Health: Dental Insurance
Gold Plan
- Level I
-
- 100% Co-insurance
- No deductible required
- Level II
-
- 90% Co-insurance
- $75 lifetime deductible maximum per individual
- (3 deductible maximum per family)
- Level III
-
- 65% Co-insurance
- 18 month elimination period
- no deductible required
- Level IV
-
- 65% Co-insurance
- $50 lifetime deductible maximum per individual
- 24 month elimination period required
- $1000 calendar-year maximum per individual for Level I-III
- $750 lifetime maximum per individual for Level IV