Delta Dental Contract Agreement Letter

P.O. Box 30416 https://www.DeltaDentalIN.com Lansing, MI 48909-7916 August 22, 2023 Mr. Richard Sutton Brown & Brown of Indiana, LLC 11595 N Meridian St Ste 250 Carmel, IN 46032-6968 DELTA DENTAL OF INDIANA 225 S. East Street, Suite 200 Indianapolis, IN 46202 Dear Mr. Sutton, Thank you for your continued support of Delta Dental. We value our relationship with you and your clients, and we appreciate your business. Please find enclosed a copy of the contract effective September 1, 2023 between Delta Dental and The Jay School Corporation, Client Number 1157-0001, 0002, 0099. Please review this contract with your client and return the signed contract to Delta Dental at your earliest convenience. If you have any questions or concerns, please contact me at (317) 348-1820. The signed contract may be sent to my attention at: Delta Dental Attn: Melinda L Tyo 225 S. East Street, Suite 200 Indianapolis, IN 46202 If we are not in receipt of the signed contract by the effective date, we will consider remittance of payment as acceptance of the contract, and we will begin administering the clients dental benefits accordingly. By permitting us to do so, your client accepts the terms of this contract in full and agrees that this contract is binding, even if you do not return a signed copy of the contract to us. Again, thank you for your business. We look forward to providing your client with the best dental benefits programs and services available. Sincerely, Melinda L Tyo Senior Account Manager CC: Shannon Current

P.O. Box 30416 Lansing, MI 48909-7916 Shannon Current The Jay School Corporation 1976 W Tyson Rd Portland, IN 47371-7994

DELTA DENTAL PLAN OF INDIANA, INC. CONTRACTOR BY: BY: President and CEO (Authorized Signature) (Title) DATE: August 22, 2023 DATE: INPPOCONT1122 i Revised 11/2022 KR#05809057 Delta Dental Contract For The Jay School Corporation This Contract ("Contract") is entered into by and between The Jay School Corporation (the "Contractor") and Delta Dental Plan of Indiana, Inc., an Indiana non-profit corporation ("Delta Dental"). This is a legally binding contract between the Contractor and Delta Dental and is effective on September 1, 2023, the ("Effective Date"). Section I. Declarations The Benefits available are as set forth in this Contract. Delta Dental's liability is limited to the Benefits stated herein; subject to all the terms of this Contract having reference thereto. This Declarations Section and the Summary of Dental Plan Benefits supersedes any contrary provision contained in subsequent sections of this Contract. A. Effective Date: 12:01 A.M. Standard Time, September 1, 2023 B. First Renewal Date: September 1, 2025 C. Client Number: 1157-0001, 0002, 0099 D. Rate(s): Enrollee only - $27.04 per month per Enrollee Enrollee with one or more dependents - $88.31 per month per Enrollee These Rates are contingent upon the enrollment of a minimum of 75 percent of the eligible members of the defined group and their eligible dependents. Rates do not include any applicable claims taxes. These rates assume that claims from nonparticipating dentists will be paid using our national out-of-network fee table.

INPPOCONT1122 1 Revised 11/2022 KR#05809057 Section II. Definitions A. Contract This document, including the Certificate and applicable Summary(ies) of Dental Plan Benefits (the terms of which are incorporated herein), and if applicable, any appendices, supplements, riders, successor contracts, renewal letters, or renewals now or hereafter issued or executed. B. Rate The amount, per Enrollee and Enrollee classification, the Contractor agrees to pay Delta Dental each month. This amount, or the information necessary to compute it, is specified in the Declarations Section. C. License A limited, non-transferable, non-exclusive, non-sublicensable, temporary license granted to Contractor by Delta Dental to access and use Delta Dentals web portals. Any capitalized terms not defined herein are defined in the Certificate. Section III. Eligibility A. Eligibility Requirements and Waiting Periods for Members Eligibility requirements and waiting periods for Members are set forth in the Certificate and the applicable Summary(ies) of Dental Plan Benefits. B. General Eligibility Rules No person will be eligible for Benefits under this Contract unless the Contractor has either currently enrolled that person as an Enrollee or currently listed or acknowledged that person as a Dependent. Contractor shall provide eligibility information in accordance with Section VI B. of this Contract. C. Termination of Eligibility Eligibility for Benefits will terminate for all Eligible Persons under this Contract at the earlier of: 1. The termination of this Contract; or 2. Midnight of the last day of the month for which payment has been made if the Contractor fails to make the payments required by this Contract. Eligibility of an individual Member will also terminate under the following circumstances: 1. The Member ceases to meet the definition of an Enrollee or a Dependent as defined by this Contract. 2. The Member fails to comply with the eligibility requirements of this Contract. 