Santa Fe County Benefit Handbook Delta Dental Dental 20250101

Description

Delta Dental Plan of New Mexico, Inc. Dental Benefit Handbook Delta Dental Plan of New Mexico, Inc. (ASO No TMD-2024) i|P a g e Dental Benefit Handbook Delta Dental Plan of New Mexico, Inc. This Dental Benefit Handbook and the Summary of Benefits (collectively “Plan”), describe important provisions for your dental Plan that is administered by Delta Dental Plan of New Mexico, Inc. (“Delta Dental”, “Delta Dental of New Mexico”, or “DDNM”). Benefits under the Plan are provided by your Group for the exclusive Benefit of eligible persons and their qualified dependents. The Group established this Plan as a selffunded dental Plan to provide dental coverage and reserves the right to change or amend any or all provisions of the Plan and to terminate the Plan at any time. Any modification of the Plan will apply to all persons who are enrolled by this Plan at the time of such change. Delta Dental of New Mexico has been selected by the Group to process claims under the Plan. Delta Dental of New Mexico does not serve as an insurer, but as a claims processor. Claims for benefits are sent to Delta Dental of New Mexico for Benefit determinations and payment. DDNM also supports enrollment and administers local customer service and the Delta Dental Provider Network(s) selected by the Group. Delta Dental of New Mexico has a contractual agreement to provide claims and other administrative services on behalf of the Group, but the Group, not DDNM, has sole responsibility for providing dental coverage under the Plan. This Dental Benefit Handbook, along with the Summary of Benefits, describes important Plan provisions. To the extent that anything set forth in this Dental Benefit Handbook conflicts with the Summary of Benefits, please know that the Summary of Benefits will control. Any modification to this Plan will apply to all Enrolled Persons covered by the Plan at the time of such changes. For answers to questions about Benefits, contact Delta Dental of New Mexico: Delta Dental of New Mexico Attn: Customer Service Department One Sun Avenue NE, Suite 400 Albuquerque, NM 87109 toll-free (877) 395-9420 or (505) 855-7111 customerservice@deltadentalnm.com Your dental health is an important part of your overall wellness! This Plan is designed to promote regular dental visits. Take advantage of your Benefits by calling a Delta Dental Provider today for an appointment. Delta Dental Plan of New Mexico, Inc. (ASO No TMD-2024) ii | P a g e Table of Contents I.