Glossary of Terms
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Emergency Services
Specialist Services
Benefits, Limitations and Exclusions
Renewal, Cancellation and Termination of Benefits
Extension of Benefits
Conversion
Entire Contract
Schedule A
Description of Benefits and Copayments

Schedule B
Limitations and Exclusions

 
 
 
CONVERSION  
 
Any Eligible Dependent who has been continuously enrolled in this Program for at least 3 months immediately prior to termination is eligible for a conversion Contract providing Benefits similar to the terminated Contract. A person electing to convert to his or her own individual coverage must pay Premium to Delta Dental at individual rates established by Delta Dental. This provision will not apply if coverage is terminated due to
  1. failure to pay any required Premium,
  2. replacement of discontinued coverage within 31 days,
  3. fraud or material misrepresentation in applying for or obtaining Benefits,
  4. misuse of Benefits,
  5. moving out of the DeltaCare USA service area or
  6. uncooperative or abusive behavior toward the Contract Dentist’s and/or Delta Dental’s staff.
 
 
 
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