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<br />PREMIUMS AND PREMIUM RATES <br /> <br />OAYMENT OF PREMIUMS. No coverage provided by this Policy will be in effect until the fIrst premium for such coverage is <br />t>aid. For coverage to remain in effect, each subsequent premium must be paid on or before its due date. The Group Policyholder is <br />responsible for paying all premiums as they become due, Premiums are payable on or before their due dates at the Company's Home <br />OffIce. <br /> <br />GRACE PERIOD. A grace period of 31 days from the due date will be allowed for the payment of each premium after the fIrst. <br />During the grace period, the Policy will remain in effect. However, the Group Policyholder will remain liable for payment of a pro <br />rata premium for the time this Policy remained in force during the grace period. <br /> <br />PREMIUM RATE CHANGE, The Company may change any premium rate: <br />(1) when this Policy's terms are changed: <br />(a) as agreed upon by the Group Policyholder and the Company; or <br />(b) as a result of a change in federal, state or local law which affects this Policy; <br />(2) when a division, subsidiary or affIliated company is added or removed from this Policy; <br />(3) when the Group Policyholder or division, subsidiary or affIliates company relocates; <br />(4) when the number of Covered Employees changes by 15% or more from the number covered on this Policy's <br />effective date or the most recent anniversary; or <br />(5) on any premium due date after this Policy's fIrst anniversary, or later Rate Guarantee Date agreed upon by the <br />Company. <br /> <br />Unless the Company and the Group Policyholder agree otherwise, the Company will give at least 45 days advance written notice of <br />any increase in premium rates, <br /> <br />PREMIUM AMOUNT. The amount of premium due on each due date will be the total of the premium amounts obtained by <br />multiplying: <br />(1) each rate shown in the Premium Rate Schedule; by <br />(2) the number of employee and family units covered; <br />and then adding the monthly billing fee, if any. <br /> <br />For premium purposes, the effective date of any change in coverage is the fIrst day of the Coverage Month which coincides with or <br />follows the change. Changes will not be pro-rated daily, <br /> <br />PREMIUM RATE SCHEDULE <br /> <br />Monthly Dental Rates <br /> <br />Employee Only Coverage <br />Employee and one Dependent <br />Employee and two or more Dependents <br /> <br />$20.93 per employee <br />$41.29 per family unit <br />$60.34 per family unit <br /> <br />The above rates are guaranteed until September 1, 2003, unless any of the Policy's terms or the Company's liability are <br />changed, as described in parts 1 through 4 of the PREMIUM RATE CHANGE section, above. <br /> <br />After that, any premium rate change will be as shown in the renewal letter. The Company will send the Group Policyholder <br />a renewal letter prior to each Policy anniversary. <br /> <br />GL11-10-PR FL <br /> <br />16 <br /> <br />09/01/01 <br />