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Whether the services are under continued scientific testing and research, <br />Whether the services show a demonstrable benefit for a particular illness, disease, or condition; <br />and <br />d. Whether the services are proven safe and effective. <br />1.12 "General Office Visit Copayment" means the Copayment the Enrollee must pay for each visit for <br />emergency, general, or orthodontic treatment. <br />1.13 "Member" means an employee of the Policyholder, who is eligible and enrolled for coverage. <br />1.14 "Non -Participating Provider' means a Dentist or Denturist, who is not employed by or under <br />contract with the Company or Participating Provider to provide dental services. <br />1.15 "Participating Provider' means Willamette Dental Group, P.C., and the Dentists and Denturists <br />who are employees of Willamette Dental Group P.C. The Participating Provider contracts with the <br />Company to provide Covered Services to Enrollees. The Participating Provider agrees to charge <br />Enrollees only the Copayments specified in the appendices for Covered Services. <br />1.16 "Policyholder" means City of Everett, the legal entity, including approved affiliates and <br />subsidiaries that this Contract is issued to. <br />1.17 "Premium" means the monthly payment the Policyholder must submit to the Company, including <br />any Enrollee contributions, for coverage of each Enrollee. <br />1.18 "Reasonable Cash Value means the Participating Provider's usual and customary fee -for - <br />service price of services. <br />1.19 "Service Copayment" means the Copayment the Enrollee must pay for each dental service. <br />Service Copayments are in addition to the General Office Visit Copayment or the Specialist Office <br />Visit Copayment. <br />1.20 "Specialist" means a Dentist professionally qualified as an endodontist, oral pathologist, oral <br />surgeon, orthodontist, pediatric dentist, periodontist, or prosthodontist. <br />1.21 `Specialist Office Visit Copayment" means the Copayment the Enrollee must pay for each visit <br />for specialty treatment including: endodontic services; oral surgery; periodontic services; or <br />prosthodontic services. <br />001 L-WA81 1 (5/20) 3 <br />