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~\~ t:::] i~w ~ <br />~5 ~1! t ~y <br />~ ~~~~o ~ <br />,~E~~~ <br />DELTA DENTAL SERVICE CONTRACT <br />for <br />ORANGE COUNTY <br />THIS DELTA DENTAL SERVICE CONTRACT (this "Contract") is effective the lst day of January, 2012, by <br />and among Orange County, hereinafter referred to as Contractor and Delta Dental of North Carolina, a nonprofit <br />corporation incorporated under the laws of the State of North Carolina, hereinafter referred to as Delta Dental. <br />WHEREAS, the Contractor wishes to provide self-funded dental benefits plans for its employees; and <br />WHEREAS, Delta Dental is in the business of underwriting, administering, and/or marketing dental plans as a <br />member of the Delta Dental Plans Association ("DDPA"), and wishes to facilitate the Contractor's choice of a <br />Delta Dental Plan for its employees; and <br />VVHEREAS, the Contractor wishes to adopt a Delta Dental PPO and/or Delta Dental Premier dental benefit plan <br />as its self-funded dental benefits plans (collectively, the "Contractor's Dental Plan"); and <br />WHEREAS, the Contractor wishes Delta Dental to provide all of the administrative services for the Contractor <br />related to the Conlractor's Dental Plan, and Delta Dental wishes to perform such administrative services. <br />NOW THEREFORE, in consideration of the mutual representations, warranties and covenants and subject to the <br />conditions contained herein, the parties hereto agree as follows: <br />Section I. Declarations <br />Attached hereto as Exhibit A are the terms, conditions, plan designs, and rates of Contractor's Dental Plan. <br />Attached hereto as Exhibit B are the terms and conditions contained in the Summary of Dental Plan Benefits and <br />Certificate or the Contractor's Summary Plan Description approved by Delta Dental. <br />Section II. De~nitions <br />A. Benefit Year <br />means the calendar year, unless the Contractor elects a different period to serve as the Benefit Year. <br />B. Benefits <br />means payment for Covered Services that have been selected under the Contract. <br />C. Contract <br />means this document, including, if applicable, any appendices, additional Declarations (successor <br />agreements or renewals, or renewal letters now or hereafter issued or executed. <br />Revised 09/2011 <br />