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 MS Word format.
SubjectModel Language Date
Cover Page2022-12-13
Individual - Table of Contents2022-12-13
Definitions2022-12-13
How This Coverage Works2022-12-13
Access to Care and Transitional Care2024-12-17
Cost-Sharing Expenses and Allowed Amount2024-12-17
Individual - Who Is Covered2024-12-17
Individual - Who Is Covered (Pediatric only coverage)2024-12-17
Pediatric Dental2022-12-13
Exclusions2022-12-13
Claim Determinations 2024-12-17
Grievance2022-12-13
Utilization Review2022-12-13
External Appeal2022-12-13
Termination2024-12-17
Extension of Benefits2022-12-13
Temporary Suspension Rights for Members of the Armed Forces2022-12-13
General Provisions2024-12-17
Schedule of Benefits2024-12-17