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This booklet is the Contract for your DeltaCare USA Individual/Family Dental Program ("Program") provided by:
Alpha Dental of Utah, Inc.("ALPHA")
257 East 200 South, Suite 375
Salt Lake City, UT 84111
800-422-4234
deltadentalins.com
This booklet discloses the terms and conditions of the Program available in Utah. This Contract is designed to provide coverage for dental care ONLY. The coverage, limitations and exclusions and renewal and cancellation are described in the My Benefits section. (Please see the link on the left side of this page.) PLEASE READ THE ENTIRE DOCUMENT COMPLETELY AND CAREFULLY. You have a right to review this Contract prior to enrollment.
PLEASE READ THE FOLLOWING INFORMATION SO THAT YOU WILL KNOW HOW TO OBTAIN DENTAL SERVICES. YOU MUST OBTAIN DENTAL BENEFITS FROM (OR BE REFERRED FOR SPECIALIST SERVICES BY) YOUR ASSIGNED CONTRACT DENTIST.
ADDITIONAL INFORMATION ABOUT YOUR BENEFITS IS AVAILABLE BY CALLING THE CUSTOMER SERVICE DEPARTMENT AT (800) 422-4234, 6 a.m. - 7 p.m. MOUNTAIN TIME, MONDAY THROUGH FRIDAY.
30 Days to Examine Contract
You will be permitted to return the Contract for termination of coverage within 30 days of the date it was issued and have the Premium refunded if you are not satisfied for any reason. Upon the return of the Contract, it will be considered void from the beginning. (Refer to the My Costs section, How much do I pay?). |
