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03/10/99 16:36 FAX PHIL BRETT -~ LAW DIR 0 012 <br />03/831999 ®8:10 4a®7775618 FORTIS PAGE 8b <br />t`oi-'tis Ber~etits tnsulrance Company - ~~. <br />24950 Country Grub $ivd, Suite 330, North Olmsted, OH 4x070 ' ~i:: <br />{aaa~777-3170 (sao~7zros7t3 FAX: {~ao~777-sate ~~' <br />~aR.TIS~' <br />STANDARD pENTAL CONTRACT <br />Employees vitvot dental coverage as a "real" benefit - one they kAOW tt+ey need_ Md, Decsuse the <br />Fortis 88netits approach b dente! coverage stresses prevention, it rtaturaldy keeps cost down. <br />Highlights of the Covered Services are shown below- <br />CLASS I: PREVENTIVE DENTAL SERVICES <br />Oral examinations <br />Intraorai complete series X-rays of Panoramic film <br />6itewing X rays <br />Routine leanings <br />FluvRde treatment <br />Seatsnt5 <br />5peioe maintainers <br />CLA5511: BASIC DENau. S~v~ces <br />Emergency Drat examination <br />Intrearal periapigl or occlusal X-rays <br />Restorations <br />Periodontics <br />Endodontics <br />Oral surgery <br />C3®neral anesthesia and inhavenous sedation <br />CLASS I)la MAJAR DENTAL SENYtCE$ <br />Crowns, inlays and onlays <br />Full 8nd partial dentures <br />Fixed bridg®s <br />Tissue conditioning <br />Denture adlustments <br />oup Namr MayRea4 nonage <br />