Receiving Your Benefits

Benefit Overpayments

If an overpayment is made by the dental plan, the person or organization that received the benefit must repay the excess amount to the administrator.

Right of Recovery

If you or a covered dependent are injured by another person and receive payment for covered services from this plan and another plan, you must:

Immediately reimburse the administrator for any duplicate payments you receive, and

Agree that the administrator will have a lien, to the extent that duplicate benefits are provided. This lien may be filed with the person responsible for the injury, the person’s agent or a court having jurisdiction in the matter.

You are responsible for furnishing the information, assistance and/or documents to help the administrator obtain the rights under this provision. If you don’t reimburse the claims administrator, the claims administration may reduce your and your dependents future payments under the plan to recover the overpayment.

While this Summary Plan Description summarizes the major provisions of this plan, it does not provide you with every plan detail. The plan documents, which govern this plan, provide full details. If there are any discrepancies between this Summary Plan Description and the legal plan documents, the legal plan documents control.