1A. For Members who are billed individually: Membership fees
in the CIGNAPlus Savings® program are valid for a 12-month period
from the effective date of member enrollment, unless CIGNA
Dental’s liability related to offering the program is altered by
any state or federal law or regulation. Membership will
automatically renew at the then current membership fee unless and
until the member provides written notice or calls the telophone number
on the ID card to indicate his or her desire to cancel membership.
1B. For Members who are billed through a group: Rates are
governed by the contract between CIGNA Dental and the group. If
rates are changed under the Group Contract, members rates will also change.
2. The CIGNAPlus Savings® program is NOT insurance and is not
protected by any state Life and Health Guaranty Association.
3. CIGNAPlus Savings® program is a discount dental program.
Members are responsible for paying all applicable fees and
charges directly to the dentist at the time of visit. Membership
in the program entitles members to discounts for certain dental
services offered by providers who have agreed to participate in
the discount program.
4. The CIGNAPlus Savings® program does not provide or guarantee
the provision of any dental care or service and CIGNA Dental
shall not be liable for the payment of any fees or charges for
dental care or services to members, participating providers or
otherwise. Members are responsible for any and all payments to
participating providers.
5. The amount of discount will vary among participating
providers and those procedures not included on the negotiated fee
schedule may not be subject to a discount.
6. The discounts available under the CIGNAPlus Savings® program
may not be used in conjunction with any other discount dental
program or insurance program.
7. In order to have access to the discounts available under
the CIGNAPlus Savings® program, participants must be enrolled in
and deemed an eligible member of the program at the time the
underlying dental service or product is actually received, and
must present the CIGNAPlus Savings® ID card to the dental office
prior to receiving treatment.
8. The CIGNAPlus Savings® program may not be available in all
states or locations and CIGNA reserves the right to cancel or discontinue
offering the program in its entirety or in specific states or
locations. For status on the available network please visit
www.cignaplussavings.com or call 1.877.521.0244. The program does
not, and may not by law in certain states, include discounts on
hospital services.
9. CIGNA Dental reserves the right to terminate a member’s
participation in the program immediately in the event the member
misuses the program ID card to provide unauthorized access to the
program or the member’s conduct is determined to be detrimental
to a participating provider office and/or staff.
10. This program has a 30-day cancellation policy. If, for any
reason, within the first 30 days of initial enrollment, a member
is not satisfied with the CIGNAPlus Savings® program, he/she may
cancel the membership by providing written notice or calling the telephone number on the ID
card and returning the ID cards to the address indicated on the
card. A full refund will be issued. There are no penalties or
cancellation fees.
11A. For Members who are billed individually: If a change to
the membership category from individual to family status or from
family to individual status is necessary, a cancellation of the
membership and reenroll for a new 12-month term is required.
11B. For Members who are billed through a group: If a change
to the membership category from individual to family status or
from family to individual status is necessary, a cancellation of
the membership and reenroll for the term of the existing group
contract is required.
12. The network of contracted providers participating in the
CIGNAPlus Savings® program is subject to change and members are
responsible for verifying that a specific provider is
participating in the program immediately prior to receiving each
and every service.
13. Although all participating providers go through a
credentialing process to assure that they are appropriately
licensed and qualified, CIGNA Dental does not otherwise guarantee
nor is it responsible for the quality of any services or products
purchased by members. Participating providers are independent
contractors and are not employees or agents of CIGNA Dental and
CIGNA Dental is not liable for any claims arising from or as a
result of any services provided by participating provider to
members.
14. CIGNA Dental may delegate responsibility to perform any of
its obligations to administrators as it deems necessary. CIGNA Dental
maintains responsibility for actions administrators perform on its behalf.
Any administrators are independent contractors and they shall not be
deemed for any purpose to be employees, partners or joint
ventures with CIGNA Dental.
15. Access to the Healthy Rewards® discount program, or other
similar programs which CIGNA Dental may offer access to from time
to time, is offered without charge and may be discontinued at any
time without notice. Healthy Rewards product and service
offerings are subject to change without notice and are not
available in all states. A discount program is NOT insurance and
the member must pay the entire discounted charge. The vendors who
participate in these programs are independent contractors and are
not employees or agents of CIGNA Dental and CIGNA Dental is not
responsible for any of the services or products offered by such
vendors.
16. CIGNA Dental has a process for resolving complaints
related to the CIGNAPlus Savings® program. Members can submit
complaints either by calling member services at 1.877.521.0244 or
by sending written correspondence to CIGNA Dental, 1571 Sawgrass Corporate Parkway,
suite 140, Sunrise, FL 33323-3099.
17. Binding arbitration shall be the exclusive remedy for the
settlement of disputes arising under this agreement.
Note: In Florida, arbitration is voluntary. The
arbitration proceeding shall be governed by the Rules of the
American Arbitration Association, then in effect and the decision
of the arbitrator shall be final, conclusive and binding. No
action at law or in equity may be instituted by either party,
other than to enforce the award of the arbitrator.
18. The provisions of the Welcome letter/ID Card, Enrollment Form,
and Product Brochure are hereby fully incorporated into and represent
a part of your Membership Agreement.
CIGNA Dental refers to the following operating
subsidiaries of CIGNA Corporation: Connecticut General Life
Insurance Company and CIGNA Dental Health, Inc.
Access to the Healthy Rewards discount
program is offered without charge and may be discontinued at any
time without notice. Healthy Rewards product and service offerings
are subject to change without notice and are not available in all
states.
CIGNA Dental, 1571 Sawgrass Corporate Parkway,
suite 140, Sunrise, FL 33323-3099. Telephone: 1.877.521.0244.
