EXTENSION OF BENEFITS

The Dental Benefit will continue to be payable for a period not to exceed 90 days after termination. Dental Benefits will continue to be payable only as follows:

  1. In the case of appliances or modification of appliances: If the master impression was taken while coverage was in force and the appliance was delivered or installed within 2 calendar months after termination;
  2. In the case of a crown, bridge, or inlay or onlay: If the tooth or teeth were prepared while coverage was in force and such crown, bridge, or cast restoration was installed within 2 calendar months after termination;
  3. In the case of root canal therapy: If the pulp chamber was opened while coverage was in force and the root canal therapy is completed within 2 calendar months after termination;
  4. In the case of orthodontic treatment: Treatment must have started while coverage was in force. Benefits will be payable through the end of the month in which coverage terminated, based on a pro-ration of the applicable quarterly installment.

All coverage will stop when the earliest of the following happens:

  1. The Maximum Benefit payable is reached;
  2. 90 days after termination;
  3. You or Your Dependent become eligible under another group plan.