Legal & Privacy Notices
HIPAA Notices of Privacy Practices (NPP)
HIPAA Notice of Privacy Practices Other languages: Español, Chinese
Federal regulations require Health Insurance Portability & Accountability Act (HIPAA) covered entities to share information about the entities' Notice of Privacy Practices (NPP) when an individual first becomes an enrollee, or when there are material changes to the notice.
Financial Privacy Notice (Gramm-Leach-Bliley)
Under the Gramm-Leach-Bliley Act (GLB), institutions must notify consumers about the information we collect, why we collect it, what we do with it, and how we protect your privacy. This requirement does not apply to California enrollees. For California enrollees, please refer to the California Financial Privacy Notice.
This notice contains important information for COBRA eligible enrollees or current COBRA enrolled members about the right to continue your Dental care coverage
Provider Directory Notice
This notice informs enrollees of how to access their provider directory.
Enrollee Notices Flyer
This flyer outlines the list of legal and privacy notices available to you and gives a brief description about each notice.
This notice is to inform subscribers and enrollees of the procedure for processing and resolving grievances. The information shall include the location and telephone number where grievances may be submitted.
Language Assistance Programs (LAP)
In some states, recipients may receive translated copies of selected materials in Spanish or Chinese.
Non-covered services are defined as those dental services for which there is no benefit under any circumstances, including services that are never covered above a specific age limit (e.g., sealants).
California Financial Privacy Notice
Similar to the federal Gramm-Leach-Bliley (GLB) Act, Financial institutions and insurance companies are required to provide notices to their customers about their information-collection and information-sharing practices.
Tissue and Organ Donations
California regulations require every health care service plan to provide, upon enrollment and annually thereafter, a notice regarding organ donation options. This notice informs subscribers of the societal benefits of organ donations and the methods they can use to become organ and/or tissue donors.
CA Timely Access to Care
California law requires health plans to provide timely access to care. This law sets limits on how long enrollees have to wait to get appointments and telephone assistance.
Illinois Victims of Violence Notice
Illinois provides victims of domestic violence the right to keep their health status, location, and provider private. This notice describes how Dentegra protects domestic violence victims.
Maryland Continuity of Care Notice
New Maryland enrollees transitioning from one carrier to another carrier may have certain rights under Maryland law to continue receiving service preauthorized by the prior carrier.
Maryland Explanation of Coverage (EOC) Notice
Maryland state law requires that each enrollee have electronic access to the Certificate of Coverage (also known as Evidence of Coverage) booklet supplied by Dentegra. The booklet will be updated and redistributed to you when there are changes to the dental plan.
New York Notices
Within New York there are certain protections for victims of domestic violence when an order of protection is provided to the insurer against the policyholder.
Washington Utilization Management Notice
Washington State law requires that enrollees are informed about the Plan's utilization Management program. At Dentegra, we use a process called utilization management to review whether care is medically necessary and appropriate for enrollees.