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Last modified
3/27/2018 10:28:51 AM
Creation date
3/27/2018 10:16:23 AM
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Contracts
Company Name
DELTA DENTAL
Contract #
A-2018-021
Agency
PERSONNEL SERVICES
Council Approval Date
2/6/2018
Expiration Date
12/31/2019
Destruction Year
2024
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1.16 Premiums -the amounts payable by the Contractholder as provided In Article 3, <br />1.17 Prevailing Fee - an allowance determined by Delta Dental and/or a Participating Plan for <br />services provided by a dentist who Is not a Delta Dental Dentist. <br />1,18 Primary Enrollee - an Individual, who by their association with the Contractholder, Is eligible <br />for Benefits under Article 2 of this Contract. <br />1.19 Procedure Numbers - the Procedure Numbers shown on Appendix B. <br />1.20 Single Procedure - a dental procedure to which a separate Procedure Number has been <br />assigned by the American Dental Association In the current version of Current Dental <br />Terminology (CDT). Many CDT codes are listed In Appendix B of this Contract. <br />1.21 For a Dentist who has signed a Delta Dental Dentist Agreement with Delta Dental of <br />California, his or her "Usual, Customary and Reasonable Fee" for any Single Procedure Is the <br />fee that the Dentist has filed with Delta Dental and which Delta Dental has accepted. For <br />these Dentists, the words "Usual, Customary and Reasonable" means the following; <br />Usual - the amount which a Dentist regularly charges and receives for a given service. If the <br />Dentist charges more than one fee for a given service, the "usual" fee for that service Is the <br />lowest fee which the Dentist regularly charges or offers. <br />Customary - the fee Is within the range of usual fees charged and received for a particular <br />service by Dentists of similar training in the same geographic area which Delta Dental <br />determines Is statistically relevant. <br />Reasonable - a fee schedule is reasonable If It Is "usual" and "customary." Additionally, a <br />specific fee to a specific Enrollee is reasonable If It Is justifiable considering special <br />circumstances, or extraordinary difficulty, of the case In question. <br />ARTICLE 2 - ELIGIBILITY <br />2.1 All regular employees may enroll In this plan and will become eligible to receive WefCts <br />Immediately following one month from their date of hire. <br />2.2 Dependents of Primary Enrollees are eligible to enroll under this Contract provided: (1) a <br />minimum of 50% of employees with Dependents enroll all their Dependents who are not <br />covered under any other group dental care plan; (2) said Dependents are enrolled at the time <br />of enrollment of the employee or within 30 days of loss of any other coverage and proof of <br />prior coverage is provided to the Contractholder; (3) contributions for the enrolled Dependent <br />continue to be made through payroll deductions until the employee's coverage terminates, or <br />the Dependent is no longer eligible as defined below, or the employee elects to discontinue <br />dependent coverage; and (4) new Dependents who qualify for enrollment are enrolled on the <br />first day of the month next following their eligibility as Dependents, except that dependent <br />children up to four years of age may be enrolled at the beginning of any Contract Year <br />Including the Contract Year Immediately following their fourth birthday. <br />2.3 Once a Primary Enrollee elects to discontinue dependent coverage, Dependents may not be <br />re-enrolled under this plan, unless the Dependent Is the subject of a Qualified Medical Child <br />Support Order requiring the Primary Enrollee to provide the Dependent Benefits under this <br />plan. <br />2,4 Dependents are the Primary Enrollee's legal spouse and dependent children from birth to age <br />26, Children Include natural children, stepchildren, adopted children, children placed for <br />adoption and foster children. The Dependents of Primary Enrollees are eligible to enroll on the <br />same date that the employee, of whom they are a Dependent, becomes a Primary Enrollee, <br />Later-acqulred Dependents become'eligible as soon as they acquire dependent status. <br />
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