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The signs and symptoms that might lead one to seek care include the following: Pain with chewing Sensitivity to hot or cold air and liquids Bleeding or discharge from around a tooth or gums Swelling around a tooth or swelling of the jaw or cheek Injury or trauma to the area These signs and symptoms may sometimes be associated with dental decay or gum disease (periodontal disease)

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In practice, that includes: Benefits committee members who review and approve plan design CFOs and finance leaders who approve vendor contracts and fee arrangements CHROs who set the parameters of health and welfare plans Brokers and consultants who exercise discretionary influence over plan decisions Investment committee members who select and monitor 401(k) investment options The standard that applies is the prudent expert standard under ERISA Section 404(a)(1)(B): decisions must reflect the care, skill, and diligence of a person familiar with such matters, acting in the sole interest of plan participants