78. (1) Subject to subsection (1.0.1), the Dental Insurance Plan shall reimburse every employee who elects to participate in the Plan, other than a commissioned officer in the Ontario Provincial Police Force below the rank of deputy Commissioner or a term classified employee, for the following expenses and the reimbursement is in the following amount: 1. Eighty-five per cent of the cost of basic dental services, endodontic services, periodontic services and repair or maintenance services for existing dentures or bridges specified by the Plan.  However, the amount of the reimbursement shall not exceed the following: i. Subject to subparagraph ii, 85 per cent of the fees set out in the Ontario Dental Association schedule of fees for general practitioners that is in effect when the expense is incurred. ii. For services provided on or after July 1, 2008, where the employee is represented by the Association of Law Officers of the Crown or by the Ontario Crown Attorneys’ Association and is in a class of position of Crown Counsel 1, 3 or 4, 85 per cent of the fees set out in the Ontario Dental Association schedule of fees for general practitioners that is in effect one year before the expense is incurred. 2. Fifty per cent of the cost of new dentures specified by the Plan, to a maximum of 50 per cent of the fees set out in the Ontario Dental Association schedule of fees in effect when the expense is incurred.  However, $3,000 per person is the maximum reimbursement under this paragraph in respect of an employee, the employee’s spouse and each dependent child of the employee. 3. Fifty per cent of the cost of orthodontic services specified by the Plan and provided to unmarried dependent children of the employee who are more than six years old and less then 19 years old, to a maximum of 50 per cent of the fees set out in the Ontario Dental Association schedule of fees in effect when the expense is incurred.  However, $3,000 is the maximum reimbursement under this paragraph in respect of each dependent child of the employee. 4. Fifty per cent of the cost of crowns, bridgework and other major restorative services specified by the Plan, to a maximum of 50 per cent of the fees set out in the Ontario Dental Association schedule of fees in effect when the expense is incurred.  However, $2,000 per person per year is the maximum reimbursement under this paragraph in respect of an employee, the employee’s spouse and each dependent child of the employee.  O. Reg. 399/01, s. 13; O. Reg. 40/02, s. 19 (1); O. Reg. 1/04, s. 20 (1); O. Reg. 280/04, s. 4 (1); O. Reg. 454/06, s. 4. (1.0.1) The benefits described in subsection (1) are subject to the restriction that the employee to whom this subsection applies under subsection (1.0.2) is not entitled to be reimbursed for more than one recall examination by a dentist, (a) every nine months for an individual who is over 12 years old; and (b) every six months for a younger individual.  O. Reg. 1/04, s. 20 (2). (1.0.2) Subsection (1.0.1) applies, (a) on or after January 19, 2004, to an employee who is represented by the Association of Law Officers of the Crown or the Ontario Crown Attorneys’ Association; and (b) on or after April 1, 2004, to any employee who is entitled to be reimbursed under subsection (1) other than an employee described in clause (a).  O. Reg. 1/04, s. 20 (2). (1.0.3) The benefits described in subsection (1) are subject to a deductible amount each year of $25 for an individual and $50 for a family in the case of an employee who is represented by the Association of Law Officers of the Crown or the Ontario Crown Attorneys’ Association.  O. Reg. 1/04, s. 20 (2). (1.1) The Dental Insurance Plan shall reimburse every term classified employee who elects to participate in the Plan for the expenses, and in the amounts, described in paragraphs 1, 2 and 4 of subsection (1), subject to the following conditions and restrictions: 1. Coverage under the Plan for an individual or family is subject to a $100 deductible amount each year. 2. The employee is not entitled to be reimbursed for more than one recall examination by a dentist every nine months for an individual over 12 years old and every six months for a younger individual.  O. Reg. 40/02, s. 19 (2). (2) Subject to subsection (3), if a commissioned officer in the Ontario Provincial Police Force below the rank of deputy commissioner elects to participate in the Dental Insurance Plan, the Plan shall reimburse the officer for the following expenses and in the following amount: 1. Ninety per cent of the cost of basic dental services, endodontic services, periodontic services and repair or maintenance services for existing dentures or bridges specified by the Plan, but not to exceed 90 per cent of the fees set out in the Ontario Dental Association schedule of fees for general practitioners in effect when the expense is incurred.  However, the employee is not entitled to be reimbursed for more than one recall examination by a dentist every nine months for an individual over 12 years old and every six months for a younger individual. 2. Sixty per cent of the cost of new dentures and major restorative and orthodontic services specified by the Plan, to a maximum of 60 per cent of the fees set out in the Ontario Dental Association schedule of fees in effect when the expense is incurred.  However, $2,000 per year is the maximum reimbursement under this paragraph in respect of an employee, the employee’s spouse and each dependent child of the employee.  O. Reg. 399/01, s. 13; O. Reg. 40/02, s. 19 (3, 4); O. Reg. 1/04, s. 20 (3); O. Reg. 280/04, s. 4 (1). (3) The benefits described in subsection (2) are subject to the restriction that the employee to whom subsection (2) applies is not entitled to be reimbursed for more than one recall examination by a dentist, (a) every nine months for an individual who is over 12 years old; and (b) every six months for a younger individual.  O. Reg. 1/04, s. 20 (4). (4) The employer shall pay, (a) the premiums for every full-time employee who joins the Dental Insurance Plan; and (b) 40, 50, 60, 70 or 80 per cent of the premiums of the Dental Insurance Plan for every part-time employee who joins the Plan, whichever percentage is closest to the relation that the employee’s regularly scheduled hours of work bear to full employment and the employee shall pay the balance of the premium through payroll deduction.  R.R.O. 1990, Reg. 977, s. 78 (4). (5) An employee may elect to participate in the Dental Insurance Plan, (a) on appointment; or (b) in December of any year for coverage commencing on the 1st day of January next following, if the employee has satisfied the waiting period of the Plan and the employee, (i) did not join the Plan on appointment, or (ii) previously opted out of the Plan; or (c) on providing evidence that similar coverage available to the employee under the plan of another person has been terminated, for coverage commencing on the 1st day of the month coinciding with or next following the presentation of the evidence.  R.R.O. 1990, Reg. 977, s. 78 (5). (6) An employee may elect in December of any year to opt out of the Dental Insurance Plan and coverage shall cease at the end of that month.  R.R.O. 1990, Reg. 977, s. 78 (6).