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Main Office

2114 I-80 S. Frontage Rd.
Joliet, IL 60436
Ph. 815.725.0278
Fax 815.725.0594
local422@ualocal422.org

Office Hours
8:00 a.m – 4:30 p.m.

Ottawa Office

1301 Canal Street
Ottawa, IL 61350
Ph. 815.431.2628
Fax 815.431.2629

Kankakee Office

1012 North Fifth Ave.
Kankakee, IL 60901
Ph. 815.933.7621
Fax 815.933.3246

 

 




Learn more about The Guardian. Visit www.guardianlife.com

dental benefits

The Plan provides access to a dental Preferred Provider Organization (PPO) network, currently administered by The Guardian. Benefits are available to all eligible Active and Disabled Employees, Retirees and their eligible Dependents, and are described in detail in the Health and Welfare Summary Plan Description (SPD) booklet.

Benefits Key Features

Deductible

 

  • Preventive Services

$0

  • Basic and Major Services

$50 per person per calendar year

  • Orthodontic Services

$50 per person per lifetime

Coinsurance

Plan pays:

  • Preventive Care Services

80%, no deductible

  • Basic Services

80% after deductible

  • Major Services

50% after deductible

  • Orthodontic Services

50% after deductible

Maximums

 

  • Preventive, Basic, and Major Services

$1,000 per person per calendar year (does not apply to orthodontic services)

  • Dental Implants

$1,000 per person per calendar year (paid at 50%)

  • Orthodontic Services

$1,500 per person per lifetime

  • Oral Prophylaxis

Three times per calendar year

 

The information on this web site presents selected highlights of the Plumbers, Pipefitters and Service Technicians, Local 422 Benefit Funds as of January 1, 2009. The actual Plan provisions of each Plan are in the Plan’s legal document. In the event of a conflict between the wording on the site and the legal documents, the legal documents will govern. The Trustees reserve the right to amend, modify, or discontinue all or part of the Plan at any time.

© 2009 Plumbers, Pipefitters and Service Technicians, Local 422 Benefit Funds. All rights reserved.