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Agmt78 California Dental Servic
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Agmt78 California Dental Servic
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Entry Properties
Last modified
7/5/2005 2:53:23 PM
Creation date
6/10/2002 11:21:37 AM
Metadata
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Template:
Agreement
Contractor Name
California Dental Service
PROJECT NAME
Dental Care Service
RMP File Number
304
Date
3/15/1978
Reso Ref
7766 8022
Amendment
Yes
Box
2450
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Paragraph ~.11 GENERAL LIMITATIONS - OPTIONAL SERVICES is renumber~d to <br />Paragraph ~.12 and is amended to read~ <br /> <br />g,12 GENERAL LIMITATIONS- OPTIONAL SERVICES <br /> <br /> It an Eligible Person selects a more expensive plan of treatment than Is customarily <br /> provided~ or specialized techniques rather than standard procedures, GDS will pay the <br /> applicable percentage of the lesser fee and the patient is responsible for the remainder <br /> cE the Dentist% fee. For example= a gold crown where a sliver filling would restore the <br /> tooth~ a precision denture where a standard denture would sufflce. <br /> <br />Paragraph ~.12 EXCLUSIONS is renumbered to be Paragraph <br /> <br />Paragraph ~.13 which reads= <br /> <br /> In the absence o! an amendment mutually agreed upon between Applicant and CDS~ no <br /> change in Benefits shall be made during a Contract Term <br /> <br />Is renumhered to be Paragraph <br /> <br />Paragraph 5.0# (il) is amended to reads <br /> <br /> ~li) It the other coverage l$ by a dental insurance policy or prepaid dental <br /> care program~ the policy or program covering the patient as an <br /> employee shall be primary over the Policy or program covering the <br /> patient as a dependent~ and the Policy or program covering the <br /> patient as a dependent child of a male person shall be primary over <br /> the policy or program covering the patient as a dependent o! a female <br /> person {provided~ however~ that in the case <br /> legally separated or divorced parents, Et the mother has legal custody~ <br /> then the policy or program covering the Patient as a dependent of the <br /> mother~ or as a dependent of her spouse I~ she has re-married~ shall <br /> be primary over ~he policy or program covering the patient as a <br /> dependent of the natural father). <br /> <br />Paragraph 8.02 is amended to rea& <br /> <br />8°02 Any dispute arising out of or relating to this Contract or the breach thereof between <br /> Applicant, CDS, a Participating Dentist, an Eligible Person or any of them, including <br /> any disagreement with a dalm determination made by CDS ~ter exhaustion of the <br /> procedure outlined in paragraph 6.10 of this Gontract~ shat be settled by arbitration in <br /> accordance with the Commercial Arbitration Rules of the American Arbitration <br /> Association in Los Angeles or San Francisco. Any Party to a dispute, including an <br /> Eligible Person~ may initiate arbitration by written notice to each other party to such <br /> dispute~ stating the intention to arbitrate and describing the nature of the dispute~ the <br /> am~ant lnvolved~ if any~ and the remedy sought~ and by filing two copies ot such notice <br /> with the American Arbitration Association Regional OIflce in Los Angeles or 5an <br /> FrancJ$co~ together with the fee required by the Association. <br /> <br /> <br />
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