Denplan Extensive Handbook 11-10

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    Denplan ExtensivePolicy Handbook

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    02

    Contents

    03Welcome to Denplan

    03How to contact us

    04What does Denplan Extensive cover me or

    05What we do or you

    06The claiming process

    07-15Policy Terms and Conditions

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    03For urther inormation visitwww.denplan.co.uk/employees

    Welcome to DenplanThank you or choosing a dental plan arranged by Denplan. In this handbook youll nd

    everything you need to know about your dental plan, how to claim and what services you

    have access to. And i you would like to speak with one o our advisors you can call them on

    one o the numbers shown below they will be happy to answer any questions you may have.

    How to contact us:

    24-Hour Worldwide Dental Emergency

    Helpline

    I in the UK call:0800 7315 052

    I outside the UK call:

    +44 (0)1962 844571

    Lines are open rom 8.00am to 5.30pm on Monday to Thursday and 8.00am to 4.30pm on

    Friday Denplan may record and/or monitor calls. Mobile phone charges may apply.

    For all general enquiries, including

    help with fnding a dentist

    Call:0800 838 951

    Email:

    [email protected]

    Web:

    www.denplan.co.uk

    or the Find a Dentist service

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    04

    What does Denplan Extensive cover me or?Denplan promote and encourage preventive dentistry. The dental plans we arrange could help

    keep you dentally t which in turn may help keep you in good overall health. Your dental

    plan includes:

    Routine treatments reimbursement towards your regular dental treatments such as

    check-ups, hygiene appointments and x-rays. You have cover or up to 300 per policy

    year towards these treatments

    Restorative dental treatments covers you or reimbursement towards more costly

    treatments such as llings, crowns, bridges or dentures. You can claim back 80% o the

    cost or eligible restorative treatments, up to 400 per policy year

    NHS treatment i youre having NHS treatment this dental plan covers you or 100%

    reimbursement o all NHS dental charges. The NHS charges or treatments varies

    depending on where you live within the UK - see page 8 or details

    Worldwide dental injury and dental emergency cover your dental plan includes up to

    10,800 cover or eligible dental injuries and dental emergencies, both in the

    UK and abroad

    Mouth cancer cover your dental plan will cover you or up to 12,000 per policy year

    (cover not immediate)

    How does it work?

    When you go to the dentist or a check-up (50*), hygienist visit (50*) and have a lling

    (80*) you will get 164 reimbursement (providing you meet the terms o the dental plan).

    *Source: Denplan Insurance Benets Survey 2010. 434 responses rom member dentists.

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    05For urther inormation visitwww.denplan.co.uk/employees

    What we do or youWe take care o you rom the moment you join Denplan and throughout your time with us.

    Finding a dentist

    You can go to any dentist whether private, NHS or Denplan but i you would like help nding one

    you can take advantage o our Find a Dentist service. You can choose rom one o approximately

    6,500 Denplan member dentists in the UK either online or by calling us on 0800 838 951*.

    The Denplan website lists the services oered by each dentist and includes those with various

    specialisms.

    24-Hour Worldwide Dental Emergency Helpline

    What to do in the event o a dental emergency in the UKI you need help urgently in the event o a dental emergency you can ring the helpline on

    0800 7315 052* and speak with an advisor. They will be able to give you advice and can help

    you nd a dentist (i you cannot see your own) to provide the necessary treatment. You can claim

    up to 200 per incident or temporary emergency dental treatment; please reer to page 7

    or ull details.

    What to do in the event o a dental emergency abroad

    I you need help urgently in the event o a dental emergency and you are abroad you can ring the

    Denplan helpline on +44 (0)1962 844 571* and speak with an advisor. They will be able to give

    you advice about how to nd a dentist to provide the necessary dental treatment. You can claim

    up to 400 per incident or temporary emergency dental treatment; please reer to page 7

    or ull details.

    *Lines are open 24 hours all year round calls may be recorded and/or monitored. Mobile phone charges may apply.

