:: KTI
Logistics, LLC ::


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| Kennesaw Transportation, Inc. |
| 3794 Highway 411, NE | | Rydal GA 30171 | | Contact: Tracie Coggin | | Phone: (770) 382-3748 |
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| Dental Benefits |
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| Insurance Company: United Concordia exclusive underwriter of DentaBenefits and Mutual of Omaha; exclusive Marketer of DentaBenefits. | Phone#: | | Plan Type: Dental PPO plan, this plan provides the same benefit coverage levels for both in-network providers and out-of-network providers. However, because in network providers offer their services at predetermined fees, out of pocket expenses may be lower for plan members when receiving covered services from an in-network provider. Please refer to your insurance certificate to determine the exact terms, conditions, and scope of coverage including all exclusions and limitations. This summary is designed as a partial description of your plan and in no way represents all benefits,
limitations, or exclusions.
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| Benefits Description |
Benefits |
| Deductible |
$50 calendar year-per person (waived for preventive
procedures) |
| Annual Maximum |
$1,000 calendar year-per person |
| Preventive Coinsurance |
100% |
| Basic Service Coinsurance |
80% |
| Major Service Coinsurance |
50% |
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The above information is a courtesy of United Concordia exclusive underwriter of DentaBenefits and Mutual of Omaha; exclusive marketer of DentaBenefits. Please refer to your insurance certificate to determine the
exact terms, conditions, and scope of coverage including all
exclusions and limitations. This summary is designed as a partial
description of your plan and in no way represents all benefits,
limitations, or exclusions.
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