Page 3 - LRM.19 Delta Dental Employee Kit
P. 3
Table of Contents
Welcome ................................................................................................................................................................2
Definitions ............................................................................................................................................................ 3
Filing Claims ........................................................................................................................................................5
Predetermination of Benefits ......................................................................................................................5
Optional Procedures ........................................................................................................................................5
Covered Dental Procedures ........................................................................................................................ 6
Exclusions ........................................................................................................................................................... 6
Coordination of Benefits ...............................................................................................................................7
Eligibility ............................................................................................................................................................... 11
Continued Coverage ......................................................................................................................................13
Rights of Recovery (Subrogation) ..........................................................................................................14
Delta Dental’s Liability ..................................................................................................................................14
Grievance Procedures ...................................................................................................................................15
Notice of Legal Action ..................................................................................................................................17
Problems with Your Insurance? ................................................................................................................17
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