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    06

    The claiming process

    1. Once treatment has been completed pay the dentist and obtain an itemised receipt toensure prompt reimbursement.

    2. Fill in the claim orm, which was included in your welcome letter or downloaded rom our

    website www.denplan.co.uk/employees as an editable PDF. Or you can call us on

    0800 838 951* and we can send you one.

    3. Once the claim orm is completed, attach the itemised receipt as well as proo o payment

    and send it to Denplan Corporate, Denplan Court, Victoria Road, Winchester SO23 7RG.

    Provide us with as much inormation as possible about your claim to help prevent delays

    to your payment which is usually sent within ve working days. I we require urther

    inormation to assess your claim, such as your dental records, we will contact you.

    *Lines are open rom 8.00am to 5.30pm on Monday to Thursday and 8.00am to 4.30pm on Friday calls may be recorded and/

    or monitored. Mobile phone charges may apply.

    Things to remember when making your claim

    1. Check your dental plan start date as treatment prescribed beore the original plan

    start date will not be reimbursed.

    2. Please ll in one claim orm per person.

    3. Make sure the policyholder/patient signs the claim orm.

    4. Attach a ully itemised receipt showing proo o payment and treatment breakdown,

    including the type o treatment and the date o treatment.

    5. I you have received NHS treatment, make sure it is clearly stated on the receipt.

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    07For urther inormation visitwww.denplan.co.uk/employees

    BeneftsDenplan

    Extensive

    For ull

    details

    100% reimbursement

    For NHS treatment. Section 4.

    (page 11)

    Routine examinationsUp to 100

    per policy year

    Section 4.g

    (page 11)

    Hygiene treatmentsUp to 120

    per policy year

    Section 4.g

    (page 11)

    Dental x-raysUp to 80

    per policy year

    Section 4.g

    (page 11)

    Restorative treatments

    80% o the cost

    up to 400

    per policy year

    Section 4.h

    (page 11)

    Worldwide dental injuryCover or up to 2,500 o treatment per dental injury or up to our

    incidents per policy year.

    Section 4.a

    (page 9)

    Worldwide emergency dental treatment

    In the UK: up to 200 o treatment per incident or up to our

    incidents per policy year.

    Outside the UK: up to 400 o treatment per incident or up to two

    incidents per policy year.

    There is an overall maximum o 800 per policy year or this benet.

    Section 4.b

    (page 9)

    Dentist call-out ees

    Up to 100 per incident or up to two incidents per policy year.

    Section 4.c(page 10)

    Hospital cash beneft

    50 or each night you stay overnight in hospital, up to 1,000

    per policy year, or dental treatment under the care o a consultant

    specialising in dental or maxilloacial surgery in relation to a head or

    neck condition.

    Section 4.d

    (page 10)

    Mouth cancer cover

    Up to 12,000 towards one course o treatment or up to 18 months

    ollowing diagnosis (smokers are included).

    Section 4.e

    (page 10)

    24-Hour Worldwide Dental Emergency Helpline

    Policy Terms and ConditionsThis document constitutes the ull terms and conditions oyour dental policy, which is or the policy term.

    1. Beneft table

    Please reer to the benet table below to see the benets oyour policy - the reerenced section

    o the terms and conditions contains a ull description o the benets, exclusions and restrictions

    which relate to your policy.

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    08

    2. Defnitions

    The words, which appear in this policy in bold, have specic meanings, which are explained below:

    appropriate mouth protection - a sports mouthguard.

    commencement date - the cover start date as shown in your welcome letter or other notices issued by

    Denplan Limited.

    contact sport - rugby, lacrosse, hockey, boxing, wrestling, ice hockey and any sport where it is common

    practice to wear mouth protection.country o residence - the country in which you are resident on a limited or unlimited secondment in

    agreement with your employer.

    dental call-out - the necessity or a dentist in the UK to re-open the practice between the hours o 6.00pm

    and 8.00am on weekdays or weekend and bank holidays or outside the UK, outside the practices normal

    working hours.

    dental implant - a titanium root-shaped xture designed to integrate with the bone, to replace the root o a

    tooth and support the replacement teeth.

