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. Hover over the insurance terms below to learn what they mean. EQUITABLE DENTAL IN-NETWORK OUT-OF-NETWORK ANNUAL DEDUCTIBLE Individual: $25 Family: 3x individual Individual: $25 Family: 3x individual PREVENTIVE SERVICES Waived Waived BASIC SERVICES 80% 60% MAJOR SERVICES 50% 40% ANNUAL PLAN MAXIMUM $1,250 $1,250 ORTHO SERVICES $0 $0 ORTHO LIFETIME MAXIMUM $1,000 $1,000 EMPLOYEE BIWEEKLY CONTRIBUTIONS Employee: $9.42 Employee + Spouse: $18.46 Employee + Children: $34.20 Family: $34.20 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. Equitable Dental Review Plan Summary DENTAL