For these procedures:	Delta Dental				DeltaCare USA SafeGuard	SafeGuard***
	Delta Premier-Basic		Delta Premier Enhanced	**Delta Preferred Provider Option (PPO)	Basic	Enhanced
	Represented Employees	Dependents of Represented Employees	Excluded Employees and Dependents	Excluded & Represented Employees and Dependents	Excluded & Represented Employees and Dependents	Excluded Employees and Dependents
Diagnostic and Preventive Benefits (Two cleanings per 12 month period) *	0	0	0	0	0	0
Basic Benefits (UCR)	10%	20%	10%	10%	0	0
Crowns	20%	50%	20%	20%	$50	0
Bridges, Full & Partial Dentures	50%	50%	50%	40%	$65 and up	0
Annual Deductible	$50*	$50*	$25*	$25*	No deductible	No deductible
Maximum Deductible	$150 per family		$100 per family	$100 per family	N/A	N/A
Orthodontia	Delta will pay 50% up to a lifetime maximum of $1,000 per person.			Delta will pay 50% up to a lifetime maximum of $1,000 per adult; will pay 50% up to a lifetime maximum of $1,500 per child.	$1,000 plus up to $250 for start-up costs	$1,000 plus up to $250 for start-up costs
Annual Maximum	$2,000	$1,000	$2,000	$2,000	No Maximum	No Maximum

*	Diagnostic and Preventive Benefits are exempt from the deductible.
**	The level of benefits and covered services reflected in the chart are based on services provided by a PPO Network dentist. The level of benefits and covered services provided by a non-PPO dentist are lower. Additionally, the PPO includes up to a $2,500 lifetime benefit for dental implants, and a 3rd cleaning for high-risk patients. High-risk patients include: pregnant women, cancer chemotherapy patients, persons with compromising systemic diseases such as AIDS, diabetes, endocarditis, or persons who have had organ transplants.
***	The SafeGuard Enhanced Plan provides for three cleanings per 12-month service period instead of the normal two cleanings. Excluded employees and their dependents have the enhanced coverage under the SafeGuardDental Plan. Represented employees and their dependents have the basic coverage under the SafeGuard Dental Plan.