3. The Member commits fraud or misrepresentation in the submission of any claim. A Member whose eligibility is terminated may not continue group coverage under this Contract, except as required by the continuation coverage provisions of the Consolidated Omnibus Budget Reconciliation Act of 1985, or comparable, non-preempted state law (COBRA). An affiliate of Delta Dental also may offer coverage under an individual direct payment policy to an Eligible Person whose eligibility is terminated. D. Continuation Coverage COBRA The other provisions of this Contract notwithstanding, eligibility for Benefits will continue for a person who is required to be provided with and elects continuation coverage pursuant to COBRA, provided: 1. Continuation coverage is required to be provided under COBRA, the person elects COBRA coverage and the Contractor notifies Delta Dental that the person is eligible for Benefits under COBRA. Not all employers are subject to the continuation coverage requirements contained in COBRA. For those that are not, this Section III.D. does not apply. Contractor should consult with their legal counsel to determine how and when the law applies. 2. Continuation coverage shall only be in effect up to the first day of the month after the person notifies the Contractor that he or she no longer wants coverage from Delta Dental, the date a COBRA premium payment was due and was not remitted by the end of the COBRA Grace Period, or until the end of that persons continuation coverage period, whichever occurs first. 3. Further, if the Contractor fails to make payments required by this Contract, continuation coverage shall only

INPPOCONT1122 2 Revised 11/2022 KR#05809057 remain in effect until the last day of the month for which payment has been made to Delta Dental by the Contractor; provided, however, that any payment for COBRA continuation coverage received during a period that is 30 days following the date the COBRA premium payment was due (the COBRA Grace Period) will provide continuation coverage from the due date. A persons coverage may be retroactively reinstated for the 60-day COBRA election period if the Contractor pays the applicable Rate for the period within the 45-day period following the date of the COBRA election. Delta Dental may, at its sole option and without notice, continue coverage, if legally required. 4. Continuation coverage will not continue beyond the termination of this Contract. 5. The person who is receiving continuation coverage is responsible for the costs of any services provided after he or she is no longer eligible for continuation coverage under this Section III.D. 6. Contractor shall be solely responsible for identifying Members entitled to COBRA continuation coverage. Contractor shall provide all required notices, collect all necessary payments, and otherwise administer all facets of its COBRA program. In the event that Contractor continues to provide eligibility information to Delta Dental for a Member during the COBRA election period, as opposed to terminating coverage and then retroactively reinstating the Member upon the Members election of COBRA coverage, Contractor shall be liable for any Benefits paid or Rates due during that period if the Member ultimately does not elect COBRA coverage. 7. The monthly Rate that must be paid on behalf of any person who is provided coverage under this Section III.D. will be based on the COBRA continuation coverage Rates in effect during that month. 8. A person who continues coverage will be considered to be a Member under this Contract and the dental care certificate as long as coverage is provided under this Section III.D. 9. Delta Dental does not assume any of the obligations assigned by COBRA to the Contractor or any employer (including the obligation to notify potential beneficiaries of their rights or options under COBRA), and the Contractor agrees that it will perform those obligations in full. E. Loss of Eligibility During Treatment 1. If a Member loses eligibility while receiving dental treatment, only Covered Services received while that person was eligible under the Contract will be payable. 2. Certain services begun before the loss of eligibility may be covered if they are completed within a 60-day period measured from the date of termination. In those cases, Delta Dental evaluates those services in progress to determine what portion may be paid by Delta Dental. Section IV. Benefits Delta Dental agrees to provide Benefits to Members in accordance with the terms and conditions set forth in this Contract and the policies and procedures of Delta Dental. Notwithstanding the foregoing, Contractor acknowledges that Delta Dental periodically updates its Certificates to account for CDT code changes issued by the American Dental Association and processing policy changes made by Delta Dental, and Contractor agrees that any such changes shall apply to this Contract provided that Delta Dental provides Contractor prior notice of any such changes. Such changes shall become effective as of the date indicated in such notice. Section V. Agreements A. Delta Dental Agrees: 1. To provide all claims processing, service, and administration of Benefits Members of the Contractor subject to the terms and conditions of this Contract. 2. To provide to the Contractor, for submission to the Enrollee, a Certificate of the Benefits provided pursuant to this Contract. 3. To endeavor to enlist Dentists to become Participating Dentists in sufficient number to ensure an adequate choice of Dentists, and to make periodic checks as to the adequacy of care provided by Dentists to Members covered by this Contract. Delta Dental is not required to provide a dental appointment to a Member. 4. To contractually require each Participating Dentist to schedule and render all dental treatment provided under this Contract according to the standards of the dental profession in the community in which the dental procedures are rendered. 5. Delta Dental will pay or deny each clean claim within 45 days after receipt if the claim is filed on paper, and 30 days after receipt if the claim is filed electronically. If Delta Dental fails to pay or deny a clean claim in this time

