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1.16 Premiums - the amounts payable by the Contractholder as provided in Article 3. 1.17 Prevailing Fee - an allowance determined by Delta Dental and/or a Participating Plan for services provided by a dentist who Is not a Delta Dental Dentist. 1.18 Primary Enrollee - an individual, who by their association with the Contractholder, is eligible for Benefits under Article 2 of this Contract. 1.19 Procedure Numbers - the Procedure Numbers shown on Appendix B. 1.20 Single Procedure - a dental procedure to which a separate Procedure Number has been assigned by the American Dental Association In the current version of Current Dental Terminology (CDT). Many CDT codes are listed In Appendix B of this Contract. 1.21 For a Dentist who has signed a Delta Dental Dentist Agreement with Delta Dental of California, his or her "Usual, Customary and Reasonable Fee" for any Single Procedure Is the fee that the Dentist has filed with Delta Dental and which Delta Dental has accepted. For these Dentists, the words "Usual, Customary and Reasonable" means the following: Usual - the amount which a Dentist regularly charges and receives for a given service. If the Dentist charges more than one fee for a given service, the "usual" fee for that service is the lowest fee which the Dentist regularly charges or offers. Customary - the fee is within the range of usual fees charged and received for a particular service by Dentists of similar training in the same geographic area which Delta Dental determines Is statistically relevant. Reasonable - a fee schedule is reasonable If It Is "usual" and `customary." Additionally, a specific fee to a specific Enrollee is reasonable If It Is justifiable considering special circumstances, or extraordinary difficulty, of the case In question. ARTICLE 2 - ELIGIBILITY 2.1 All regular employees may enroll in this plan and will become eligible to receive Benefits immediately following one month from their date of hire. 2.2 Dependents of Primary Enrollees are eligible to enroll under this Contract provided: (1) a minimum of 50% of employees with Dependents enroll all their Dependents who are not covered under any other group dental care plan; (2) said Dependents are enrolled at the time of enrollment of the employee or within 30 days of loss of any other coverage and proof of prior coverage is provided to the Contractholder; (3) contributions for the enrolled Dependent continue to be made through payroll deductions until the employee's coverage terminates, or the Dependent is no longer eligible as defined below, or the employee elects to discontinue dependent coverage; and (4) new Dependents who qualify for enrollment are enrolled on the first day of the month next following their eligibility as Dependents, except that dependent children up to four years of age may be enrolled at the beginning of any Contract Year Including the Contract Year immediately following their fourth birthday. 2.3 Once a Primary Enrollee elects to discontinue dependent coverage, Dependents may not be re -enrolled under this plan, unless the Dependent Is the subject of a Qualified Medical Child Support Order requiring the Primary Enrollee to provide the Dependent Benefits under this plan. 2.4 Dependents are the Primary Enrollee's legal spouse and dependent children from birth to age 26. Children Include natural children, stepchildren, adopted children, children placed for adoption and foster children. The Dependents of Primary Enrollees are eligible to enroll on the same date that the employee, of whom they are a Dependent, becomes a Primary Enrollee. Later -acquired Dependents become'eligible as soon as they acquire dependent status. 25d-55