Common use of Maintaining Your Privacy Clause in Contracts

Maintaining Your Privacy. Delta Dental has always respected and carefully preserved the privacy and confidentiality of Subscribers, Members, and their Dependents. As part of that protection, compliance with all state and federal laws regarding privacy of personal and health information is maintained. By receiving coverage pursuant to this dental plan, each Pediatric Enrollee, including a parent or guardian in the case of a minor Dependent, agrees that, except as restricted by applicable state and federal laws, Northeast Delta Dental may have access to all dental and health records, and medical data from Dentists, ODPs, and other health care providers for reasons of essential insurance functions; claims administration; claims adjustment and the management, detection, investigation, or reporting of actual or potential fraud; misrepresentation or criminal activity; underwriting; policy placement or issuance; loss control; ratemaking and guaranty fund functions; reinsurance and excess loss insurance; risk management; case management; disease management; quality assurance; or quality improvement; performance evaluation; provider credentialing verification; utilization review; peer review activities; actuarial, scientific, medical or public policy research; grievance procedures; internal administration of compliance, managerial, and information systems; policyholder service functions; auditing; reporting; database security; administration of consumer disputes and inquiries; external accreditation standards; the replacement of a group benefit plan or workers’ compensation policy or program; activities in connection with a sale, merger, transfer or exchange of all or part of a business or operating unit. For a copy of Delta Dental’s Notice of Privacy Practices which describes in detail our respective privacy practices, or if you have any questions about the privacy of your health information, please contact: Privacy Officer Northeast Delta Dental Xxx Xxxxx Xxxxx PO Box 2002 Concord, NH 03302-2002 1-800- 537-1715

Maintaining Your Privacy. Northeast Delta Dental has always respected and carefully preserved the privacy and confidentiality of Subscribers, Members, Subscribers and their Dependents. As part of that protection, compliance with all state and federal laws regarding privacy of personal and health information is maintained. By receiving coverage pursuant to this dental plan, each Pediatric EnrolleeEligible Person, including a parent or guardian in the case of a minor Dependent, agrees that, except as restricted by applicable state and federal laws, Northeast Delta Dental may have access to all dental and health records, and medical data from Dentists, ODPs, and other health care providers for reasons of essential insurance functions; : claims administration; , claims adjustment and the management, detection, investigation, or reporting of actual or potential fraud; , misrepresentation or criminal activity; , underwriting; , policy placement or issuance; , loss control; , ratemaking and guaranty fund functions; , reinsurance and excess loss insurance; . risk management; , case management; , disease management; , quality assurance; , or quality improvement; , performance evaluation; , provider credentialing verification; , utilization review; , peer review activities; , actuarial, scientific, medical or public policy research; , grievance procedures; , internal administration of compliance, managerial, and information systems; , policyholder service functions; , auditing; , reporting; , database security; , administration of consumer disputes and inquiries; , external accreditation standards; , the replacement of a group benefit plan or workers’ compensation policy or program; , activities in connection with a sale, merger, transfer or exchange of all or part of a business or operating unit. For a copy of Northeast Delta Dental’s Notice of Privacy Practices which describes in detail our respective privacy practices, please visit our website xxx.xxxxxxx.xxx. If you wish to have a copy mailed to you or if you have any questions about the privacy of your health information, please contact: Privacy Officer Northeast Delta Dental Xxx Xxxxx Xxxxx One Delta Drive PO Box 2002 Concord, NH 03302-2002 1(0-800- 537000) 000-17150000 Entire Agreement; Amendment: This DPD, together with the group contract application, Group Contract and the OOB constitute the entire contract of insurance. As referenced in this DPD, the provisions of this DPD are subject to the jurisdiction and requirements of the New Hampshire Insurance Department (NHID). Additionally, we reserve the right to implement changes in American Dental Association (ADA) dental terminology and CDT codes and Delta Dental internal processing policies which do not materially affect the provisions of this DPD. Any material modification in this DPD shall be valid only if approved by NHID and an executive officer of Northeast Delta Dental and evidenced by a written, signed amendment hereof or endorsement hereto. Any such amendment or endorsement will be provided to you at least sixty (60) days in advance of its effective date. No broker or agent has authority to change this document or waive any of its provisions. Governing Law: This contract of insurance is governed by and shall be construed according to the laws of the state of New Hampshire and its regulations. This dental plan is under the jurisdiction of the New Hampshire Insurance Commissioner. Nonwaiver of Rights: Severability: Failure of Delta Dental to exercise any right or remedy under this document in any instance will not affect its right to exercise that right or remedy in any future instance. Any condition, limitation, exclusion or other provision of this document which is found to be illegal or unenforceable for any reason will not affect the remaining provisions of this DPD. Contestability: After two (2) years from the date of issue of this contract of insurance, no misstatements made in the contract application for this dental benefits plan shall be used to void the Agreement or to deny a claim (as defined in this document) commencing after the expiration of such two (2) year period.