INPPOCONT1122 3 Revised 11/2022 KR#05809057 period, and Delta Dental subsequently pays the claim, Delta Dental will pay interest on such claim at the appropriate interest rate determined by Indiana Code Section 12-15-21-3(7)(A). If interest is due, the accrual will begin 31 days after the date the claim is filed if it is an electronic claim and 46 days after the date the claim is filed if it is a paper claim. Accrual of interest stops when the claim is paid. As used here, a clean claim means a claim submitted by a provider for payment that has no defect, impropriety, or particular circumstance requiring special treatment preventing payment. If a submitted claim has deficiencies, Delta Dental will notify the provider of such deficiencies not more than 45 days after receipt of the claim if filed on paper, and 30 days if the claim is filed electronically, with a description of any remedy necessary to establish a clean claim. 6. Consistent with any applicable law protecting the confidentiality of a patients health records, data, or information, to make standard reports available to the Contractor upon request for no additional charge and to provide agreed-to, non-standard reports on a time and materials basis. 7. To provide a copy of the Certificate, Summary(ies) of Dental Plan Benefits, Delta Dentals Notice of Privacy Practices, and the Indiana Life and Health Insurance Guaranty Association Notice to Contractor for distribution to Enrollees at the Contractors expense. B. Contractor Agrees: 1. Unless otherwise stated in the Declarations Section of this Contract, to pay Delta Dental the monthly Rate specified in the Declarations Section of this Contract as billed by Delta Dental, with no payment adjustments for updates not yet reflected on the monthly invoice. To ensure timely coverage, unless otherwise stated in the Declarations Section of this Contract, the amount to be paid will be due by the fifth of the month of the intended coverage. For example, the premium for April coverage is due on April 5 th . If payment is not received by the due date, Delta Dental shall, at its sole discretion, have the right to suspend claims processing, unless otherwise stated in the Declarations Section of this Contract. Coverage will terminate effective the first day of the coverage month if Delta Dental receives no payment by the end of the coverage month. Delta Dental may, at its sole option, send notification to the Contractor of an adjustment in Rates, Benefits, or Copayments to correct potential adverse group experience resulting from the following: a. Information provided upon enrollment proves to be in error; or b. Terms and provisions of the Contract are materially violated; or c. Initial size or composition of the group changes by ten percent (10%) or more unless otherwise set forth in the Declarations Section of this Contract; or d. Monthly invoices are not paid as billed. Delta Dental will provide the Contractor written notice 30 days prior to implementing any adjustment. If the Contractor refuses to accept this adjustment, Delta Dental may, in its sole discretion, terminate this Contract. 2. To pay all premiums in accordance with subparagraph 1 above in full, irrespective of any Member contributions or COBRA payments. Delta Dental shall not be responsible for collecting Members contributions or COBRA payments. 3. To enroll as Members with Delta Dental all eligible employees, retirees or members of the Contractor, including that employees, retirees or members Dependents, who enroll for Benefits during the enrollment periods set forth in the Certificate. Contractor shall not enroll any employees, retirees or members of the Contractor, or any such persons Dependents, at any time other than during the enrollment periods set forth in the Certificate. Contractor shall provide to Delta Dental, in a format requested by Delta Dental, an initial enrollment file prior to the initial Effective Date of this Contract. 4. To provide Delta Dental with all eligibility data needed to process claims under this Contract. Eligibility data shall be provided in a timely manner, which in the case of electronic eligibility files shall in no event be less than monthly, and in the format requested by Delta Dental. Delta Dental will not accept additions, terminations, and/or retroactive eligibility updates more than six months after the date of a Members change in eligibility. Notwithstanding the foregoing, if the Contractor requests that a Members eligibility be terminated retroactively and a claim was incurred for that Member or any member of that Members family after the requested termination date, eligibility for that Member and the Members entire family will continue at the expense of the Contractor until the end of the month in which the claim was incurred. In no event will any Rate adjustments for time periods greater than six months be made for retroactive terminations, and no credits will be issued for any month in which claims were incurred.

