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Dental Program Table of Contents
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Table of Contents
Detailed Table of Contents
Index

Introduction

Who Is Eligible

Enrolling for Coverage

Your Rights and Responsibilities

How the Program Works

How to File a Claim

When Coverage Ends

Special Extensions of Coverage

Your Legal Right to Continuation Coverage Under COBRA

Coordinating Benefits With Other Programs

Claims and Appeals Procedures

Situations Affecting Your Benefits

Administrative and Contact Information

Your ERISA Rights

Dental Program

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Situations Affecting Your Benefits

Right to Reimbursement, Assignment of Rights, and Duty to Notify

As a condition to receiving Group Benefits Plan benefits, each participant, former participant, or other person who has an interest in the Group Benefits Plan (“Recipient”) shall provide the Group Benefits Plan with a Right to Reimbursement and an Assignment of Rights (as both are described below). These rights enable the Group Benefits Plan to recover the amount it has expended to provide benefits to the Recipient from any proceeds the Recipient receives from a third party in connection with an illness, accident, or injury. The Group Benefits Plan’s rights to recover are reduced by its share of the attorneys’ fees incurred in obtaining the proceeds from the third party.

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