BrushSmart User Agreement

How BrushSmart works:

Participant obligations. By joining the BrushSmart Program, you, the Eligible Enrollee agree to the following:

Voluntary participation. Your participation is completely voluntary. You are free to choose not to participate, withdraw your consent or to discontinue to participate in the BrushSmart Program. Those actions will not result in any penalty or loss of benefits on your part.

The BrushSmart app-connected program for Individual Enrollees:

The BrushSmart app-connected program for Individual Enrollees through an Employer Group:

Authorization for use of Health Information for Marketing

I hereby authorize Delta Dental of California (“Company”) to use my health information [specifically my status as an enrollee of a Delta Dental’s insurance plan] to inform me about new products and services. This authorization may indicate to Philips and other partners of Delta Dental that I am a Delta Dental enrollee. Such information will be used for Company’s marketing, promotional, and/or advertising activities. Delta Dental of California may receive direct or indirect remuneration (payment) for these activities.

I have had an opportunity to review and understand the content of this Authorization and Agreement. By joining BrushSmart, I confirm that this reflects my wishes. Please print this for your records.