    dental injury - an injury to the teeth or supporting structures (including damage to dentures whilst being

    worn) which is directly caused suddenly and unexpectedly by means o a direct external impact.

    dental specialist - a specialist dental practitioner accredited by the General Dental Council (GDC) in the UK

    practising in one o the recognised dental specialist areas contained within The Specialist List held by the

    GDC at www.gdc-uk.org

    dentist - in the UK, a dental surgeon who is currently registered with the General Dental Council (GDC)

    together with any other regulatory authority. I the dentist is outside the UK, a dental surgeon who is currently

    registered with the appropriate national regulatory authority.

    mouth cancer - a malignant tumour, with its primary site being in the hard and sot palate, gland tissue

    (including accessory, salivary, lymph and other gland tissue) in the mucosal lining o the oral cavity but

    excluding the tonsils, which is characterised by the uncontrolled growth and spread o malignant cells and

    the invasion o tissue. This excludes non-invasive cancer in situ and HIV related tumours.

    NHS price bandings - the prevailing charging structure or NHS treatment carried out in England, Wales,

    Scotland, Northern Ireland and the Isle o Man. At the time o printing, the charge structure in England, Wales

    and the Isle o Man was based on three price bandings (details can be ound at www.nhs.uk). In Scotland

    and Northern Ireland, a schedule o treatment charges apply (see www.scotland.gov.uk/dentistry or Scotland

    and www.centralservicesagency.com/display/dentala or Northern Ireland)

    permanent treatment - denitive treatment that is clinically necessary to secure and maintain oral health.

    policy term - the twelve month period immediately ollowing the commencement date or, i shorter, the period

    o time between the commencement date and the renewal date. In the case o a renewed policy the twelve

    month period immediately ollowing the renewal date. This may also reer to a non twelve month period as

    agreed by your employer and conrmed in your joining details.

    premium - the money due to us with regard to the provision o this policy.

    restorative dental treatment clinically necessary dental treatment required to maintain the oral health o a

    patient in the opinion oyourdentist. This may include treatment such as llings, crowns, bridges and dentures.

    specialist dental treatment - dental treatment carried out by a dental specialist, within their specialist area.

    temporary emergency dental treatment - temporary dental treatment provided at the initial emergency

    appointment urgently required or the relie o severe pain, arrest o haemorrhage, the control o acute

    inection or a condition which causes a severe threat to your general health. For the avoidance o doubt any

    subsequent treatment required ater the initial emergency appointment is specically excluded.

    United Kingdom (UK) - England, Wales, Scotland, Northern Ireland, Isle o Man and the Channel Islands.

    we, us, our - AXA PPP healthcare Limited.you, your - a person who has been accepted or cover under this policy.

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    What is covered What is not covered

    The cost otemporary emergency dental treatment

    carried out by a dentist within the UK and overseas,

    up to the limits stated in the benet table

    Dental prescription charges are included

    Reimbursement o costs to the emergency helpline

    are covered, i calling rom overseas

    General exclusions (see section 5)

    Any subsequent treatment required ater the

    initial appointment (however, you may have

    cover under section 4.h Worldwide restorative

    dental treatment)

    Permanent treatment (however, you may have

    cover under section 4.h Worldwide restorative

    dental treatment)

    3. Eligibility

    You can only be covered under the terms and conditions o this policy, rom the commencement date, iyou:

    a. pay your premium direct to Denplan and are resident in the UK or at least 180 days during the policy term; or

    b. are entitled to enter the scheme in accordance with the eligibility rules dened by your employer; or

    c. are related to an eligible employee who is also covered on the corporate scheme.

    Your insurance cover under this policy will end at the earliest o the ollowing:

    d. the expiry o the policy term; or

    e. when you are no longer eligible to remain in the scheme according to the eligibility rules dened by youremployer; or

    . in the case o a company unded scheme, the last day o the month in which your employment ceases,

    unless we have agreed otherwise with your employer.