Maintaining Your Privacy. Delta Dental has always respected and carefully preserved the privacy and confidentiality of Subscribers, Members, Subscribers and their Dependents. As part of that protection, Delta Dental is in compliance with all state and federal laws regarding privacy of personal and health information is maintained. SAMPLE By receiving coverage pursuant to this dental plan, each Pediatric Enrollee, including a parent or guardian in the case of a minor Dependent, agrees that, except as restricted by applicable state and federal laws, Northeast Delta Dental may have access to all dental and health records, and medical data from Dentists, ODPs, and other health care providers for reasons of essential insurance functions; claims administration; claims adjustment and the management, detection, investigation, or reporting of actual or potential fraud; misrepresentation or criminal activity; underwriting; policy placement or issuance; loss control; ratemaking and guaranty fund functions; reinsurance and excess loss insurance; risk management; case management; disease management; quality assurance; or quality improvement; performance evaluation; provider credentialing verification; utilization review; peer review activities; actuarial, scientific, medical or public policy research; grievance procedures; internal administration of compliance, managerial, and information systems; policyholder service functions; auditing; reporting; database security; administration of consumer disputes and inquiries; external accreditation standards; the replacement of a group benefit plan or workers’ compensation policy or program; activities in connection with a sale, merger, transfer or exchange of all or part of a business or operating unit. For a copy of Delta Dental’s Notice of Privacy Practices which describes in detail our respective privacy practicesPractices, please visit xxx.xxxxxxx.xxx. If you wish to have a copy mailed to you or if you have any questions about the privacy of your personal or health information, please contact: Privacy Officer Northeast Delta Dental Xxx Xxxxx Xxxxx PO Box 2002 Concord, NH 03302-2002 1000- 000-800- 537-17150000

Maintaining Your Privacy. Delta Dental has always respected and carefully preserved the privacy and confidentiality of Subscribers, Members, Subscribers and their Dependents. As part of that protection, Delta Dental is in compliance with all state and federal laws regarding privacy of personal and health information is maintained. By receiving coverage pursuant to this dental plan, each Pediatric Enrollee, including a parent or guardian in the case of a minor Dependent, agrees that, except as restricted by applicable state and federal laws, Northeast Delta Dental may have access to all dental and health records, and medical data from Dentists, ODPs, and other health care providers for reasons of essential insurance functions; claims administration; claims adjustment and the management, detection, investigation, or reporting of actual or potential fraud; misrepresentation or criminal activity; underwriting; policy placement or issuance; loss control; ratemaking and guaranty fund functions; reinsurance and excess loss insurance; risk management; case management; disease management; quality assurance; or quality improvement; performance evaluation; provider credentialing verification; utilization review; peer review activities; actuarial, scientific, medical or public policy research; grievance procedures; internal administration of compliance, managerial, and information systems; policyholder service functions; auditing; reporting; database security; administration of consumer disputes and inquiries; external accreditation standards; the replacement of a group benefit plan or workers’ compensation policy or program; activities in connection with a sale, merger, transfer or exchange of all or part of a business or operating unit. For a copy of Delta Dental’s Notice of Privacy Practices which describes in detail Practices, please visit our respective privacy practices, website xxx.xxxxxxx.xxx. If you wish to have a copy mailed to you or if you have any questions about the privacy of your personal or health information, please contact: Privacy Officer Northeast Delta Dental Xxx Xxxxx Xxxxx PO Box 2002 Concord, NH 03302-2002 1000-800- 537000-17150000 Entire Agreement; Amendment.