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.

 

SubjectModel Language Date
Cover Page12/13/2022
Individual - Table of Contents12/13/2022
Definitions12/13/2022
How This Coverage Works12/13/2022
Access to Care and Transitional Care12/17/2024

Cost-Sharing Expenses and Allowed Amount

12/17/2024
Individual - Who Is Covered12/17/2024
Individual - Who Is Covered (Pediatric only coverage)12/17/2024
Pediatric Dental12/13/2022
Exclusions12/13/2022
ClaimDeterminations 12/17/2024
Grievance12/13/2022
Utilization Review12/13/2022
External Appeal12/13/2022
Termination12/17/2024
Extension of Benefits12/13/2022
Temporary Suspension Rights for Members of the Armed Forces12/13/2022
General Provisions12/17/2024
Schedule of Benefits12/17/2024