| Prudent Buyer Dental Plan |
| BC Life & Health Insurance Company |
| TABLE OF CONTENTS |
| CERTIFICATE OF INSURANCE |
| TYPES OF PROVIDERS |
| SUMMARY OF BENEFITS |
| DENTAL BENEFITS |
| YOUR DENTAL BENEFITS |
| HOW COVERED DENTAL EXPENSE IS DETERMINED |
| DENTAL DEDUCTIBLES AND BENEFIT MAXIMUMS |
| DENTAL CONDITIONS OF SERVICE |
| DENTAL CARE THAT IS COVERED |
| DENTAL CARE THAT IS NOT COVERED |
| REIMBURSEMENT FOR ACTS OF THIRD PARTIES |
| COORDINATION OF BENEFITS |
| HOW COVERAGE BEGINS AND ENDS |
| HOW COVERAGE BEGINS |
| HOW COVERAGE ENDS |