Voluntary Dental Plan for Students, Terms and Conditions

2020-2021 Plan Year

Student Agreement To Terms and Conditions Subject to Applicable Student Code of Conduct

I accept the Delta Dental Student Plan designed for GU students and understand:

  • I am responsible for the annual fee and it will be included on my student account
  • Exclusions and limitations and cost sharing applies
  • That partial refunds are not granted nor cancellations after Open Enrollment
  • Plan documents are subject to Department of Insurance Approval and may change as required by law
  • I am responsible for dental care costs rendered including those not covered as described in the Delta Dental Plan documents
  • I must accept and may add dependents within the applicable Open Enrollment period
  • I must include all eligible family members if signing up for dependent membership
  • A $60/member GU administrative fee is included in the rates
  • Delta Dental will provide an online account for me to to receive and manage my account and will send notifications to my email address on file in the Registrar’s Office
  • Delta Dental will provide hard copy notices to me upon withdrawing consent with them to transact business electronically
  • The submission of an application for the Voluntary Dental Plan for students indicates agreement to these Terms and Conditions for the 20-21 Plan.