Dental Summary - Dental Network of America

January 1, 2006 - December 31, 2006

Medical     Dental     Vision     Life/AD&D     Addt'l Life/AD&D     STD     LTD     LTC     Flex

Information provided is in summary format.  Any difference between the summary provided and actual contract will be settled in favor of the contract.
Deductible	$50 per individual
Waived for Preventive	Yes
Type I - Preventive	100%
Type II - Basic	80%
Type III - Major	Not Covered
Type IV - Orthodontia	Not Covered
Annual Maximum	$1,500
Predetermination Required For:	Treatment estimated to cost over $300
Vision Discount Plan	Click Here

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