BASIC SERVICES Plan pays 80% Plan pays 80% You pay 20% You pay 20% MAJOR SERVICES Plan pays 50% Plan pays 50% You pay 50% You pay 50% ANNUAL PLAN MAXIMUM $2,000 $1,500 ORTHO LIFETIME MAXIMUM $0 Employee: $33.99 RATES PER Employee + Spouse: $67.97 MONTHLY PAY PERIOD Employee + Children: $76.11 Family: $110.11 The bene昀椀ts and rates in this guide are for illustra琀椀ve purposes only. To the extent the rates or the bene昀椀t plan informa琀椀on summarized herein di昀昀ers from the underlying plan details speci昀椀ed in the insurance documents that govern the terms and condi琀椀ons of the plans of insurance described in this guide, the underlying insurance documents will govern in all cases.