    4. Schedule o benefts

    a. Worldwide dental injury

    09For urther inormation visitwww.denplan.co.uk/employees

    What is covered What is not covered

    The costs o dental treatment received by you

    carried out by a dentist in connection with a dental

    injury which happens ater the commencement

    date, up to the limits stated in the benet table

    Dental prescription charges are included

    Idental implants are clinically required, benets

    will be paid under the Implant Upgrade cover.

    Iyour policy does not include the Implant Upgrade

    cover, we will pay up to 1,000 towards the cost o

    the equivalent bridgework treatment

    General exclusions (see section 5)

    You are only covered or treatments in connection

    with dental injuries that commence within a period

    o 6 months o the date o the original incident

    and/or notication o an intention to claim, and

    while your policy is in orce.

    You are only covered or treatment received within

    24 months o the date o the injury.

    Dental injury caused in the consumption o ood

    (including oreign bodies contained within the ood).

    Dental injury caused whilst training or orparticipating in contact sports (including training)

    unless appropriate mouth protection is worn.

    Note: Iyour treatment under this benet spans a renewal period, we will treat the claim as a continuing

    claim and we will continue to cover your treatment ater the renewal date, with benets subject to the policy

    limits o the policy term in which the incident took place.

    b. Worldwide emergency dental treatment

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    c. Dentist call-out ees

    What is covered What is not covered

    The cost odental call-outs in the event o a dental

    injury or dental emergency up to the limits stated in

    the benet table

    General exclusions (see section 5)

    d. Hospital cash beneft

    What is covered What is not covered

    You can claim hospital cash payments as described

    in the benet table iyou are admitted overnight

    as an in-patient to a licensed medical or surgical

    hospital or dental treatment under the care o a

    consultant specialising in dental or maxilloacial

    surgery in relation to a dental condition

    General exclusions (see section 5)

    e. Mouth cancer cover

    What is covered What is not covered

    Treatment charges up to the limits stated in the

    benet table or treatment omouth cancer

    General exclusions (see section 5)

    Mouth cancer diagnosed beore or within 90 days

    o when you were rst provided with mouth cancer

    cover by us or or which tests or consultation beganwithin those 90 days, even i the diagnosis is not

    made until later.

    You are only covered or treatment received within

    18 calendar months o the date o diagnosis.

    You are only covered or one course o treatment

    in connection with a specic occurrence omouth

    cancer. No urther benets are payable in the event

    o a re-occurrence o this same cancer, either at the

    same site or at a dierent location.

    You are only covered or treatment given by aconsultant who is recognised as a specialist in

    cancer treatment by the NHS or the States o

    Guernsey and Jersey or your country o residence or

    treatment provided by another medical practitioner

    under reerral rom a consultant.

    Charges or consultations or tests or noninvasive

    tumours under the mouth cancer cover benet, or

    tests that dont result in a diagnosis omouth cancer.

    Mouth cancer which is related in any way to HIV

    inection or AIDS.

    Mouth cancer resulting rom the chewing o tobacco

    products or betel nut, or rom prolonged alcohol abuse.

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    11For urther inormation visitwww.denplan.co.uk/employees

    . NHS treatment

    What is covered What is not covered

    100% reimbursement or treatment carried out

    under the NHS price bandings (see denitions or

    urther details)

    General exclusions (see section 5)

    Note: You must supply a clear, itemised NHS receipt to claim reimbursement under the NHS benet. In the event

    that we are unable to establish you have received NHS treatment, we will assess your claim as private treatment,

    under benets 4.g (Worldwide routine dental treatment) and 4.h (Worldwide restorative dental treatment).

    g. Worldwide routine dental treatment

    What is covered What is not covered

    Clinically necessary routine dental examinations,

    hygiene treatments and dental x-rays carried out bya private dentist, up to the maximum limits stated

    in the benet table

    General exclusions (see section 5)

    h. Worldwide restorative dental treatment

    What is covered What is not covered

    Clinically necessary restorative dental treatment

    and specialist dental treatment carried out by a

    private dentist to maintain your oral health

    These treatments include, but are not limited to;

    llings, crowns, bridges, dentures, impressions,

    extractions, root canal treatment, periodontal

    treatment, orthodontic treatment (grades 4 5 on

    the IOTN scale), mouthguards or teeth grinding

    The overall maximum reimbursement level or this

    benet is stated in the benet table or your chosen

    level o cover

    General exclusions (see section 5)

