Questions & answers · Dental insurance
What does Golden Rule Insurance Company's dental insurance policy say about cancelling and getting a refund?
AI-drafted from filed documents · reviewed: pendingcancellation and refundsGolden Rule Insurance Company
Golden Rule Insurance Company’s dental insurance policy in Kentucky (KY) states that if all or part of a payment was made in error, the refund equals the amount paid in excess of what should have been paid under the policy [1]. If the refund is due from the policyholder and is not promptly refunded, the insurer may recover the overpayment by reallocating the overpaid amount to pay, in whole or in part, future benefits payable under the policy [1]. The insurer may also recover overpayments from other persons or organizations by reallocating the overpaid amount to future benefits payable in connection with services provided to other covered persons or under other plans, if the insurer’s recovery rights are assigned [1]. This does not appear in these excerpts — check the full policy for cancellation and refund rights related to policyholder-initiated cancellation.
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] Golden Rule Insurance Company · KY · SERFF AMMS-135078555 · form DEN5-B-PB-GRI-KY · p. 18 · 57.4 · PAYMENT OF CLAIMS
C. All or some of the payment was made in error. The refund equals the amount We paid in excess of the amount We should have paid under this Policy. If the refund is due from another person or organization, You agree to help Us get the refund when requested. If the refund is due from You and You do not promptly refund the full amount, We may recover the overpayment by reallocating the overpaid amount to pay, in whole or in part, Your future benefits that are payable under this Policy. If the refund is due from a person or organization other than You, We may recover the overpayment by reallocating the overpaid amount to pay, in whole or in part: A. Future benefits that are payable in connection with services provided to other Covered Persons under this Policy; or 01/29/26 B. Future benefits that are payable in connection with services provided to persons under other plans for which We make payments, pursuant to a transaction, in which Our overpayment recovery rights are assigned to such other plans in exchange for such plans’ remittance of the amount of the reallocated payment. The reductions will equal the amount of the required refund. We may have other rights in addition to the right to reduce future benefits. … (excerpt — the filed text continues)
[2] Golden Rule Insurance Company · OR · SERFF AMMS-129607906 · form GRI-DEN2-PBM-36 · p. 9 · 37.5 · ADDING SPOUSE COVERAGE AFTER
D) The date of your death, if your spouse is not covered under this plan; We will refund any premium received and not earned due to policy termination. A spouse will cease to be a covered person at the end of the premium period in which he or she ceases to be your spouse due to divorce. We must receive notification within 90 days of the date a covered person ceases to be a spouse. If notice is received by us more than 90 days from this date, any unearned premium will be credited only from the first day of the policy month in which we receive the notice. If this policy includes your spouse as a covered person, it may be continued after your death by your spouse, if he/she continues to be a covered person. This policy will be changed to a plan appropriate, as determined by us, to the covered person(s) that continues to be covered under it. Your spouse will replace you as the insured. A proper adjustment will be made in the premium required for this policy to be continued. We will also refund any premium received and not earned due to your death. The refund will be based on the number of full months that remain to the next premium due date. … (excerpt — the filed text continues)
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 Q5f90b953. Spotted an error? Tell us.