No benefit is payable for:

• Any cause for which the insured may apply for and receive protection, exemption or compensation under any Workers' Compensation Act;
• Self-inflicted injuries while sane or insane;
• Services or supplies received outside of Canada;
• Committing or attempting to commit a criminal offence or provoking an assault;
• Any group or policyholder sponsored dental care or treatment;
• Any dental care, treatment or supplies primarily for cosmetic purposes;
• Failing to keep scheduled appointments;
• File transfers, the completion of claim forms or other documentation;
• Any dental treatment for the correction of temporomandibular joint dysfunction;
• Expenses for treatment of root canal therapy, inlays, onlays, crowns, veneers, and bridges started prior to becoming an insured member/dependant under this plan;
• Replacement of mislaid, lost or stolen appliances;
• Expenses for crowns placed on a tooth not functionally impaired by incisal angle or cuspal damage;
• Any charges incurred for other than metal only crowns or pontics, posterior to the second bicuspid tooth;
• Expenses for full mouth reconstructions for vertical dimension correction or to repair or restore teeth damaged or worn due to attrition or vertical wear or to restore occlusion;
• Any services or supplies for implantology, including tooth implantation and surgical insertion of fabricated implants;
• Any dental procedure which is not listed in the descriptions of dental benefits indicated herein;
• Charges that are in excess of the fees stated in the Dental Association General Dentist Fee Guide applicable to this benefit;
• Where coverage for services is provided under any government plan;
• War, insurrection or hostilities of any kind, whether or not the insured was a participant in such actions;
• Participation in any riot or civil commotion;
• Where services would be provided without charge in the absence of this policy; or
• Any other exclusions identified in the policy contract.