5 The name of the Dental Carrier that insures benefits under the Plan is: Guardian Benefit Program Plan Name: Vol. Dental $2000 Value/NAP Plan Plan Year January 01 through December 31 Benefit Funding Type: Fully Insured Policy Number: 547925 Insurance Carrier Address: P.O. Box 14319 Lexington , KY 40512 Insurance Carrier Phone: 888 - 600 - 1600 Insurance Carrier URL: www.guardiananytime.com Eligible Employee: Employees working at least 30 hours per week Excluded Classes: Part Time;Seasonal Workers;Seasonal Employees;Interns Benefit Waiting Period: 1st of Month following 30 Days Benefit Termination Date: End of Month Eligible Dependents: Spouse and Dependents up to the age of 26 Employee Coverage Only Contributions: Yes - Employee contributes 100% Employee and Spouse (or Domestic Partner) Coverage Contributions: Yes - Employee contributes 100% Employee and Dependents Contributions: Yes - Employee contributes 100% Employee and Family Contributions: Yes - Employee contributes 100% If Employee contributes to premium, is that contribution collected Pre - Tax Yes
2026 Benefits Guide by Snellings Walters Page 52 Page 54