INPPOCONT1122 4 Revised 11/2022 KR#05809057 5. To permit Delta Dental, by its auditors or other authorized representatives, on reasonable advance written notice, to inspect the Contractors records to verify the accuracy of the eligibility data submitted to Delta Dental. In the event of a discrepancy, Contractor agrees to reconcile any errors in payment with Delta Dental. 6. To provide each Enrollee with copies of the Certificate, the applicable Summary of Dental Plan Benefits, the Indiana Life and Health Insurance Guaranty Association Notice, and all privacy notices as may be required by any applicable federal or state law, at such intervals as may be required by law from time to time. 7. To pay for any agreed-to, non-standard reports on a time and materials basis. 8. To consult as necessary with its own legal counsel regarding the selected covered benefits and to be responsible for determining all potential tax consequences relating to the covered benefits it selects. Section VI. General Provisions A. Independent Contractors. Dentists providing services are independent contractors, and neither the Contractor nor Delta Dental will be liable for any act or omission of any Dentist, his or her employees or agents, or any person providing dental or other professional services to Members. B. Binding Effect. All Members, by enrolling in This Plan, are bound by the terms and conditions of this Contract. C. Payment Limitations. Delta Dental will make no payment for services or supplies if a claim for such has not been received by Delta Dental within one year following the date the services or supplies were furnished. D. Marketing Materials. Except for those standard documents and materials Delta Dental generates to administer This Plan, neither Party shall publish or distribute any materials regarding This Plan without the prior written approval of the other Party. E. Legal Action. Unless otherwise prohibited by applicable state or federal law, no action or legal claim arising out of or related to this Contract shall be brought against Delta Dental unless Contractor, or the Member, has first provided Delta Dental with at least 60 days advance written notice of such claim. Notwithstanding the foregoing, in any event, no action shall be brought by either Party or a Member more than three years after the legal claim first arose, or after expiration of the applicable statute of limitations, whichever is shorter. F. Indemnification. To the extent permitted by law, Contractor agrees to defend, indemnify, and hold harmless Delta Dental, its affiliates, directors, officers, and employees from and against any and all losses, claims, damages, liabilities, costs and expenses (including reasonable attorneys fees and expenses related to the defense of any claims) resulting from or arising out of : (i) a breach of this Contract by Contractor, its officers, directors, employees, agents or Members; or (ii) any negligent or willful act or omission by Contractor, its officers, directors, employees, agents or Members. Delta Dental agrees to indemnify, defend, and hold harmless Contractor, its affiliates, directors, officers, and employees from and against any and all losses, claims, damages, liabilities, costs, and expenses (including reasonable attorneys fees and expenses related to the defense of any claims) resulting from or arising out of: (i) a breach of this Contract by Delta Dental, its officers, directors, employees or agents; or (ii) any negligent or willful act or omission by Delta Dental, its officers, directors, employees or agents. A Party seeking indemnification shall (i) promptly notify the indemnifying Party in writing of the claim, suit or proceeding for which indemnification is sought; (ii) permit the indemnifying Party to control the defense or settlement of the claim, suit or proceeding; (iii) reasonably cooperate with the indemnifying Party (at the indemnifying Partys expense); and (iv) have the right to provide for its separate defense at its own expense. In no event, shall the indemnifying Party settle a claim, suit or proceeding without first obtaining the written consent of the other Party. Any release obtained as a result of settlement must contain a release of all claims against the non- indemnifying Party as well as its officers, directors, and employees. G. Dispute Resolution. Delta Dental will establish procedures for resolving all questions raised by a Dentist, a Contractor, or a Member in regard to claims for Benefits allowed or denied under the terms of this Contract. These procedures will be used both for the initial determination of those questions and for the resolution of appeals made on the basis of those initial determinations. To the extent the benefit plan sponsored by the Contractor is governed by the Employee Retirement Income Security Act of 1974, as amended (ERISA), the procedures established for determining the Benefits to which Member is entitled will comply with the requirements set forth in ERISA Section 503 as applicable to a limited scope dental benefit plan, and the regulations thereunder, for providing a full and fair review of all benefit claims. The ERISA-required claims procedures will be set forth in detail in the Certificate that is to be distributed to Enrollees and that describes the Benefits under this Contract. All determinations made according to this procedure will be final and binding on the Dentist, the Contractor, and the Member; provided, however, that the Member may exercise his or her legal rights after this determination as described in the Claims Appeal Procedure contained in the Certificate.

