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INSU ZFsPSC'-F NOT FiEtlUl6x C <br />WORK MAY PWCEED <br />CLERK OF COUNCIL <br />MAR 0 9 2018 <br />DELTA DENTAL OF CALIFORNIA <br />(A Not -for -Profit Corporation Incorporated in California <br />and a Member of the Delta Dental plans Association) <br />Home Office: 100 First Street, San Francisco, California 94105 <br />(Herein referred to as "Delta Dental") <br />41S-972-8300 <br />Group Number 00599 <br />A-2018-021 <br />IN CONSIDERATION of the application made by CITY OF SANTA ANA, referred to In this Contract as <br />"the Contractholder," and IN CONSIDERATION of payment by the Contractholder of the Premiums as <br />stated in Article 3, Delta Dental agrees to provide the Benefits In Article 4 for a period of two years, <br />beginning at 12:01 a.m., Standard Time, on the Effective Date, January 1, 2018, and continuing <br />from year to year thereafter, unless this Contract is terminated in accordance with Article 9, <br />Premiums are payable by the Contractholder before the Effective Date, and thereafter as stated In <br />Article 3. <br />The following document is attached to this Contract and made a part hereof: <br />Appendix B Current Dental Terminology <br />This Contract contains the following Articlesi <br />Article 1 <br />Definitions <br />Article 2 <br />Eligibility <br />Article 3 <br />Premium Payments <br />Article 4 <br />Benefits Provided; Limitations and Exclusions <br />Article 5 <br />Deductibles & Maximum Amount <br />Article 6 <br />Coordination of Benefits <br />Article 7 <br />Conditions Under Which Delta Dental Will Provide Benefits <br />Article 8 <br />Other Delta Dental Obligations <br />Article 9 <br />Termination and Renewal <br />Article 10 <br />Continued Coverage Option <br />Article 11 <br />General Provisions <br />EXHIBIT 2 <br />25G-53 <br />