Smile Rewards - Services received under Type 1/Preventive do not count against annual plan max, Max Rewards - Allows user to rollover part of unused annual max, Missing Tooth - Standardly excludes coverage for missing teeth lost before the member’s date of hire, COBRA - If EE has inforce coverage, but are no longer employed, LFG will take over their coverage and pay their claims like any other claims, under this law., Prior Ins Credit (PIC) - Current employees covered with inforce carrier receive credit for previous coverage, Continuity of Cov (COC) - New hires/dependents who had prior dental coverage are granted credit for that coverage, Family Status Change - Within 31 days of a qualifying event, employees or dependents can enroll in dental coverage, NLNG - Specific to ortho, employees would not lose ortho coverage because ER moved to LFG; claimant would not get a new lifetime max because ER moved to LFG, Lifetime Max - Maximum allowed amount to be paid for orthodontic treatments, per patient, PPACA - Allows young adults to age 26 to remain on their parent's Dental plan,
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Dental Contract Provisions to Know - Match Up
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Laurie51
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