INPPOCONT1122 5 Revised 11/2022 KR#05809057 H. Severability. If any provision of this Contract is in violation of the laws of the State in which this Contract was issued, that provision shall be deemed to be void, but the invalidation of that provision will not otherwise impair or affect the rest of the Contract. When any provision in this Contract is in conflict with such laws, the rights, duties and obligations of Delta Dental, the Contractor and all Members shall be governed by such laws. I. Compliance with Applicable Law. This Contract is subject to change if, in the future, federal and state laws and regulations require Delta Dental or the Contractor to comply with such laws and regulations. Should any such change to this Contract be necessary by law, the Contractor will receive written notice from Delta Dental informing the Contractor of the reasons for any change to the Contract and the process by which the Contractor will receive an amended Contract. J. Additional Services. Delta Dental may from time to time provide additional services or coverage by rider or other notice. Delta Dental may withdraw those services or coverage at any time after giving notice. K. Notices. Any notice required or permitted to be given by this Contract will be considered given if in writing and personally delivered, or if in writing and deposited in the United States mail with postage prepaid, addressed to the person at their last address of record. L. Amendment and Assignment. No agent has authority to change any part of this Contract. No changes to this Contract will be valid unless both Parties approve them in writing. Delta Dental shall have the discretion to assign its rights and responsibilities under this Contract to an affiliated entity. If Delta Dental chooses to assign its rights and responsibilities, it shall assign them to an appropriately licensed entity capable of performing similar functions at similar levels as Delta Dental. Delta Dental shall serve written notice of the assignment to Contractor and said notice shall provide the name and address of the assignee. Neither this Contract nor any part of it shall be assigned by Contractor without the prior written consent of Delta Dental, and any attempt at assignment by Contractor without such consent by Delta Dental shall be null and void. Subject to the foregoing limitation, this Contract shall be binding upon the parties and their respective successors and assigns. M. Subrogation. To the extent that This Plan provides or pays Benefits for Covered Services, Delta Dental is subrogated to any right the Member may have to recover from another, his or her insurer, or under his or her Medical Payments coverage or any Uninsured Motorist, Underinsured Motorist, or other similar coverage provisions. N. Right of Recovery Due to Fraud. If Delta Dental pays for services or supplies that were sought or received under fraudulent, false, or misleading pretenses or circumstances, pays a claim that contains false or misrepresented information, or pays a claim that is determined to be fraudulent due to the acts of the Contractor, and/or Member, it may recover that payment from the person or entity that committed such fraud. Delta Dental may recover any payment determined to be based on false, fraudulent, misleading, or misrepresented information by deducting that amount from any payments properly due to the person(s) or entity(ies) that committed such fraud. Delta Dental will provide an explanation of the payment being recovered at the time the deduction is made. O. Force Majeure. Unless otherwise stated in the Declarations Section of this Contract, neither Delta Dental (including its agents, directors, officers, and employees) nor Contractor shall be liable for delays in performance due to circumstances beyond their reasonable control. Each party shall be excused from performance under this Contract and shall have no liability to the other party for any period during which it is prevented from performing any of its obligations (other than payment obligations), in whole or in part, as a result of delays caused by the other party or by an act of God, war, terrorism, civil unrest, civil disturbance, court order, labor dispute, or other cause beyond its reasonable control, and such nonperformance shall not be a default under or grounds for termination of this Contract. Notwithstanding the foregoing, Force Majeure shall not excuse Contractors payment obligations under this Contract. P. Assignment of Benefits. Unless otherwise stated in the Declarations Section of this Contract, Benefits to Members are for the personal benefit of those Members and cannot be transferred or assigned; provided, however, Delta Dental shall pay Participating Dentists directly on behalf of Members. Q. Governing Laws. This Contract will be governed by and interpreted under the laws of the State of Indiana. R. Legally Mandated Benefits. If any applicable law requires broader coverage or more favorable treatment for a Member than is provided by this Contract, that law shall control over the language of this Contract. S. Entire Contract. This Contract constitutes the entire agreement between the Parties. T. Effect of Errors on Coverage. Typographical or administrative errors shall not deprive a Member of Benefits. Neither shall such errors create any rights to additional benefits not in accordance with all of the terms, conditions, limitations, and exclusions of this Contract. U. Bankruptcy or Insolvency. Contractor shall notify Delta Dental immediately in the event of bankruptcy or other insolvency. Delta Dental reserves all rights and remedies with respect to the Contractors bankruptcy or other

