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Dental Plan - Summary Plan Description - Effective January 1, 2016","","SAS Institute Inc. Dental Plan Summary Plan Description (SPD) outlines group dental benefits for eligible full-time and part-time employees and their covered dependents as of January 1, 2016. The SPD explains plan purpose, self-funded funding approach, key plan administration roles, cost-sharing between employer and employees, and circumstances that may reduce or deny benefits. It also covers eligibility, enrollment and termination of coverage, benefit schedules and provisions, coordination of benefits, COBRA continuation, HIPAA creditable coverage certificates, compliance mandates, ERISA rights, and claims administration.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/sas-institute-inc-dental-plan-summary-plan-description-effective-january-1-2016/205999/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/sas-institute-inc-dental-plan-summary-plan-description-effective-january-1-2016/205999.png","ImageObject",300,407,{"name":92,"@type":93},"Miles","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-05",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Who is eligible for coverage under the SAS Institute Inc. 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Dental Plan  \nFull-Time and Part-Time Employees of SASand Eligible Affiliated Employers  \nEffective January 1, 2016  \nINTRODUCTION  \nThis document is the Summary Plan Description (“SPD”) for the SAS Institute Inc. Dental Plan (“Plan”). This document highlights the main provisions of the Plan as of January 1, 2016. Full details of the Plan are contained in the Plan document, which is available from SAS Institute Inc., the Plan Sponsor.  \nThe Plan is sponsored by SAS Institute Inc. (“SAS”) . The coverage in this document applies only to such eligible Full-Time and Part-Time Employees and their covered Dependents as described herein. For purposes of this Plan, the term “Calendar Year” is the same time frame as the Plan’s“Plan Year.”  \nSAS has had and continues to have the right at any time, and from time to time, to modify, alter or amend the Plan, in whole or in part, effective as of a specified date, without the approval, consent or acceptance of any Participant or any other person, organization or entity. SAS’ right to make such amendments to the Plan or any document related to the Plan shall permit SAS to change, at any time, and from time to time, the benefits offered to eligible Participants, including, without limitation (i) all dental benefits and (ii) the right to change Participant contributions to the cost of any Benefits.  \nTABLE OF CONTENTS  \nINTRODUCTION......................................................................................................................... 1  \nIMPORTANT INFORMATION ................................................................................................ 3  \nELIGIBILITY AND ENROLLMENT ....................................................................................... 7  \nTERMINATION OF COVERAGE .......................................................................................... 13  \nSCHEDULE OF DENTAL BENEFITS ................................................................................... 15  \nDENTAL BENEFIT PROVISIONS ......................................................................................... 15  \nCOORDINATION OF BENEFITS .......................................................................................... 21  \nSUBROGATION, REIMBURSEMENT, AND THIRD PARTY RECOVERY PROVISIONS .................................................................................................................. 25  \nCONTINUATION OF BENEFITS (COBRA) ........................................................................ 27  \nHIPAA CREDITABLE COVERAGE CERTIFICATES ...................................................... 32  \nCOMPLIANCE WITH STATE AND FEDERAL MANDATES .......................................... 33  \nDEFINITIONS ........................................................................................................................... 33  \nERISA RIGHTS ......................................................................................................................... 40  \nCLAIMS PROVISIONS ............................................................................................................ 42  \nI. IMPORTANT INFORMATION  \nA. GENERAL INFORMATION  \nType of Plan: The Plan is an employee welfare benefit plan providing group Dental Benefits. This Plan is a “self-funded” plan, and the benefits of this Plan are paid solely from the general assets of SAS and are not guaranteed through a policy of insurance.  \nType of Plan Administration: The Plan provides payment of and provides reimbursement for certain dental expenses. The general administration of the Plan is provided by SAS through its Benefits Department. Claims for benefits are administered by the Claims Administrator, as defined below.  \nPlan Name: SAS Institute Inc. Dental Plan, which is a component plan of the SAS Institute Inc. Welfare Benefits Plan.  \nPlan Number: 501  \nPlan Sponsor Tax Identification Number: 56-1133017 ","cbCaijOb2OVygypC","https://ap.wps.com/l/cbCaijOb2OVygypC","pdf",434386,"English","# INTRODUCTION\n## TABLE OF CONTENTS\n# IMPORTANT INFORMATION\n## GENERAL INFORMATION\n## FUNDING THE PLAN AND PAYMENT OF BENEFITS\n## CIRCUMSTANCES RESULTING IN LOSS OR REDUCTION OF BENEFITS\n# ELIGIBILITY AND ENROLLMENT\n# TERMINATION OF COVERAGE\n# SCHEDULE OF DENTAL BENEFITS\n## DENTAL BENEFIT PROVISIONS\n## COORDINATION OF BENEFITS\n# SUBROGATION, REIMBURSEMENT, AND THIRD PARTY RECOVERY PROVISIONS\n# CONTINUATION OF BENEFITS (COBRA)\n# HIPAA CREDITABLE COVERAGE CERTIFICATES\n# COMPLIANCE WITH STATE AND FEDERAL MANDATES\n# DEFINITIONS\n# ERISA RIGHTS\n# CLAIMS PROVISIONS","[{\"question\":\"Who is eligible for coverage under the SAS Institute Inc. Dental Plan SPD?\",\"answer\":\"Coverage applies only to eligible full-time and part-time employees and their covered dependents as described in the SPD.\"},{\"question\":\"How are dental benefits funded and administered under the plan?\",\"answer\":\"The plan is self-funded, with benefits paid from the general assets of SAS rather than guaranteed through insurance. SAS provides general administration through its Benefits Department, and claims are handled by the Claims Administrator.\"},{\"question\":\"What happens when a participant loses or has reduced dental benefits?\",\"answer\":\"The SPD describes circumstances that may lead to ineligibility or denial, including subrogation, coordination of benefits when the plan is not primary, and reductions tied to charges above usual and customary allowances or services that are not medically necessary or not generally accepted.\"}]","SAS Institute Inc. Dental Plan - Summary Plan Description - Effective January 1, 2016 | PDF",126]