Common use of Plan A Clause in Contracts

Plan A. The Board shall provide a self-funded dental plan with the following: (100% Class I benefits; 100% Class II benefits; 80% Class III benefits; maximum annual benefit for Class I – III: $1,000); Class IV benefits: 80% to maximum lifetime benefit of $1,500 for all Employees and their eligible dependents. Plan B: Any Employee covered by another group dental plan shall not be eligible for the dental plan described above. However, the Employee shall be eligible for a self-funded dental plan with: 50% Class I benefits; 50% Class II benefits; 50% Class III benefits; maximum annual benefit for Class I – III: $1,000; Class IV benefits: 50% to maximum lifetime benefit of $1,500. All Employees desiring the above outlined insurance coverages shall bear full responsibility for applying for same and completing necessary forms for same. The Boards only responsibility shall be for payment of premiums as set forth above. For full- time employees, the District will contribute one hundred (100) percent for single, two- person or family coverage; the employee will contribute zero (0%) percent. Employees shall be responsible, through payroll deduction, for zero percent of the representative dental premium applicable to their enrollment category. Such protection shall be available under the following categories:

Plan A. The Board shall provide a self-funded dental plan with the followingwith: (100% Class I benefits; 100% Class II benefits; 80% Class III benefits; maximum annual benefit for Class I – III: $1,000); Class IV benefits: 80% to maximum lifetime benefit of $1,500 for all Employees and their eligible dependents. Plan B: Any Employee covered by another group dental plan shall not be eligible for the dental plan described above. However, the Employee shall be eligible for a self-self- funded dental plan with: 50% Class I benefits; 50% Class II benefits; 50% Class III benefits; maximum annual benefit for Class I – III: $1,000; Class IV benefits: 50% to maximum lifetime benefit of $1,500. All Employees desiring the above outlined insurance coverages shall bear full responsibility for applying for same and completing necessary forms for same. The Boards only responsibility shall be for payment of premiums as above set forth aboveforth. For full- full-time employees, Employees the District will contribute one one-hundred (100%) percent for single, two- two-person or family coverage; the employee will contribute zero (0%) percent. Employees shall be responsible, through payroll deduction, for zero percent of the representative dental premium applicable to their enrollment category. Such protection shall be available under the following categories:

Plan A. The Board shall provide a self-funded dental plan with the followingwith: (100% Class I benefits; 100% Class II benefits; 80% Class III benefits; maximum annual benefit for Class I – III: $1,000); Class IV benefits: 80% to maximum lifetime benefit of $1,500 for all Employees employees and their eligible dependents. Plan B: Any Employee employee covered by another group dental plan shall not be eligible for the dental plan described above. However, the Employee employee shall be eligible for a self-self- funded dental plan with: 50% Class I benefits; 50% Class II benefits; 50% Class III benefits; maximum annual benefit for Class I – III: $1,000; Class IV benefits: 50% to maximum lifetime benefit of $1,500. All Employees employees desiring the above outlined insurance coverages shall bear full responsibility for applying for same and completing necessary forms for same. The Boards Board’s only responsibility shall be for payment of premiums as above set forth aboveforth. For full- full-time employees, the District will contribute one one-hundred (100%) percent for single, two- person two-person, or family coverage; the employee will contribute zero (0%) percent. Employees shall be responsible, through payroll deduction, for zero percent of the representative dental premium applicable to their enrollment category. Such protection shall be available under the following categories:

Plan A. The Board shall provide a self-funded dental plan with the followingwith: (100% Class I benefits; 100% Class II benefits; 80% Class III benefits; maximum annual benefit for Class I – III: $1,000); Class IV benefits: 80% to maximum lifetime benefit of $1,500 for all Employees and their eligible dependents. Plan B: Any Employee covered by another group dental plan shall not be eligible for the dental plan described above. However, the Employee shall be eligible for a self-self- funded dental plan with: 50% Class I benefits; 50% Class II benefits; 50% Class III benefits; maximum annual benefit for Class I – III: $1,000; Class IV benefits: 50% to maximum lifetime benefit of $1,500. All Employees desiring the above outlined insurance coverages shall bear full responsibility for applying for same and completing necessary forms for same. The Boards only responsibility shall be for payment of premiums as above set forth aboveforth. For full- full-time employees, employees the District will contribute one one-hundred (100%) percent for single, two- two-person or family coverage; the employee will contribute zero (0%) percent. Employees shall be responsible, through payroll deduction, for zero percent of the representative dental premium applicable to their enrollment category. Such protection shall be available under the following categories: