Revdex.com - Central Indiana NDelaware Street #Indianapolis, IN 46204-RE: File No [redacted] Dear Ms***: Delta Dental Plan of Michigan, Inc(“DDMI”), NAIC #***, is in receipt of your letter dated January 19, regarding DDMI This complaint relates to a Michigan Individual Exchange Plan; however, the complaint was filed with the Revdex.com in Indiana Upon receipt, our Customer Service department promptly researched your inquiryThe customer receives dental benefit coverage under a Michigan Individual Exchange Plan purchased on the Marketplace The customer’s complaint relates to a payment she made through the Marketplace on December 30, On January 3, when the customer checked the client portal, she noted that the payment had not yet been applied to her accountOn January 10, 2017, the customer contacted Customer Service to advise that her payment had cleared her bank on January 3, 2017, but the client portal did not reflect receipt of the payment Upon receipt of the customer’s bank statement, Customer Service discovered that the customer’s payment had been posted to a pre-accounting payments file because she previously had an individual plan through DDMI that was terminated effective January 1, 2017; accordingly, Customer Service was uncertain where to apply the payment remitted on December 30, On January 24, 2017, Customer Service sent an email to the customer confirming that the January premium payment in the amount of $had been transferred from the pre-accounting payments file and posted to her account (copy of email attached) Future payments will be posted to the correct accountWe believe this letter adequately addresses the customer’s concerns If you have any questions or concerns, please feel free to contact me at (517) 347-or by e-mail at [email protected] Sincerely, Walter LB [redacted] Deputy General Counsel WLB/mds
RE: Case ID #[redacted] Complainant – [redacted] Delta Dental Plan of Michigan, Inc. (“DDMI”), NAIC #54305, is in receipt of your letter dated June 27, 2017. Upon receipt, our Customer Service department promptly researched your inquiry. [redacted] enrolled in dental benefit coverage under...
an individual dental plan (“Plan”) purchased on the North Carolina Marketplace (“Marketplace”). Ms. [redacted]’s coverage under this plan became effective on January 1, 2016 and remained active until September 1, 2016. The monthly premium payment amount Ms. [redacted] paid for her dental benefit coverage was $60.02. Payments were made via Electronic Funds Transfer (“EFT”) which was set up by Ms. [redacted] through the Marketplace. Ms. [redacted]’s account became past-due when the credit card information on file for her monthly premium payment expired and thus declined the monthly EFT. Pursuant to the Termination section of Ms. [redacted]’s Plan Certificate, the policy will terminate and all insurance will cease on termination due to non-payment of premium, subject to applicable grace period provisions. In an attempt to resolve the matter, DDMI issued a First Notice dated May 12, 2016 indicating that payment in the amount of $60.02 was due upon receipt of the notice. At 60-days past-due, a Final Notice dated June 12, 2016 was issued and requested payment of the outstanding balance within 31 days or Ms. [redacted]’s coverage under the Plan would be terminated. No updated payment information was received within the applicable grace period, thus coverage under the Policy was terminated in accordance with provisions set forth in the Plan Certificate. It is DDMI’s position that no refund is owed to Ms. [redacted] for the premium payments made during the time in which her eligibility under the Plan was active. Furthermore, DDMI did send Ms. [redacted] an email on or about June 19, 2017 indicating that no refund was owed, however we did offer to waive waiting periods if Ms. [redacted] wished to re-enroll with DDMI directly rather than her having to purchase a plan through the Marketplace and be subject to applicable waiting periods. We believe this letter adequately addresses the concerns set forth in Ms. [redacted]’s Complaint. If you have any questions or concerns, please do not hesitate to contact me at (517) 347-5295 or by e-mail at [email protected]. Sincerely, Walter L. B[redacted] Deputy General Counsel
Revdex.com - Central Indiana 151 N. Delaware Street #2020 Indianapolis, IN 46204-2599 RE: File No. [redacted] Dear Ms. [redacted]: Delta Dental Plan of Michigan, Inc. (“DDMI”), NAIC #[redacted], is in receipt of your letter dated January 19, 2017 regarding DDMI. ...
