THIS IS A LIMITED BENEFIT CONTRACT – READ CAREFULLYIndividual Dental Contract • September 20th, 2023
Contract Type FiledSeptember 20th, 2023This Contract is guaranteed renewable at the Subscriber’s option, provided premiums are paid in accordance with the Contract requirements and the Subscriber does not violate any of the provisions of the coverage under this Contract.
THIS IS A LIMITED BENEFIT CONTRACT – READ CAREFULLYIndividual Dental Contract • September 9th, 2022
Contract Type FiledSeptember 9th, 2022This Contract is guaranteed renewable at the Subscriber’s option, provided premiums are paid in accordance with the Contract requirements and the Subscriber does not violate any of the provisions of the coverage under this Contract.
LIMITED BENEFIT CONTRACTIndividual Dental Contract • September 27th, 2021
Contract Type FiledSeptember 27th, 2021It is my pleasure to welcome you to your new plan. If you are renewing your plan, welcome back! We are honored you chose the Cross and Shield for your health insurance needs. Please read this booklet for important information about your plan and how it works. If you have questions, we are here to help. Simply call the number on your ID card and we’ll do our best to assist you.
LIMITED BENEFIT CONTRACTIndividual Dental Contract • August 13th, 2020
Contract Type FiledAugust 13th, 2020An individual requesting special enrollment under this section because of loss of other minimal coverage must request enrollment under this Contract within sixty (60) days after the other coverage ends (or after the employer stops contributing toward the other coverage). If such enrollment is received by a Blue Cross and Blue Shield of Louisiana office within sixty (60) days after loss of other coverage, coverage will become effective on the date other coverage is lost. The request will be denied and coverage will not be available if Blue Cross and Blue Shield of Louisiana does not receive the request for enrollment form within sixty (60) days after the loss of other coverage.
LIMITED BENEFIT CONTRACTIndividual Dental Contract • October 14th, 2019
Contract Type FiledOctober 14th, 2019Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association and is incorporated as Louisiana Health Service & Indemnity Company.
Individual Blue DentalIndividual Dental Contract • October 7th, 2015 • Louisiana
Contract Type FiledOctober 7th, 2015 JurisdictionBlue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association and is incorporated as Louisiana Health Service & Indemnity Company.