Questions & answers · Dental insurance
Which documents does Reliance Standard Life Insurance Company's filed dental insurance policy require for a claim?
AI-drafted from filed documents · reviewed: pendingdocuments needed for a claimReliance Standard Life Insurance Company
Under Reliance Standard Life Insurance Company’s filed form for California (CA), the policy requires that, upon request, the dentist must furnish the insurer or its authorized representative with such documents or reports as may be reasonably necessary to verify the accuracy of the charges, services, and supplies rendered as reflected on the dentist’s bills and claim forms [2]. This form also states that claimants have the right to receive, free of charge, copies of non-privileged documents and records relevant to their claim [2]. However, this does not appear in the excerpts from Kentucky (KY), and the specific documents required beyond those mentioned are not detailed in the provided 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] Reliance Standard Life Insurance Company · KY · SERFF AMFA-135011575 · form AM 624 Rev. 6-26 · p. 3 · 2.22 · Classic Network Dentist Participation Agreement
KENTUCK Y 06-10-26 (D) Onsite Office Visits, Books and Records, Confidentiality Ameritas, or its authorized representatives shall have the right to conduct onsite office visits or reviews of Dentist’s office in order to determine compliance with Ameritas’ standards and requirements. Dentist agrees that Ameritas may conduct such visits or reviews in order to determine whether Ameritas will enter into this Agreement with Dentist and periodically thereafter. Ameritas shall treat all records that it has access to as a result of such visits or reviews as confidential so as to comply with all state and federal laws regarding confidentiality. Dentist and Ameritas agree that all Covered Persons records will be available for review by Ameritas during business hours upon prior notification by Ameritas to the Dentist. Upon request, Dentist shall furnish Ameritas or their duly authorized representative with such documents or reports as may be reasonably necessary to verify the accuracy of the charges, services and supplies rendered as reflected on Dentist’s bills and claim forms. Ameritas, the Dentist and/or their independent auditors agree to maintain the confidentiality of dental health records of Covered Persons in accordance with applicable local, state and federal laws. … (excerpt — the filed text continues)
[2] Reliance Standard Life Insurance Company · CA · SERFF AMFA-133109786 · form Ca-Notice Rev. 10-21 C · p. 2 · 3.3 · APPEAL PROCEDURE
D/V/H d. Information concerning your right to receive, free of charge, copies of non-privileged documents and records relevant to your claim. e. A statement that you may request an explanation of the scientific or clinical judgment we relied upon to exclude expenses that are experimental or investigational, or are not necessary or accepted according to generally accepted standards of dental practice. If you are not satisfied . . . Should you feel you are not being treated fairly, we want you to know you may contact the California Department of Insurance with your complaint and seek assistance from the governmental agency that regulates insurance. To contact the Department, write or call:
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 Q05f78ee0. Spotted an error? Tell us.