FL Advantage 08/03
1
CompBenefits Company
Agreement And Certificate of Benefits
Provided that all Contributions and Copayments required by this Certificate are paid when due, CompBenefits Company
(hereinafter referred to as "Company") hereby agrees to provide Benefits to the Subscriber subject to all the provisions,
definitions, limitations, and conditions of this Certificate outlined below:
President
I. Definitions
A. "Agreement and Certificate of Benefits" (hereinafter referred to as "Certificate") is that document provided
to the Subscriber that specifies Benefits and conditions of Coverage.
B. "Benefits" are those Dental Care Services available to the Members as stated in their Certificates.
C. "Contributions" are those periodic payments due Company by Subscriber to receive Benefits as provided by
the Certificate.
D. "Copayment" is an additional fee the Participating General Dentist or Participating Specialist may charge
Member when providing Dental Care Services not specified as "No Charge" in the Certificate.
E. "Copayment Benefits" are those Dental Care Services for which there are reduced fees which are due and
payable directly by the Member to the Participating General Dentist or Participating Specialist at the time the
services are rendered or in accordance with the particular payment procedures of the Participating General
Dentist or Participating Specialist.
F. "Dental Care Services" are those services to be performed by a Participating General Dentist or Participating
Specialist pursuant to the terms of the Certificate and a Participating General Dentist Agreement or a
Participating Specialist Agreement.
G. "Dental Facility" is the location of the Participating General Dentist's or Participating Specialist's office where
Members shall receive Dental Care Services.
H. "Dependent" means the following dependents of the Subscriber: a) the legal spouse; and b) all unmarried
dependent children under nineteen (19) years of age, or unde