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 at the end of the month of your date of termination. Customer Service Toll-Free Number: 800-877-7195 If you’re hearing impaired, call 800-428-4833 www.VSP.com January 1, 2024 VINPPOSUMM092022 5 KR#10267122