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| RENEWAL, CANCELLATION AND TERMINATION OF BENEFITS |
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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 end of the 30 day grace period. See Grace Period.
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 or self-sustaining employment because of a mental illness, developmental disability or mental retardation, as defined in the mental hygiene law, or physical handicap that began prior to reaching the limiting age;
- he or she is chiefly dependent on you for support, and
- proof of dependent's disability is provided within 31 days of request. Such requests will not be made more than once a calendar year after this dependent reaches age 21. Eligibility will continue as long as the dependent relies on you for support because of a physical or mental disability (as described in (a) above) that began before he or she reached the limiting age.
Delta Dental will also cancel coverage upon 30 days written notice if you knowingly commit or permit another person to commit fraud or deception in obtaining Benefits under this Program.
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. |
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