TERMS & CONDITIONS

Benefits

I understand that the In-Network benefits insured by Dentcare Delivery Systems, Inc. are only available at participating dental offices and that there are no Out-of-Network benefits.

The Select plan is ACA compliant and includes the Pediatric Dental Essential Health Benefits, as defined in the Patient Protection Affordable Care Act for all dependent children under the age of 19.

Enrollment Period:

If my application and payment is received between the 1st and 20th day of the month, my coverage will begin on the 1st day of the following month. If my application and payment is received between the 21st and last day of the month, my coverage will begin on the 1st day of the 2nd month.

Payment Authorization

By joining this annual dental plan, I am authorizing Dentcare Delivery Systems, Inc. to bill my credit card for the annual premium.

Cancellation Policy

I agree to maintain enrollment for a minimum of 12 months. If my coverage lapses due to nonpayment of premium, I understand that I cannot re-enroll for a 12-month period. A cancellation fee of $25 will be applied to the prorated refund should I request termination prior to the renewal date, unless termination reason qualifies for an exemption of said fee.

Renewal Conditions

This plan will automatically renew at the end of my membership term on an annual basis unless I notify Dentcare Delivery Systems, Inc. of my request to cancel prior to the renewal date. I understand that my credit card will be automatically charged for the appropriate annual renewal amount.