Out-of-plane bending accounts for Dz, Dox and Doy of the local coordinate system. By default, the MITC4 thick plate formulation is used [Ref. 1]. If the thin plate option is chosen, elements with rectangular shapes will be calculated based on the Kirchhoff thin plate formulation [Ref. 1]. Full two by two numerical integration is used in either case to calculate the out-of-plane stiffness matrix of the element.