INPPOCONT1122 6 Revised 11/2022 KR#05809057 insolvency, including but not limited to, the right to automatically terminate or modify performance under this Contract to the extent permitted by applicable law. V. Other Goods and Services. From time to time, Delta Dental may offer or provide Members certain goods and services, including discounts on dental services provided by Participating Dentists in addition to the dental coverage (including without limitation toothbrushes, dental floss and other oral hygienic devices/products). Delta Dental also may arrange for third party vendors to provide goods and services at a discount to Members. Though Delta Dental may make the arrangements, the third party vendors are solely liable for providing the goods and services. Delta Dental shall not be responsible for providing or failing to provide the goods and services to Members. Further, Delta Dental shall not be liable to Members for negligent provision of the goods and services by third party vendors. Delta Dental reserves the right to terminate or change these goods or services at any time. W. Web Portal License. 1. Delta Dental grants to Contractor the License to access and use Delta Dentals web portals solely for the purpose of administering and/or viewing Member Benefits as set forth in this Contract, subject to any additional terms and conditions appearing on such web portals. Under this license grant, Contractors Members are permitted to access and use Member Portal, and Contractor and its officers, directors, employees, contractors and agents are permitted to access and use Benefit Manager Toolkit as necessary solely for the purposes of administering Contractors dental plan. 2. Contractor is solely responsible for managing access to the web portals, for securing the usernames and passwords of its, officers, directors, employees, contractors, agents and Members (End Users) who use or access such web portals, and for any violation of this Contract by any such End Users. Delta Dental shall not be liable for Contractors or Contractors End Users failure to properly secure their usernames or passwords and, unless otherwise exempt by law, Contractor shall indemnify and hold harmless Delta Dental its affiliates, members, officers, employees and agents from and against any and all losses, claims, damages, liabilities, costs, and expenses (including reasonable attorneys fees and expenses related to the defense of any claims) resulting from or arising out of (i) Contractors, or Contractors End Users, failure to properly manage access or secure usernames and passwords, (ii) any breach of this Contract by Contractor or its End Users; or (iii) any negligent or willful misuse of Delta Dentals web portals by Contractor or its End Users. 3. Contractor agrees that, to the extent its End Users will be entering eligibility data into Benefit Manager Toolkit on Contractors behalf, Contractor shall be solely responsible for the accuracy and completeness of the eligibility data entered. Unless otherwise exempt by law, Contractor shall indemnify and hold harmless Delta Dental its affiliates, members, officers, employees and agents from and against any and all losses, claims, damages, liabilities, costs, and expenses (including reasonable attorneys fees and expenses related to the defense of any claims) resulting from or arising out of any eligibility data entered by Contractors End Users. 4. Contractor acknowledges that Delta Dentals web portals permit individuals to view and access Protected Health Information (PHI), as that term is defined by the Health Insurance Portability and Accountability Act (HIPAA). Contractor therefore certifies that, when using the web portals, it and its End Users will abide by the provisions of HIPAA and all other applicable laws. As such, Contractor agrees that it and its End Users shall access and use Delta Dentals web portals for the sole purpose of viewing their own Benefits and/or performing plan administration functions on behalf of Contractor. 5. Contractor recognizes and agrees that Delta Dental retains sole title, right and interest in the intellectual property rights of its web portals including, but not limited to, any applicable patents, trademarks and/or copyrights. Contractor understands that the license granted herein transfers neither title nor proprietary rights to Contractor with respect to any web portals. As such, neither Contractor nor any of its End Users shall attempt to reproduce, modify, reverse assemble, reverse compile or reverse engineer the source code of Delta Dentals web portals. 6. Delta Dental reserves the right to terminate this license grant at any time with or without cause. This license grant shall terminate immediately upon termination of the Contract. Section VII. Coordination of Benefits All Benefits under this Contract shall be subject to the coordination of benefits provision set forth in the Certificate. Section VIII. Term and T ermination This Contract shall remain in full force and effect for the initial term commencing on the Effective Date and continuing until the First Renewal Date, as specified in the Declarations Section. Thereafter, the Contract may be renewed for subsequent terms as specified in the Declarations Section or in a renewal letter, unless Contractor or Delta Dental provides written notice of its intent not to renew at least 30 days prior to the expiration of the then current term. Delta Dental shall have the option of terminating this Contract if:

INPPOCONT1122 7 Revised 11/2022 KR#05809057 A. The Contractor fails to make a required payment before expiration of the Grace Period specified; or B. Delta Dental cancels pursuant to Section V.B.1 of this Contract; or C. The size of the group changes by ten percent (10%) or more, or the composition of the group materially changes from the time of initial application, and Delta Dental elects not to exercise its rating rights as set forth in Section V.B.1; or D. The Contractor permits Enrollees and/or Dependents to enroll in This Plan outside of the Open Enrollment Period and/or the Special Enrollment Periods set forth in the Certificate; or E. The Contractor has otherwise materially breached this Contract. Unless otherwise stated in the Declarations Section of this Contract, the Contractor may terminate this Contract without cause by providing Delta Dental with 30 days prior written notice. Upon termination of this Contract, the Contractor is liable to Delta Dental for any Rate that was then due and unpaid. In the event this Contract terminates mid-month, Contractor shall be liable to Delta Dental for all premiums due and owing through the end of the month in which termination occurs. Section IX. Confidentiality and Disclosure A. The Parties acknowledge that in the