ELECTRONIC DELIVERY OF DOCUMENTS TERMS AND CONDITIONS
Delta Dental strives to be a green enterprise. As part of Delta Dental’s green initiatives, we offer you the opportunity to have your
Dental contract-related documents made available to you electronically. If you choose to have your contract-related documents
made available to you electronically, the terms & conditions below apply.
1.
Communication Methods: All communications that we provide to you in electronic form will be provided either (1) by accessing
the Delta Dental or Delta Dental’s designated administrator website with your user name and password or (2) via email.
Documents sent to you through one of these two electronic methods will be considered delivered and received, unless there is
an indication that the email address provided is invalid. All written documents delivered to you electronically will be considered
“in writing.” You should print or download for your records a copy of all electronic communications, this electronic document
disclosure and any other document that is important to you.
2.
Types of Documents that Will Be Electronically Communicated: Documents available electronically include, but are not limited to:
your contract, the Evidence of Coverage (Certificate/EOC) for your enrollees and your notifications.
3.
How to Withdraw Consent: You may withdraw your consent to transact business electronically by contacting Delta Dental’s
designated administrator. We may treat your provision of an invalid email address or the subsequent malfunction of a previously
valid address as a withdrawal of your consent to receive electronic Communications. A withdrawal of your consent to transact
business electronically will be effective only after we have had a reasonable period of time to process your request.
4.
How to Update Your Records: It is your responsibility to provide us with true, accurate and complete email address, and to
maintain and update promptly any changes in this information. You can update your information by contacting Delta Dental’s
designated administrator.
5.
Hardware and Software Requirements: In order to access, view, sign and retain electronic documents that we make available to
you, you must:
• Have a device that will connect to the Internet, access to an email account and access to an internet browser.
• Access to Adobe products will not be required to electronically sign forms but may be necessary to view, download or
print documents.
• Be able to view the disclosures on your device.
• Have sufficient storage capacity on your computer’s hard drive or other data storage unit.
We will update you if there are any changes to the hardware or software requirements that could impact receiving or signing
electronic documents.
Applicant has reviewed the Electronic Delivery Terms and Conditions above and consents to have contract-rel
ated
documents provided electronically.
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