Annual Maximum Benefit: $1,000 OR $2,000 Deductible: $50 per member / not to exceed $150 for the whole family PROCEDURE $1,000 Plan $2,000 Plan Preventive 2 Cleanings X-Rays 100% (deductible does not apply) 100% (deductible does not apply) Basic Fillings Diagnostic Services 80% 80% Major Dentures Crowns Extractions 50% 50% Orthodontia All ages Not covered 50% up to $2,000 lifetime maximum D E N TA L DENTAL