Common use of Submission of Formal Grievances Clause in Contracts

Submission of Formal Grievances. Any Member who has a grievance against Company for any matter arising out of a Subscriber Certificate or for covered Dental Care Services rendered thereunder may submit a formal written statement of the grievance to Company. Such written statement shall be specifically identified as a grievance, shall be submitted to Company within one (1) year from occurrence of the events upon which the grievance is based, and shall contain a statement of the action requested, the Member’s name, address, telephone number, Member number, signature and the date. The statement should be sent to the Company’s Grievance Coordinator at Company’s address as listed on the face page of this Certificate. More information on and assistance with Company’s grievance procedures may be obtained by calling Company’s Member Services Department at Company’s telephone number as listed on the face page of this Certificate.