course of performing under this Contract each Party may be provided with or given access to information, in oral, recorded or written form, that is proprietary and confidential to the other Party (collectively referred to as the Confidential Information). Such Confidential Information includes, but is not limited to: information regarding the other Partys management, business, organizational structure, policies, procedures, business relationships, intellectual property, copyrights, patents, trademarks, software, data, databases, system designs, specifications, documentation, code, architecture, structure, algorithms, techniques, processes, protocols, product materials, notes, slides, ideas, Maximum Approved Fees, Allowed Amounts, preferred provider reports, actuarial formulas, providers personal information, and financial terms of this Contract. B. Confidential Information shall not include any information that: 1. Is already known to the Party at the time of the disclosure (as evidenced by written documentation existing at that time); 2. Is generally available to the public or becomes publicly known through no wrongful act of a Party; or 3. Is received by a Party from a third-party who had a legal right to provide it (as evidenced by written documentation existing at that time). C. The Parties each will make all reasonable, necessary and appropriate efforts to safeguard each others Confidential Information. Each Party will safeguard the others Confidential Information to the same extent that it safeguards information relating to its own business, which in no event will be less than the safeguards that a reasonably prudent business would exercise under similar circumstances. D. Each Party agrees not to use, distribute or exploit each others Confidential Information, in whole or in part, for its own benefit or that of any third party and will not disclose such Confidential Information to any other person or entity without each others prior written consent. A Party shall be responsible for any breach of this Contract by its employees, authorized subcontractors, agents or representatives. E. Notwithstanding anything to the contrary in this Section, the Parties shall be permitted to disclose Confidential Information as required by order of a court of law, administrative agency, or other governmental body; provided, however, the Party shall provide reasonable advance written notice to the other Party to the extent allowed by law in order to allow that Party the opportunity to seek a protective order or otherwise limit such disclosure, and the disclosing Party shall reasonably cooperate with the other Party to limit any such disclosure or to seek a protective order. If a Party is nonetheless required to disclose the other Partys Confidential Information, said Party shall only disclose the minimum information necessary to respond to the legal request. Notwithstanding the foregoing, Delta Dental shall not be required to provide Contractor notice prior to responding to governmental agency subpoenas regarding potential provider fraud or abuse.

INPPOSUM1122 KR#05809057 Delta Dental PPO (Point-of-Service) Summary of Dental Plan Benefits For Group# 1157-0001, 0002, 0099 The Jay School Corporation This Summary of Dental Plan Benefits should be read along with your Certificate. Your Certificate provides additional information about your Delta Dental plan, including information about plan exclusions and limitations. If a statement in this Summary conflicts with a statement in the Certificate, the statement in this Summary applies to you and you should ignore the conflicting statement in the Certificate. The percentages below are applied to Delta Dental's allowance for each service and it may vary due to the Dentist's network participation.* Control Plan Delta Dental of Indiana Benefit Year January 1 through December 31 Covered Services Delta Dental PPO Dentist Delta Dental Premier Dentist Nonparticipating Dentist Plan Pays Plan Pays Plan Pays* Diagnostic & Preventive Diagnostic and Preventive Services exams, cleanings, fluoride, and space maintainers 100% 100% 100% Emergency Palliative Treatment to temporarily relieve pain 100% 100% 100% Sealants to prevent decay of permanent teeth 100% 100% 100% Brush Biopsy to detect oral cancer 100% 100% 100% Radiographs X-rays 100% 100% 100% Basic Services Minor Restorative Services fillings and crown repair 80% 80% 80% Occlusal Guards/Adjustments bite guards and occlusal adjustments 80% 80% 80% Oral Surgery Services extractions and dental surgery 80% 80% 80% Other Basic Services misc. services 80% 80% 80% Relines and Repairs to prosthetic appliances 80% 80% 80% Major Services Endodontic Services root canals 50% 50% 50% Periodontic Services to treat gum disease 50% 50% 50% Major Restorative Services crowns 50% 50% 50% Prosthodontic Services bridges, implants, dentures, and crowns over implants 50% 50% 50% Orthodontic Services Orthodontic Services braces 50% 50% 50% Orthodontic Age Limit through age 18 and under through age 18 and under through age 18 and under * When you receive services from a Nonparticipating Dentist, the percentages in this column indicate the portion of Delta Dental's Nonparticipating Dentist Fee that will be paid for those services. This amount may be less than what the Dentist charges and you are responsible for that difference. Oral exams (including evaluations by a specialist) are payable twice per calendar year. Prophylaxes (cleanings) are payable twice per calendar year. People with specific at-risk health conditions may be eligible for additional prophylaxes (cleanings) or fluoride treatment. The patient should talk with his or her Dentist about treatment. Fluoride treatments are payable twice per calendar year for people age 18 and under. Bitewing X-rays are payable twice per calendar year and full mouth X-rays (which include bitewing X-rays) or a panorex are payable once in any three-year period. Sealants are payable once per tooth per three-year period for first permanent molars for people age eight and under and second permanent molars for people age 13 and under. The surface must be free from decay and restorations. Composite resin (white) restorations are payable on posterior teeth.

