Questions & answers · Dental insurance
What does Dominion Dental Services, Inc.'s dental insurance policy say about cancelling and getting a refund?
AI-drafted from filed documents · reviewed: pendingcancellation and refundsDominion Dental Services, Inc.
Under Dominion Dental Services, Inc.'s filed form for Illinois (IL), a member may receive a refund of unearned premiums if the plan cancels coverage, as the plan shall return the unearned premiums paid on a pro rata basis when cancellation occurs [2]. The notice of termination must be provided in writing promptly and without undue delay, including the termination date and reason [2]. Cancellation does not affect claims that originated before the cancellation date [2]. Extension of benefits may apply for treatment in progress, limited to 90 days for most care or 60 days for orthodontics, depending on payment frequency and agreement with the orthodontist [2]. However, no extension is provided if termination results from non-payment of premiums, fraud, or material misrepresentation by the member [2]. This does not appear in these excerpts — check the full policy.
Information only — not legal advice. The insurer decides.
These answers quote forms insurers filed with state regulators. Your own policy, its endorsements and your state’s rules control. A filed form may not be the version sold to you.
Where this comes from (2)
[1] Dominion Dental Services, Inc. · IL · SERFF DMND-133661405 · form DMNIL24PPOINFAM · p. 7 · 12.10 · LEGAL ACTIONS
3. A patient has the right to timely prior notice of the termination in the event a plan cancels or refuses to renew an enrollee’s participation in the plan except when the termination is for non-payment of premium. 4. A patient has the right to purchase any dental care services with the patient’s own funds. Part XIII. ENTIRE CONTRACT The Enrollment Application, Coverage Schedule for Pediatric Services, Coverage Schedule for Adult Services and this Individual Dental Policy constitute the entire Contract between the parties. No portion of the charter, bylaws, or other corporate documents of Dominion National will constitute part of the Contract. No change in this Contract shall be valid until approved by an executive officer of the Plan and unless such approval is endorsed hereon or attached hereto. No agent has authority to change this Contract or to waive any of its provisions. All statements made by the Member, shall, in the absence of fraud, be deemed representations and not warranties, and shall not be used in defense of a claim under this Plan, unless they are contained in a written application.
[2] Dominion Dental Services, Inc. · IL · SERFF DMND-133661405 · p. 3 · 5.1 · All Members
All Members Members will receive written notice promptly and without undue delay in advance for all termination provisions. The notice will include the termination date and reason for termination. In the event of cancellation, the Plan shall, return promptly, the unearned Premiums paid, computed on a pro rata basis. Cancellation shall be without prejudice to any claim originating prior to the effective date of cancellation. Part IV. EXTENSION OF BENEFITS Upon termination of coverage, an extension of benefits shall be provided for any treatment in progress at the time of termination, provided the treatment requires two or more visits on separate days to the dentist's office. Extension of benefits will be limited to ninety (90) days for all care other than orthodontics, and sixty (60) days for orthodontics if the orthodontist has agreed to or is receiving monthly payments when coverage terminates, or to the end of the quarter in progress or sixty (60) days, whichever is longer, if the orthodontist is receiving quarterly payments. An extension of benefits will not be provided if termination was due to a failure of the Member to pay the Premiums or fraud or material misrepresentation by the Member.
Drafted by a local AI model from the excerpts above, then checked by rules (citations, no rankings, no “not covered” claims from a partial excerpt). Question id Qf8a42c22. Spotted an error? Tell us.