    Mouthguards or the purposes o sporting activities

    Orthodontic treatment that is not clinically

    necessary (grades 1 3 on the IOTN scale)

    Dental implants, and all costs associated with the

    preparation and tting o such a device (although

    you may have cover under section 4.a Dental

    injury iyou require dental implants as the result o

    a dental injury)

    For inormation on the Index o Orthodontic Treatment Need (IOTN) scale, see www.bos.org.uk

    or contact Denplan.

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    5. General exclusions

    This policy does not provide cover or:

    a. Any treatment not deemed to be clinically necessary.

    b. Any dental treatment which was prescribed, planned, diagnosed as necessary or is currently taking place

    at the commencement date.

    c. Damage caused by toothbrushing or other oral hygiene procedures.

    d. Loss o, or damage to dentures, other than whilst in the mouth.

    e. Reimbursement or travelling expenses, incidental expenses or telephone calls (unless to the emergency

    helpline rom overseas).

    . Treatment, care or repair to teeth, gums, mouth or tongue in connection with mouth jewellery.

    g. Dental consumables, such as toothbrushes, mouthwash and dental foss.

    h. Dental procedures carried out by a hospital, or example, wisdom teeth extractions.

    In addition, no benet will be payable under section 4 as a result or consequence o any o the ollowing:

    i. Sel-inficted dental injury.

    j. Dental injury caused by laparoscopic procedures.

    6. Claims general

    When determining claims Denplan act on behal o the underwriter, AXA PPP healthcare Limited. Denplan

    have the delegated authority to do so, and in this instance are not acting as your intermediary, but as the

    agent o AXA PPP healthcare Limited.

    a. (i) Your claim must be notied to Denplan by you ully completing and signing the ocial claim orm.

    Incomplete claim orms will be returned and may cause a delay in your claim being assessed. In

    any event claim orms must be completed at your own expense and should be received by Denplanwithin 60 days o receiving your dental treatment, i reasonably possible.

    (ii) Your claim must be supported by proo o treatment detailing the dates and costs o each individual

    treatment. The proo must be a ully itemised receipt or an ocial document issued by the treating

    practice in English, i reasonably possible. Where a receipt or an ocial document is unobtainable

    the treating dental surgery must sign and stamp the completed claim orm.

    (iii) Please note it may be necessary to provide relevant x-rays and/or your dental records in support

    o a claim.

    b. No benet will be payable i Denplan have not received proo o all acts relevant to your claim. This

    shall include but not be limited to:

    (i) proo oyour eligibility or cover on the date o treatment;

    (ii) proo o the dental treatment, including the type o treatment received and date o treatment. This

    may be by way o a medical report (at your own expense);

    (iii) proo o payment or the dental treatment being claimed or;

    (iv) or claims under the worldwide dental injury benet, details pertaining to the circumstances o the

    injury you have experienced.

    c. In all cases we reserve the right to recover any incurred costs as a result o a third partys involvement.

    In addition iyou have another dental insurance policy we reserve the right to pay an appropriate

    apportionment o the claim.

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    13For urther inormation visitwww.denplan.co.uk/employees

    d. Claims settlement will be made payable to the policyholder, or any other third party as specied by the

    policyholder on the claim orm. All cheque settlements must be sent to a UK address, and all direct

    credit settlements must be paid into a UK clearing bank account.

    e. I the treatment is received abroad then we will pay benets in pounds sterling. This means we will need

    to convert the expenditure into sterling using FXConverter at www.oanda.com. The exchange rate will be

    calculated at the rate in orce at the date o the receipt, and will be the basis o the settlement.

