Please consider this letter as a formal request to cancel the referenced dental insurance policy. For Delta Dental Individual and Family Premier, Delta Dental Individual and Family PPO Value for Seniors, Delta Dental Individual and Family EPO and DeltaCare if a subscriber would like to cancel their dental plan they must provide a written letter of intent to cancel 30 days before they wish to cancel to: Delta Dental of Massachusetts P.O. For plan information, visit our individual dental insurance page. 2021 Medical/Dental Plan Cancellation Form 1. Connect with your Delta Dental to learn more. If we receive your request in writing prior to the 10th of the month we will cancel your policy at the end of that month. If you cancel your policy, or if your coverage is terminated for any reason, you may not re-enroll in Delta Dental of Iowa's individual dental coverage for 24 months. If we receive the cancellation request after the 10th of the month, then the cancellation … Delta Dental of Rhode Island PO Box 1517 Providence, RI 02901-1517. Dental Plans Delta Dental PPOSM - 17228 ... discriminate on the basis of disability and, upon request, will provide reasonable accommodations to ensure equal access to its programs, services and activities. ... You may request electronically a list of your benefits by submitting the online Customer Service Request for DeltaCare USA. Availability varies from state to state, so check with your Delta Dental to see what is … Delta Dental of Washington is a part of Delta Dental Plans Association. Mid-Atlantic States (Delta Dental Delaware, Inc., Delta Dental of the District of Columbia, Delta Dental of New York, Inc., Delta Dental of Pennsylvania (and Maryland), Delta Dental of West Virginia, Inc.) ... (Where we will reply to you about this request) Submit Cancel. Online Enrollment System User Guide. We have dental plans for individuals, families, seniors, aarp members, and costco executive members. Delta Dental Patient Direct ID cards must be returned to Delta Dental of New Mexico with a written request for the refund postmarked within 45 days of the date your Delta Dental Patient Direct ID cards were mailed to you. Happy Holidays! The Delta Dental companies have a variety of dental insurance plans designed for groups and individuals to meet their dental health needs. I am also requesting written confirmation of the cancellation and the return of any premiums. You will need to send us a request in writing to cancel your individual dental plan. Delta Dental is comprised of a national network of 39 independent Delta Dental companies that offer dental benefits in all 50 states and other U.S. territories. The effective date of policy cancellation is DATE. Delta Dental of Kansas is a part of Delta Dental Plans Association.Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. coverage in all 50 states, Puerto Rico and other U.S. territories. Through our national network of Delta Dental companies, we offer dental coverage … Delta Dental offers individual and family dental insurance plans. Please stop all debits or charges for premium payments. Northeast Delta Dental is pleased to announce the December issue of Smile Coach Monthly, a monthly oral health educational resource that features articles, polls, recipes and a whole lot more.Please visit to enjoy features that include 'A guide to dental insurance for infants and children', 'Thumbs up or thumbs down to movie snacks? For instance, if you request a May 31st termination date, your written request must be received at Delta Dental on or before May 11th. Refund entitlement applies only to individuals enrolling in Delta Dental … Which member company is yours depends on how your dental plan was purchased.