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Core and
More offers the following
ancillary benefits program
for employees.
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Dental
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Service
Type 1
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Service
Type II
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Service
Type III
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Preventative
& Diagnostic
Services
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Basic
Services
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Major
Services
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Routine Exams
Bitewing X-Rays
Routine Cleaning
Emergency Palliative
Treatments
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Fillings
Crown & Bridge Repair
Oral Surgery
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Periodontics (treatment of gums)
Endodontics (root canal and pulpal therapy)
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Plan
Benefit:
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Plan
Benefit:
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Plan
Benefit:
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80% of
Usual and
Customary
Charges
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Scheduled
Payment
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Scheduled
Payment
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Waiting
Period:
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Waiting
Period:
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Waiting
Period:
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$50
Plan Year Deductible for
all services combined
$500
Plan Year Benefit Maximum
for all services combined
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Plus
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Term
Life
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Short-Term
Disability (STD)
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- $5,000
employee
Life benefit
- $5,000
matching
Accidental
Death benefit
- Benefits
reduce 50%
at age 70
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- Up to
13 weeks
of
coverage
if disabled
- 50%
of base
pay to $125
per week
- 14-day
waiting
period for
benefits
- Benefits
reduce 50%
at age 70
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Weekly
Package Rates:
Employer pays
all $4.50/$3.00*
Voluntary
$7.00/$4.50*
*Where
STD is not available
because of statutory
coverage.
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More
Information:
Medical, Dental and Term Life / Short-Term Disability plans
underwritten by Stonebridge Life
Insurance Company, Rutland, VT.
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