Dental Blue Cancellation Policy and Application

Policy Statement

You may be eligible to cancel the optional Dental Blue insurance if you meet one of the criteria below:

• No services were used for the term in which you are requesting to cancel.
  AND ONE OF THE FOLLOWING CONDITIONS ARE MET:
• The cancellation application is received within five days of submitting the enrollment application. Coverage will be canceled retroactively to the plan effective date for the term you are enrolled. The cost for the plan will be credited in full to the student’s account.
  OR
• The cancellation application is received by the enrollment deadline.
  • Enrollment Deadlines:
    Fall term: September 30
    Spring term (must meet criteria): February 29
• Coverage will be canceled retroactively to the start date of the term in which you are enrolled (i.e., 8/1 for the fall term or 2/1 for the spring term). The cost for the plan will be credited in full to the student’s account. If you are enrolled for the fall term (full-year plan), you are not eligible to cancel spring term only coverage. View the cancelation policy.
  OR
• The cancellation application is received within 45 days of gaining other dental coverage. Coverage will be canceled retroactively to the effective date of the other coverage so long as the cancellation application and documentation (proof of your new coverage) are received within 45 days of the start date (effective date) of your other dental coverage.
• Appropriate documentation to support the event is mandatory and must be submitted with your cancellation form.
  • You must provide a letter from the other employer or insurer indicating that you and/or enrolled dependents are enrolled or eligible for other dental coverage. The document must have the name(s) of those enrolled and the effective date of the coverage. The cost will be prorated to the date the coverage is canceled. You cannot re-enroll until the next open enrollment period or within 60 days of losing other dental insurance coverage.