This complaint relates to a Michigan Individual Exchange Plan; however, the complaint was filed with the Revdex.com in Indiana. Upon receipt, our Customer Service department promptly researched your inquiry. The customer receives dental benefit coverage under a Michigan Individual Exchange Plan purchased on the Marketplace. The customer’s complaint relates to a payment she made through the Marketplace on December 30, 2016. On January 3, 2017 when the customer checked the client portal, she noted that the payment had not yet been applied to her account. On January 10, 2017, the customer contacted Customer Service to advise that her payment had cleared her bank on January 3, 2017, but the client portal did not reflect receipt of the payment. Upon receipt of the customer’s bank statement, Customer Service discovered that the customer’s payment had been posted to a pre-accounting payments file because she previously had an individual plan through DDMI that was terminated effective January 1, 2017; accordingly, Customer Service was uncertain where to apply the payment remitted on December 30, 2016. On January 24, 2017, Customer Service sent an email to the customer confirming that the January premium payment in the amount of $35.59 had been transferred from the pre-accounting payments file and posted to her account (copy of email attached). Future payments will be posted to the correct account. We believe this letter adequately addresses the customer’s concerns. If you have any questions or concerns, please feel free to contact me at (517) 347-5295 or by e-mail at [email protected]. Sincerely, Walter L. B[redacted] Deputy General Counsel WLB/mds
Revdex.com - Central Indiana NDelaware Street #Indianapolis, IN 46204-RE: File No [redacted] Dear Ms***: Delta Dental Plan of Michigan, Inc(“DDMI”), NAIC #***, is in receipt of your letter dated January 19, regarding DDMI This complaint relates to a Michigan Individual Exchange Plan; however, the complaint was filed with the Revdex.com in Indiana Upon receipt, our Customer Service department promptly researched your inquiryThe customer receives dental benefit coverage under a Michigan Individual Exchange Plan purchased on the Marketplace The customer’s complaint relates to a payment she made through the Marketplace on December 30, On January 3, when the customer checked the client portal, she noted that the payment had not yet been applied to her accountOn January 10, 2017, the customer contacted Customer Service to advise that her payment had cleared her bank on January 3, 2017, but the client portal did not reflect receipt of the payment Upon receipt of the customer’s bank statement, Customer Service discovered that the customer’s payment had been posted to a pre-accounting payments file because she previously had an individual plan through DDMI that was terminated effective January 1, 2017; accordingly, Customer Service was uncertain where to apply the payment remitted on December 30, On January 24, 2017, Customer Service sent an email to the customer confirming that the January premium payment in the amount of $had been transferred from the pre-accounting payments file and posted to her account (copy of email attached) Future payments will be posted to the correct accountWe believe this letter adequately addresses the customer’s concerns If you have any questions or concerns, please feel free to contact me at (517) 347-or by e-mail at [email protected] Sincerely, Walter LB [redacted] Deputy General Counsel WLB/mds
RE: Case ID #[redacted] Complainant – [redacted] Delta Dental Plan of Michigan, Inc. (“DDMI”), NAIC #54305, is in receipt of your letter dated June 27, 2017. Upon receipt, our Customer Service department promptly researched your inquiry. [redacted] enrolled in dental benefit coverage under...
an individual dental plan (“Plan”) purchased on the North Carolina Marketplace (“Marketplace”). Ms. [redacted]’s coverage under this plan became effective on January 1, 2016 and remained active until September 1, 2016. The monthly premium payment amount Ms. [redacted] paid for her dental benefit coverage was $60.02. Payments were made via Electronic Funds Transfer (“EFT”) which was set up by Ms. [redacted] through the Marketplace. Ms. [redacted]’s account became past-due when the credit card information on file for her monthly premium payment expired and thus declined the monthly EFT. Pursuant to the Termination section of Ms. [redacted]’s Plan Certificate, the policy will terminate and all insurance will cease on termination due to non-payment of premium, subject to applicable grace period provisions. In an attempt to resolve the matter, DDMI issued a First Notice dated May 12, 2016 indicating that payment in the amount of $60.02 was due upon receipt of the notice. At 60-days past-due, a Final Notice dated June 12, 2016 was issued and requested payment of the outstanding balance within 31 days or Ms. [redacted]’s coverage under the Plan would be terminated. No updated payment information was received within the applicable grace period, thus coverage under the Policy was terminated in accordance with provisions set forth in the Plan Certificate. It is DDMI’s position that no refund is owed to Ms. [redacted] for the premium payments made during the time in which her eligibility under the Plan was active. Furthermore, DDMI did send Ms. [redacted] an email on or about June 19, 2017 indicating that no refund was owed, however we did offer to waive waiting periods if Ms. [redacted] wished to re-enroll with DDMI directly rather than her having to purchase a plan through the Marketplace and be subject to applicable waiting periods. We believe this letter adequately addresses the concerns set forth in Ms. [redacted]’s Complaint. If you have any questions or concerns, please do not hesitate to contact me at (517) 347-5295 or by e-mail at [email protected]. Sincerely, Walter L. B[redacted] Deputy General Counsel
Revdex.com - Central Indiana 151 N. Delaware Street #2020 Indianapolis, IN 46204-2599 RE: File No. [redacted] Dear Ms. [redacted]: Delta Dental Plan of Michigan, Inc. (“DDMI”), NAIC #[redacted], is in receipt of your letter dated January 19, 2017 regarding DDMI. ...
This complaint relates to a Michigan Individual Exchange Plan; however, the complaint was filed with the Revdex.com in Indiana. Upon receipt, our Customer Service department promptly researched your inquiry. The customer receives dental benefit coverage under a Michigan Individual Exchange Plan purchased on the Marketplace. The customer’s complaint relates to a payment she made through the Marketplace on December 30, 2016. On January 3, 2017 when the customer checked the client portal, she noted that the payment had not yet been applied to her account. On January 10, 2017, the customer contacted Customer Service to advise that her payment had cleared her bank on January 3, 2017, but the client portal did not reflect receipt of the payment. Upon receipt of the customer’s bank statement, Customer Service discovered that the customer’s payment had been posted to a pre-accounting payments file because she previously had an individual plan through DDMI that was terminated effective January 1, 2017; accordingly, Customer Service was uncertain where to apply the payment remitted on December 30, 2016. On January 24, 2017, Customer Service sent an email to the customer confirming that the January premium payment in the amount of $35.59 had been transferred from the pre-accounting payments file and posted to her account (copy of email attached). Future payments will be posted to the correct account. We believe this letter adequately addresses the customer’s concerns. If you have any questions or concerns, please feel free to contact me at (517) 347-5295 or by e-mail at [email protected]. Sincerely, Walter L. B[redacted] Deputy General Counsel WLB/mds