No change in Benefits or Premium will be made during a Contract Term. We will send you a written renewal notice, including any proposed changes in Benefits and/or Premium at least 30 days before your coverage expires. Your coverage will terminate at the end of the Contract Term unless you renew by paying the applicable Premium on or before the expiration date of your Contract.
Receipt of the applicable Premium by us after termination of your coverage will reinstate your coverage unless payment is received more than 15 days after termination and we refund such payment within 20 business days. You may request reinstatement of coverage for up to one year following the expiration of your Contract Term. However, reinstated coverage will always be retroactive to the date immediately following the end of the previous Contract Term. If a later date is requested, which would result in a gap in coverage, you must complete new enrollment forms and pay the enrollment fee as well as the annual premium.
Delta Dental will cancel enrollment of an Eligible Dependent immediately upon receipt of a written notice regarding the loss of dependent status; however, an unmarried dependent child may continue eligibility if:
he or she is incapable of self-support because of a physical or mental incapacity that began prior to reaching the limiting age,
he or she is chiefly dependent on you for support, and
proof of dependent's disability or incapacity is provided within 31 days of request by Delta Dental and subsequently as required. Such requests will not be made more than once a calendar year after the Eligible Dependent reaches age 21.
Delta Dental will also cancel coverage upon 15 days written notice if either of the following occur:
the Enrollee is guilty of misconduct detrimental to safe operations and the delivery of services while in a Contract Dentist's facility; or
the Enrollee knowingly commits or permits another person to commit fraud or deception in obtaining Benefits;
or upon 30 days notice in case the Enrollee fails to pay Copayments; provided, however, that the Enrollee may be reinstated during the term of this Program upon payment of all delinquent charges.
Coverage for an Enrollee will terminate as of the date enrollment is cancelled under the terms of this Contract. However, we will continue to provide Benefits for completion of any treatment in progress (less any applicable Copayment). Cancellation of a primary Enrollee's enrollment, as described above, shall automatically cancel the enrollment of any of his or her dependent Enrollees.