    . There may be instances where we are uncertain about the eligibility o a claim. I this is the case we

    may at our own cost ask a dentist or other medical specialist, chosen by us, to advise us about themedical acts relating to a claim or to examine you in connection with the claim. In choosing a relevant

    dentist or specialist we will take into account your personal circumstances.You must co-operate with

    any dentist or specialist chosen by us or we will not pay your claim.

    g. Any benets we pay or dental treatment to which you or any oyour eligible dependants are not strictly

    entitled shall count towards your annual maximum benets available under the policy, but we shall not,

    by making any such payment, be liable to pay any uture benets in respect o such dental treatment.

    7. Cooling o period and cancellation rights

    The Financial Services Authority rules allow certain policyholders to cancel their policy and have their

    premium returned. I the policyholder exercises their right to cancel within the 14 day cooling o period we

    will then return any premium paid or the policy. The 14 day cooling o period commences on the day that

    the contract is concluded or the day that ull policy terms and conditions are received, whichever is the later.

    However, i the policyholder does not cancel the policy during the cancellation period the policy will continue

    on the terms described in this document. The 14 day cooling o period will also apply rom each renewal

    date o the policy. The cooling o period will only apply to you iyou are:

    a. paying premiums directly to Denplan;

    b. an unincorporated business (a sole trader or a partnership which is not a Limited Liability Partnership)

    and are purchasing the cover or yoursel as well as your employees.

    Should you wish to cancel your policy with us and the cooling o period applies, you can do so by inorming

    Denplan directly via telephone, or sending a letter, ax or email.

    Cancellation rights

    Should you cancel your policy at any time other than the cooling o period or the end o the policy term,

    we reserve the right to reuse reinstatement oyour policy. Should you request to reinstate your

    policy ollowing such a cancellation, we will not reinstate your policy or a period o one calendar

    year ollowing the cancellation.

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    8. General

    a. This contract between you and us is made up o these terms and conditions, your schedule o cover and

    any endorsement provided by us in your welcome or renewal letter.

    b. Non payment opremium will result in us suspending your benets, and taking all necessary action to

    recover monies outstanding.

    c. You and we are ree to choose the law that applies to this policy. In the absence o an agreement to the

    contrary, the law o England and Wales will apply.

    d. The policy is written in English and all other inormation and communications to you relating to the policy

    will also be in English.

    e. All policyholders must provide an up-to-date mailing address.

    . Iyou pay yourpremium directly to Denplan, Denplan will write to you prior to the end o any policy term

    to let you know that we wish to renew your policy and on what terms. I Denplan do not hear rom you

    in response, then we may at our option assume that you wish to renew your current policy on those

    new terms. Where you have opted to pay the premium by Direct Debit, Denplan may continue to collect

    premiums by such method or the new policy term. Please note that i Denplan do not receive your

    premium, this may aect your cover. We reserve the right to reuse renewal o the policy.

    g. Iyou (or anyone acting on your behal) make a claim under your policy or obtain cover knowing it to be

    alse or raudulent, we can reuse to make benet payments or that claim and may declare the policy

    void, as i it never existed. Iwe have already paid benet we can recover those rom you. Where we

    have paid a claim later ound to be raudulent, (whether in whole, or in part), we will be able to recover

    those sums rom you and/or take the appropriate legal action against you.

    How is my personal data protected?

    Please ensure that you show the ollowing inormation to others covered under your policy, or make them aware

    o its contents. Denplan will deal with all personal inormation supplied in the strictest condence as required

    by the Data Protection Act 1998. Denplan may send personal and sensitive personal inormation in condence

    or processing by other companies and intermediaries and to AXA PPP healthcare as the underwriter o thispolicy. Denplan will extend the same duty o condentiality to any third parties to whom it may subcontract the

    administration oyour policy, including those based outside the European Economic Area.

    Denplan will hold and use inormation about you and any amily members covered by your policy, supplied by

    you, any amily members and your employer (i applicable) to provide the services set out under the terms o

    this policy, administer your policy and develop customer relationships and services. In certain circumstances

    Denplan may ask medical service providers (or others) to supply Denplan with urther inormation. When

    you give Denplan inormation about amily members Denplan will take this as conrmation that you have

    their consent to do so. As the policyholder is acting on behal o any amily member covered by this

    policy, Denplan will send all correspondence about the policy, including any claims correspondence, to the

    policyholder unless advised to do otherwise.

