Better Business Bu rea u Central Indiana N Delaware Street Indianapolis, IN 46204· RE; Consumer Name - [redacted] Delta Dental Plan of Michigan, Inc ("DDMI''), NAIC #***, is in receipt of your letter dated November l, 2016, regarding a complaint against Delta Dental Plan of Indiana Inc("DDlN''J, NAIC #***DDIVll is the claims administrator for ODINUpon receipt, our Customer Service department promptly researched your inquiry [redacted] receives dental benefit cove rage under a fully-insured dental p1'ogra m sponsored by her employer, [redacted] (th e "Group"), The G rou p determines the level of dental benefits that are available to beneficiaries under the plan, Ms, [redacted] has expressed her concerns regarding the denial of several claims concerning her son, [redacted] 's, orthod ontic trea tment beginning in 2015, as well as a panoramic radiograph she received on 8/17/Upon review of the claims in question it has been determ ined that the claims were p rocessed accord I ng to the Group's Plan and the determinations will stand I n August of 2015, Ms [redacted] and her son were eligible und er sub·grouµ [redacted] th e Premium OptionHowever, effective January of 2016, Ms, [redacted] changed her coverage and she a nd her son became eligible under sub-group [redacted] the Intermediate OptionAttached is the Summa ry of Dental Plan Benefits for both PlansPlease note that the Premium Option has no age limit for orthodontic services, while the Intermediate Option has an age limitation of up to age When [redacted] began his orthodontic treatment in August of 2015, he was years old and eligible under the Premium OptionOn 12/13/ [redacted] turned years oldEffective 1/1/2016, Ms [redacted] switched coverage to the Intermediate Option with the orthodontic
Better Business Bu
"letter-spacing: -1.95pt;"> rea u Central Indiana N Delaware Street Indianapolis, IN 46204· RE; Consumer Name - [redacted] Delta Dental Plan of Michigan, Inc ("DDMI''), NAIC #[redacted], is in receipt of your letter dated November l, 2016, regarding a complaint against Delta Dental Plan of Indiana Inc("DDlN''J, NAIC #[redacted]DDIVll is the claims administrator for ODINUpon receipt, our Customer Service department promptly researched your inquiry [redacted] receives dental benefit cove rage under a fully-insured dental p1'ogra m sponsored by her employer, .[redacted] (th e "Group"), The G rou p determines the level of dental benefits that are available to beneficiaries under the plan, Ms, [redacted] has expressed her concerns regarding the denial of several claims concerning her son, [redacted]'s, orthod ontic trea tment beginning in 2015, as well as a panoramic radiograph she received on 8/17/Upon review of the claims in question it has been determ ined that the claims were p rocessed accord I ng to the Group's Plan and the determinations will stand I n August of 2015, Ms[redacted] and her son were eligible und er sub·grouµ [redacted] th e Premium OptionHowever, effective January of 2016, Ms, [redacted] changed her coverage and she a nd her son became eligible under sub-group [redacted] the Intermediate OptionAttached is the Summa ry of Dental Plan Benefits for both PlansPlease note that the Premium Option has no age limit for orthodontic services, while the Intermediate Option has an age limitation of up to age When [redacted] began his orthodontic treatment in August of 2015, he was years old and eligible under the Premium OptionOn 12/13/[redacted] turned years oldEffective 1/1/2016, Ms[redacted] switched coverage to the Intermediate Option with the orthodontic
Better Business Bu rea u Central Indiana N Delaware Street Indianapolis, IN 46204· RE; Consumer Name - [redacted] Delta Dental Plan of Michigan, Inc ("DDMI''), NAIC #***, is in receipt of your letter dated November l, 2016, regarding a complaint against Delta Dental Plan of Indiana Inc("DDlN''J, NAIC #***DDIVll is the claims administrator for ODINUpon receipt, our Customer Service department promptly researched your inquiry [redacted] receives dental benefit cove rage under a fully-insured dental p1'ogra m sponsored by her employer, [redacted] (th e "Group"), The G rou p determines the level of dental benefits that are available to beneficiaries under the plan, Ms, [redacted] has expressed her concerns regarding the denial of several claims concerning her son, [redacted] 's, orthod ontic trea tment beginning in 2015, as well as a panoramic radiograph she received on 8/17/Upon review of the claims in question it has been determ ined that the claims were p rocessed accord I ng to the Group's Plan and the determinations will stand I n August of 2015, Ms [redacted] and her son were eligible und er sub·grouµ [redacted] th e Premium OptionHowever, effective January of 2016, Ms, [redacted] changed her coverage and she a nd her son became eligible under sub-group [redacted] the Intermediate OptionAttached is the Summa ry of Dental Plan Benefits for both PlansPlease note that the Premium Option has no age limit for orthodontic services, while the Intermediate Option has an age limitation of up to age When [redacted] began his orthodontic treatment in August of 2015, he was years old and eligible under the Premium OptionOn 12/13/ [redacted] turned years oldEffective 1/1/2016, Ms [redacted] switched coverage to the Intermediate Option with the orthodontic
Better Business Bu
"letter-spacing: -1.95pt;"> rea u Central Indiana N Delaware Street Indianapolis, IN 46204· RE; Consumer Name - [redacted] Delta Dental Plan of Michigan, Inc ("DDMI''), NAIC #[redacted], is in receipt of your letter dated November l, 2016, regarding a complaint against Delta Dental Plan of Indiana Inc("DDlN''J, NAIC #[redacted]DDIVll is the claims administrator for ODINUpon receipt, our Customer Service department promptly researched your inquiry [redacted] receives dental benefit cove rage under a fully-insured dental p1'ogra m sponsored by her employer, .[redacted] (th e "Group"), The G rou p determines the level of dental benefits that are available to beneficiaries under the plan, Ms, [redacted] has expressed her concerns regarding the denial of several claims concerning her son, [redacted]'s, orthod ontic trea tment beginning in 2015, as well as a panoramic radiograph she received on 8/17/Upon review of the claims in question it has been determ ined that the claims were p rocessed accord I ng to the Group's Plan and the determinations will stand I n August of 2015, Ms[redacted] and her son were eligible und er sub·grouµ [redacted] th e Premium OptionHowever, effective January of 2016, Ms, [redacted] changed her coverage and she a nd her son became eligible under sub-group [redacted] the Intermediate OptionAttached is the Summa ry of Dental Plan Benefits for both PlansPlease note that the Premium Option has no age limit for orthodontic services, while the Intermediate Option has an age limitation of up to age When [redacted] began his orthodontic treatment in August of 2015, he was years old and eligible under the Premium OptionOn 12/13/[redacted] turned years oldEffective 1/1/2016, Ms[redacted] switched coverage to the Intermediate Option with the orthodontic