Orange County NC Website
TABLE OF CONTENTS <br /> <br />I. Certificate ..................................................................................................................................... 2 <br />II. Definitions ...................................................................................................................................... ..2 <br />III. Selecting a Dentist ......................................................................................................................... ..5 <br />N. Accessing Your Benefits ................................................................................................................ ..5 <br />V. How Payment is Made ................................................................................................................... ..7 <br />VI. Benefit Categories .......................................................................................................................... ..7 <br />VII. Exclusions and Limitations ............................................................................................................ ..8 <br />VIII. Coordination of Benefits ................................................................................................................ 12 <br />IX. Disputed Claims Procedure ............................................................................................................ 14 <br />X. Termination of Coverage ............................................................................................................... 15 <br />XI. Continuation of Coverage .............................................................................................................. 16 <br />XII. General Conditions ........................................................................................................................ 16 <br />Note: This Certificate should be read in conjunction with the Summary of Dental Plan Benefits that is provided with the <br />Certificate. The Swiunary of Dental Plan Benefits lists the specific provisions of your group dental Plan and supersedes any <br />contrary provision of this Certificate. <br />1 <br />Form No. 1752-NC <br />NCPPOpIus-A <br />0]/2012 <br />