Agmt74 California Dental Servic - Laserfiche WebLink

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[~]E. not obligated to pay for, or discharge, or part, CDS shall be otherwise in whole in the first $ $0.00 of fees for services rendered to each eligible patient during the term hereof and otherwise covered by this Agreement, which fees shall be computed on the basis of the dentist's usual, customary and reasonable fees or fees actually charged or the Table of Allowances, whichever is applicable under the provisions of Sections I I-A and I I-B of this Application. (Such deductible amount shall not exceed $ 100 for all eligible patients in a single family consisting of an eligible employee and his dependents as defined in Appendix "A" attached hereto.) (Strike out word$in parentheses if inapplicable.) Such deductible amount shall apply: E~ Once each calendar year or portion thereof during which this Agreement is in effect. r~ Once during the term of this Agreement. ~--] This deductible shall not apply to the following services: The amount an eligible patient pays for the foregoing services shall not be applied towards satisfying the deductible. E~F. A patient shall be eligible for Prosthodontic Benefits only following such patient's continuous enrollment in the dental program provided hereby for a period of months. []G. Any amount paid by an eligible patient for dental work done in January o£ 1974 shall be credited against the deductible specified in section II-E. THE FOREGOING PROVISIONS DESIGNATED D1 THROUGH G ARE APPLICABLE ONLY WHERE A CHECK MARK HAS BEEN PLACED IN THE BOX PRECEDING SUCH PROVISION. III. In the event that the number of eligible employees reported by r:MPLOYER to CDS pursuant to paragraph l(a} of General Agreements shall be less than 3 5 0 in each of any three consecutive months, CDS shall, at its option, terminate this Agreement upon written notice to EMPLOYER given not more than fifteen (15) days after receipt of the List of Eligible Employees which indicates that such ground for termination exists. Such termination shall be effective as of the last day of the month in which notice of termination is given, and CDS shall make payment to dentists for dental services authorized prior to termination and dental services which were rendered without prior authorization by the dentist prior to receipt by him of notice of such termination of benefits. IV. Any notice which is required or permitted to be glven under the terms of this Agreement may be given by'registered or certified mail addressed to the parties at the addresses which are indicated below and shall be deemed to have been given 48 hours after deposit in the mail with postage fully prepaid at any post office located in the continental United States. The addresses of the parties are as follows subject to change by written request: (a) EMPLOYER CITY OF RBDWOOD CITY P. O. Box 591 Redwood City, California 94064 (b)CALIFORNIA DENTAL SERVICE Director of Marketing 101 Howard Street San Francisco, California 94105