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DEFINITIONS (continued) SN- PARTICIPATING DENTIST means a Dentist who is not participating in the dental network being made available through this Policy. PARTICIPATING DENTIST means a Dentist who: (1) has signed a contract with the dental network being made available through this Policy; and (2) has agreed to abide by the rules of that network. The Company will periodically provide the Group Policyholder with a listing of Participating Dentists for distribution to Covered Employees. It is the Covered Employee's responsibility to verify whether the Dentist is a Participating Dentist at the time of service. Participating Dentists are independent contractors; they are not employees or agents of the network or the Company. The Company does not supervise, control or guarantee the services of the Participating Dentist or any other Dentist. POLICY means this group dental policy issued by the Company to the Group Policyholder. PROFESSIONALLY ADEQUATE (includes ADEQUATE) means the least expensive form of treatment, within the range of Appropriate Treatments, for a given dental condition, that conforms to the accepted standards of dentistry. TYPE (includes TYPE OF SERVICE) means a level of dental services, contained in the List of Dental Procedures and covered by this Policy: (1) TYPE I procedures are categorized as Diagnostic & Preventive Services, such as routine oral exams, dental x- rays and cleanings; (2) TYPE II procedures are categorized as Basic Services, such as fillings, extractions and many oral surgeries; (3) TYPE III procedures are categorized as Major Services. Major services are generally considered the most complex and expensive dental care, including crowns and dentures; and (4) TYPE IV procedures provide Orthodontic Care. QSUAL, CUSTOMARY AND REASONABLE (UCR) means the allowable charge for a procedure which is the lesser o£ (1) the amount usually charged by that Dentist for the same or similar procedure(s); or (2) the amount charged by most other Dentists, with similar training and experience within the same geographic area, for a comparable service. The Company will determine the size of the area needed to obtain an accurate cross - section of dental charges data. "Area" means a city, a county, a metropolitan area or a greater area, if needed to find a cross section of Dentist performing the same or similar procedure. If Covered Expenses are Incurred outside of the United States, the UCR allowance will be the amount that would be allowed for that procedure if it had been performed at the Company's Home Office in Omaha, Nebraska. • GL11- 4.3 -DF 09/01/01