Common use of Space Maintainer Clause in Contracts

Space Maintainer. Besides being useful for chewing, baby teeth also act as a guide for the eruption of the permanent teeth that replaces them. If a baby’s tooth is lost too early, the permanent tooth that comes after it loses its guide, so it could drift or erupt into the wrong position in the mouth. Neighboring teeth also can move or tilt into the space, reducing the space available for the permanent tooth to come out. Space maintainers are appliances used when a baby tooth is lost too early to help make room for the permanent tooth it was intended to guide. Special Enrollment Period – The sixty (60) day period of time during which a Subscriber and eligible Dependents may enroll or disenroll from coverage under this Benefit Plan outside of the Open Enrollment Period. Spouse – The Subscriber’s legal Spouse. Subscriber – An Eligible Person who has satisfied the specifications of this Contract's Schedule of Eligibility and has enrolled for coverage, and to whom the Company has issued a copy of this Contract. Temporomandibular/Craniomandibular Joint Disorder – Disorders resulting in pain and/or dysfunction of the temporomandibular/craniomandibular joint which arise out of rheumatic disease, dental occlusive disorders, internal or external joint stress, or other causes. Waiting Period – A period of time a Member must be enrolled under this Benefit Plan before benefits will be paid for certain Covered Services as shown on the Schedule of Dental Benefits. SCHEDULE OF ELIGIBILITY‌‌ THE COMPANY WILL ESTABLISH AN ENROLLMENT PROCESS AND DETERMINE ELIGIBILITY FOR GROUP AND ITS ELIGIBLE MEMBERS. COMPANY’S ENROLLMENT PROCESSES ARE DESCRIBED BELOW. ANY ELIGIBILITY REQUIREMENT LISTED IN THIS BENEFIT PLAN, WHICH IS NOT MANDATED BY STATE OR FEDERAL LAW, MAY BE DELETED OR REVISED ON THE SCHEDULE OF BENEFITS. Eligibility Subscriber. To be eligible to enroll as a Subscriber, an individual must be: an Eligible Employee of Group who has satisfied any criteria designated by Company to subscribe to this policy, has satisfied any Eligibility Waiting Period required by the Group, and who is working the number of hours required by the Company to enroll in this coverage. a retiree who satisfies any criteria designated by Us, and if shown as covered in this Group’s Benefit Plan Schedule of Dental Benefits. an elected official who satisfies any criteria designated by Us, and if shown as covered in this Group’s Benefit Plan Schedule of Dental Benefits.

Appears in 2 contracts

Samples: Limited Benefit Contract, Limited Benefit Contract

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Space Maintainer. Besides being useful for chewing, baby teeth also act as a guide for the eruption of the permanent teeth that replaces them. If a baby’s tooth is lost too early, the permanent tooth that comes after it loses its guide, so it could drift or erupt into the wrong position in the mouth. Neighboring teeth also can move or tilt into the space, reducing the space available for the permanent tooth to come out. Space maintainers are appliances used when a baby tooth is lost too early to help make room for the permanent tooth it was intended to guide. 97176EX-039 R01/21 9 Special Enrollment Period – The sixty (60) day period of time during which a Subscriber and eligible Dependents may enroll or disenroll from coverage under this Benefit Plan Contract outside of the Open Enrollment Period. Spouse – The Subscriber’s legal Spouse. Subscriber – An Eligible Person who has satisfied the specifications of this Contract's Schedule of Eligibility and has enrolled for coverage, and to whom the Company has issued a copy of this Contract. Resin-Based Composite – Material composed of plastic with small glass or ceramic particles, which resemble the appearance of natural teeth. Temporomandibular/Craniomandibular Joint Disorder – Disorders resulting in pain and/or dysfunction of the temporomandibular/craniomandibular joint which arise out of rheumatic disease, dental occlusive disorders, internal or external joint stress, or other causes. Waiting Period – A period of time a Member must be enrolled under this Benefit Plan Contract before benefits will be paid for certain Covered Services as shown on the Schedule of Dental Benefits. 97176EX-039 R01/21 10 ARTICLE III. SCHEDULE OF ELIGIBILITY‌‌ THE COMPANY WILL ESTABLISH AN ENROLLMENT PROCESS AND DETERMINE ELIGIBILITY FOR GROUP AND ITS ELIGIBLE MEMBERS. COMPANY’S ENROLLMENT PROCESSES ARE DESCRIBED BELOW. ELIGIBILITY‌‌‌ ANY ELIGIBILITY REQUIREMENT LISTED IN THIS BENEFIT PLANCONTRACT, WHICH IS NOT MANDATED BY STATE OR FEDERAL LAW, MAY BE DELETED OR REVISED ON THE SCHEDULE OF BENEFITS. Eligibility SubscriberA. 1. To be eligible to enroll as a Subscriber, an individual must be: an Eligible Employee of Group who has satisfied any criteria designated by Company to subscribe to this policy, has satisfied any Eligibility Waiting Period required by the Group, and who is working the number of hours required by the Company to enroll in this coverage2. a retiree who satisfies any criteria designated by Us, and if shown as covered in this Group’s Benefit Plan Schedule of Dental Benefits. an elected official who satisfies any criteria designated by Us, and if shown as covered in this Group’s Benefit Plan Schedule of Dental Benefits3.

