Accident and Health Product Filing

Student Dental Model Language

  • The following is model language for insurers writing student dental insurance pursuant to Chapter 461 of the Laws of 2015.
  • The documents available in this table are in Word format.
Subject Model Language Date

Cover Page

12/12/2019

Individual - Table of Contents

12/12/2019

Definitions

12/12/2019

How This Coverage Works

12/12/2019

Access to Care and Transitional Care

12/12/2019

Cost-Sharing Expenses and Allowed Amount

12/12/2019

Individual - Who Is Covered

12/12/2019

Individual - Who Is Covered (Pediatric only coverage)

12/12/2019

Pediatric Dental

12/12/2019

Exclusions

12/12/2019

Claim Determinations

12/12/2019

Grievance

12/12/2019

Utilization Review

12/12/2019

External Appeal

12/12/2019

Termination

12/12/2019

Extension of Benefits

12/12/2019

Temporary Suspension Rights for Members of the Armed Forces

12/12/2019

General Provisions

12/12/2019

Schedule of Benefits

12/12/2019