INPPOSUM1122 KR#05809057 Porcelain and resin facings on crowns are Covered Services on posterior teeth. Implants are payable once per tooth in any five-year period. Implant related services are Covered Services. Crowns over implants are payable once per tooth in any five-year period. Services related to crowns over implants are Covered Services. People with special health care needs may be eligible for additional services including exams, hygiene visits, dental case management, and sedation/anesthesia. Special health care needs includes any physical, developmental, mental, sensory, behavioral, cognitive, or emotional impairment or limiting condition that requires medical management, healthcare intervention, and/or use of specialized services or programs. The condition may be congenital, developmental, or acquired through disease, trauma, or environmental cause and may impose limitations in performing daily self-maintenance activities or substantial limitations in a major life activity. Having Delta Dental coverage makes it easy for you to get dental care almost everywhere in the world! You can now receive expert dental care when you are outside of the United States through our Passport Dental program. This program gives you access to a worldwide network of Dentists and dental clinics. English-speaking operators are available around the clock to answer questions and help you schedule care. For more information, check our website or contact your benefits representative to get a copy of our Passport Dental information sheet. Maximum Payment $500 per Member total per Benefit Year on all services except orthodontic services. $1,000 per Member total per lifetime on orthodontic services. Payment for Orthodontic Service When orthodontic treatment begins, your Dentist will submit a payment plan to Delta Dental based upon your projected course of treatment. In accordance with the agreed upon payment plan, Delta Dental will make an initial payment to you or your Participating Dentist equal to Delta Dental's stated Copayment on 30% of the Maximum Payment for Orthodontic Services as set forth in this Summary of Dental Plan Benefits. Delta Dental will make additional payments as follows: Delta Dental will pay 50% of the per month fee charged by your Dentist based upon the agreed upon payment plan provided by Delta Dental to your Dentist. Deductible None. Waiting Period Enrollees who are eligible for dental benefits are covered on the date of hire. Not applicable (0002, 0099) Eligible People All full-time and part-time employees of the Contractor as defined by The Jay County School Corporation (0001), all eligible retirees as defined by The Jay County School Corporation (0002) who choose the dental plan and COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985) enrollees (0099). Also eligible are your Spouse and your Children to the end of the calendar year in which they turn 26, including your Children who are married, who no longer live with you, who are not your dependents for Federal income tax purposes, and/or who are not permanently disabled. Enrollees and dependents choosing this plan are required to remain enrolled for a minimum of 12 months. Should an Enrollee or Dependent choose to drop coverage after that time, he or she may not re-enroll prior to the date on which 12 months have elapsed. Dependents may only enroll if the Enrollee is enrolled (except under COBRA) and must be enrolled in the same plan as the Enrollee. An election may be revoked or changed at any time if the change is the result of a qualifying event as defined under Internal Revenue Code Section 125. Coordination of Benefits If you and your Spouse are both eligible to enroll in This Plan as Enrollees, you may be enrolled together on one application or separately on individual applications, but not both. Your Dependent Children may only be enrolled on one application. Delta Dental will not coordinate Benefits between your coverage and your Spouse's coverage if you and your Spouse are both covered as Enrollees under This Plan. Benefits will cease for active employees at the end of the month from the date of termination of employment. Benefits for retirees will cease on the first day of the month of their 65th birthday. Customer Service Toll-Free Number: 800-524-0149 (TTY users call 711) https://www.DeltaDentalIN.com September 1, 2023

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