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DEFINITIONS (continued) GROUP POLICYHOLDER means the person, partnership, corporation, or trust as shown on the Title Page of this Policy. LATE ENTRANT means an eligible Employee who makes written application: (1) more than 31 days after the Employee first becomes eligible for Employee Dental Coverage; (2) after Employee Dental Coverage has been cancelled; or (3) after Employee Dental Coverage has been terminated due to failure to pay premiums when due. LATE ENTRANT also means an eligible Dependent for whom written application is made: (1) more than 31 days after he or she first qualifies for Dependent Dental Coverage; (2) after the Covered Employee has requested to terminate Dependent Dental Coverage; or (3) after Dependent Dental Coverage has been terminated due to failure to pay premiums when due. A person will not be considered to be a Late Entrant if the Employee's spouse was covered under an employer's group dental plan; and the spouse's dental coverage was terminated due to: (1) termination of the dental plan by the spouse's employer; or (2) loss of the spouse's eligibility due to termination of employment or change in the spouse's employment classification. In order to qualify for waiving the Late Entrant Limitation, each person applying for coverage under the Group Policyholder's dental plan must: (1) provide proof of coverage under the spouse's prior dental plan; and (2) enroll for coverage and pay premiums for the Group Policyholder's plan within 31 days following the loss of coverage under the spouse's plan. NECESSARY DENTAL PROCEDURE (includes NECESSARY and DENTAL NECESSITY) means a procedure, service or *ply which the Company, or a qualified party selected by the Company, determines is: (I) required by, and Adequate and Appropriate for the diagnosis or treatment of a dental disease, condition or injury; (2) Appropriate and consistent with the symptoms and findings, or with the diagnosis and treatment of the Covered Person's dental disease, condition or injury; (3) provided in accord with the generally accepted professional standards for dental practice; (4) on the List of Dental Procedures contained in this Policy; and (5) the most Appropriate and Professionally Adequate level of service or supply which can be provided on a cost effective basis without adversely affecting the Covered Person's dental condition. Necessary Dental Procedures include the Diagnostic and Preventive Services contained in the List of Dental Procedures contained in this Policy. The fact that a person's Dentist prescribes a service or supply does not automatically mean that such services or supplies are considered as Necessary Dental Procedures and are covered by this Policy. • GL11- 4.2 -DF 09/01/01