Appears in 1 contract

Samples: Limited Benefit Contract

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Space Maintainer. Besides being useful for chewing, baby teeth also act as a guide for the eruption of the permanent teeth that replaces them. If a baby’s tooth is lost too early, the permanent tooth that comes after it loses its guide, so it could drift or erupt into the wrong position in the mouth. Neighboring teeth also can move or tilt into the space, reducing the space available for the permanent tooth to come out. Space maintainers are appliances used when a baby tooth is lost too early to help make room for the permanent tooth it was intended to guide. Special Enrollment Period – The sixty (60) day A time period of time during which a Subscriber and eligible Dependents may enroll or disenroll from coverage under set forth in this Benefit Plan outside of the Open Enrollment PeriodPeriod when a Subscriber and eligible Dependents may enroll for coverage under this Benefit Plan or be removed from coverage under this Benefit Plan. Spouse – The Subscriber’s legal Spouse. Subscriber – An Eligible Person who has satisfied the specifications of this Contract's Schedule of Eligibility and has enrolled for coverage, and to whom the Company has issued a copy of this Contract. Temporomandibular/Craniomandibular Temporomandibular Joint Disorder (TMJ) Disorders – Disorders resulting in pain and/or dysfunction of the temporomandibular/craniomandibular temporomandibular joint which arise out of rheumatic disease, dental occlusive disorders, internal or external joint stress, or other causes. Waiting Period – A period of time a Member must be enrolled under this Benefit Plan before benefits will be paid for certain Covered Services as shown on the Schedule of Dental Benefits. SCHEDULE OF ELIGIBILITY‌‌ THE COMPANY WILL ESTABLISH AN ENROLLMENT PROCESS AND DETERMINE ELIGIBILITY FOR GROUP AND ITS ELIGIBLE MEMBERS. COMPANY’S ENROLLMENT PROCESSES ARE DESCRIBED BELOW. ANY ELIGIBILITY REQUIREMENT LISTED IN THIS BENEFIT PLAN, WHICH THAT IS NOT MANDATED BY STATE OR FEDERAL LAW, LAW MAY BE DELETED OR REVISED ON THE SCHEDULE OF BENEFITSBENEFITS OR BY AMENDMENT. NO ONE MAY BE ENROLLED SIMULTANEOUSLY AS AN EMPLOYEE AND AS A DEPENDENT UNDER THE BENEFIT PLAN, NOR MAY A DEPENDENT BE COVERED BY MORE THAN ONE EMPLOYEE. Eligibility Subscriber. To be eligible to enroll as a Subscriber, an individual must be: an Eligible Employee of Group who has satisfied any criteria designated by Company to subscribe to this policy, has satisfied any Eligibility Waiting Period required by the Group, and who is working the number of hours required by the Company to enroll in this coverage. a retiree who satisfies any criteria designated by Us, and if shown as covered in this Group’s Benefit Plan Schedule of Dental Benefits. an elected official who satisfies any criteria designated by Us, and if shown as covered in this Group’s Benefit Plan Schedule of Dental Benefits.

Appears in 1 contract

Samples: Limited Benefit Contract

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