Glossary

Actively at Work	Performing for wages that are regularly paid by the University, the material and substantial duties of your occupation at the usual place of work or at any alternate place of work required by the University.
Annual Maximum Benefit	The most each covered person can receive from the plan each year.
Benefits-eligible Employee	Generally, you are benefits-eligible if you are: Full-time: your position is anticipated to exist for one year or longer and you are scheduled to work at least 35 hours per week. Part-time: your position is anticipated to exist for one year or longer and you are scheduled to work 20 - 35 hours per week. You are not benefits-eligible if you are scheduled to work fewer than 20 hours per week or if your position is expected to exist less than one year.
Coinsurance	The portion of covered dental bills that you pay for necessary care after you meet your deductible.
Coordination of Benefits	A provision that prevents duplication of benefit payments when you or your dependent(s) also have coverage through another group plan. Coordination of benefits procedures also determines which plan pays first.
Copayment	A flat dollar amount you pay for a specific service.
Deductible	The portion of your dental expenses you pay before the plan begins to pay benefits.
Dependent Children	This includes natural, step- and legally adopted children and children placed in the home for adoption. This also includes grandchildren if you or your domestic partner is the legal guardian, claims the child for income tax and legal purposes, and lives with the child in a parent/child relationship. Coverage continues up to the child’s 23rd birthday if he or she is unmarried. If you have a mentally or physically disabled child who was covered under the plan before age 23, you can generally continue coverage for that child indefinitely. You are responsible for notifying the Benefits Office when your dependent child marries or reaches age 23. If you do not, your child may lose his or her coverage, and you may pay for coverage at a higher rate than you should.
Dependents	Includes your spouse, Domestic Partner and Dependent Child(ren). The plan does not cover your parents, grandchildren (unless noted in the Dependent Child(ren) definition) or foster children. If you have questions about your eligible dependents, contact the Benefits Office.
Domestic Partners	Two individuals of the same gender who live together in a long-term relationship of indefinite duration, with an exclusive mutual commitment in which the partners agree to be jointly responsible for each other’s common welfare and share financial obligations. The partners may not be related by blood to a degree that would prohibit legal marriage in the state in which they legally reside and may not be married to any other person. Your domestic partner must be registered with the Benefits Office. Certain restrictions may apply if your Domestic Partner is not an Internal Revenue Code Section 152 Dependent.
Emergency Dental Services	Any procedure listed as a covered benefit needed exclusively for the relief of acute pain, acute swelling or trauma.
Necessary Care	A specific dental service or treatment that is necessary for the treatment or management of a dental symptom or condition, and is the most efficient care that can be safely provided.
Qualifying Change in Status	The specific situations when you may change your coverage level outside the Open Enrollment period.
Reasonable and Customary Rates	The amount dentists in your area generally charge for a specific service.

While this Summary Plan Description summarizes the major provisions of this plan, it does not provide you with every plan detail. The plan documents, which govern this plan, provide full details. If there are any discrepancies between this Summary Plan Description and the legal plan documents, the legal plan documents control.