Type I Diagnostic and Preventive Care	Check Ups and Teeth Cleaning Dental Cleaning/prophylaxis - twice per benefit period Oral evaluations - twice per benefit period Topical Fluoride applications - for dependent children once every 12 consecutive months Topical sealant applications - for eligible dependent children under age 15; once per permanent first and second molars in a lifetime Space maintainers - only for dependent children under age 15 X-rays Bitewing x-rays - once every 12 consecutive months Full-mouth x-rays - once every 5 years Occlusal and extraoral x-rays - once every 12 consecutive months Periapical x-rays
Type II Routine and Restorative Care	Care Cavity Repair and Tooth Extractions Contour of bone (aveoloplasty) Emergency treatment for the relieve of pain or infection of dental origin General anesthesia/sedation Restoring decayed or fractured teeth Limited occlusal adjustment Routine oral surgery
Type III Major Restorative Care	Root Canals Apicoectomy/periradicular surgery Direct pulp caps Pulpotomy Retrograde fillings Root canal therapy Gum and Diseases Conservative periodontal procedures (root planing and scaling) - once in a 24 consecutive month period in a given quadrant Complex periodontal procedures - once in a 5 consecutive year period in a given quadrant Periodontal maintenance therapy High-Cost Restoration Cast restorations for advanced tooth decay or fracture - once every 5 consecutive years beginning from the date the cast restoration is cemented in place Crowns Onlays/Inlays Posts and cores Dentures and Bridges Bridges and bridge repair Dentures - once every 5 consecutive years Denture relining - no limitation

Securities Offered Through QA3 Financial Corp., Member FINRA/SIPC and Advisory Services Offered Through QA3 Financial, LLC, an SEC Registered Investment Advisor. One Valmont Plaza, 4th Floor, Omaha, NE 68154. Telephone: 888/337-4094