    Denplan are required by law, in certain circumstances, to disclose inormation to law enorcement agencies

    about suspicions o raudulent claims and other crime. Denplan will disclose inormation to third parties

    including other insurers or the purposes o prevention or investigation o crime including reasonable

    suspicion about raud or otherwise improper claims.

    Iyou have agreed, Denplan may use the inormation you have provided to Denplan to contact you by post,

    telephone or electronically with details o other products and services. With your agreement Denplan may

    also share some oyour details with other AXA Group companies and other careully selected companies

    based in the European Economic Area to enable them to contact you about their products and services.

    Iyou change your mind please contact Denplan on 0800 838 951 otherwise Denplan will assume that, or

    the time being, you are happy to be contacted in this way.

    14

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    15For urther inormation visitwww.denplan.co.uk/employees

    What regulatory protection do I have?

    Denplan Limited is an appointed representative o AXA PPP healthcare Limited, which is authorised and

    regulated by the Financial Services Authority (FSA). The FSA was established by government to provide a

    single statutory regulator or nancial services. The FSA is committed to securing the appropriate degree o

    protection or consumers and promoting public understanding o the nancial system. The FSA have set out

    rules which regulate the sale and administration o general insurance which AXA PPP healthcare and Denplan

    must ollow when dealing with you. AXA PPP healthcares registration number is 202947. This inormation

    can be accessed by visiting the FSA register which is on their website: www.sa.gov.uk/register or by

    contacting the FSA on 0845 606 1234.

    In the unlikely event that AXA PPP healthcare becomes insolvent and is unable to pay the benets under your

    group scheme, you may be entitled to claim compensation rom the Financial Services Compensation Scheme

    (the FSCS).You will need to meet specic FSCS criteria depending on your particular circumstances. Further

    inormation about the operation o the scheme is available on the FSCS website: www.scs.org.uk. To nd out

    whether you would be eligible to claim under the scheme you should contact the FSCS (0207 892 7300).

    How to complain

    It is always the intention o AXA PPP healthcare and Denplan to provide a rst class standard o service.

    However, should you have reason to complain you can do so in the ollowing way:

    a. In the rst instance, you should document your complaint and send it to Denplan at:

    Corporate Customer Service Manager,

    Denplan Corporate,

    Denplan Court,

    Victoria Road,

    Winchester

    SO23 7RG

    Email: [email protected]

    Please quote your personal policy or claim number so that your enquiry can be dealt with quickly.

    b. Should the matter still not be resolved to your satisaction, you have the right to reer your complaint to:

    Financial Ombudsman Service

    South Quay Plaza,

    183 Marsh Wall,

    London

    E14 9SR

    Email: [email protected]

    This procedure will not prejudice your right to take legal proceedings. However, please note that there are

    some instances when the Financial Ombudsman Service cannot consider complaints.

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    Denplan Limited, Denplan Court, Victoria Road, Winchester, SO23 7RG, UK.

    Tel: +44 (0) 1962 828000. Fax: +44 (0) 1962 840846. Email: [email protected] in England No. 1981238. Registered address 5 Old Broad Street, London EC2N 1AD, UK.

    Denplan Limited is an Appointed Representative o AXA PPP healthcare Limited which is authorised and regulated by

    the Financial Services Authority. This inormation can be checked by visiting the FSA register which is on their website:

    www.sa.gov.uk or by contacting the FSA on 0845 606 1234. Denplan Limited is regulated by the Jersey Financial Services

    Commission. This policy is underwritten by AXA PPP healthcare Limited. Denplan Limited only arranges dental insurance rom

    AXA PPP healthcare Limited and is a member o the AXA UK plc group o companies o which AXA PPP healthcare is a member.

    We may record and/or monitor calls.

    COR

    P67811-10

    Member o the Group