Common use of Informational Grievances Clause in Contracts

Informational Grievances. Any Member who has a grievance against Company for any matter arising out of a Subscriber Certificate or for covered Dental Care Services rendered thereunder may submit an informal oral grievance to Company. Assistance with Company’s grievance procedures, including assistance with informal oral grievances, may be obtained by calling Company’s Member Services Department at the address and telephone number listed below. Oral grievances shall be submitted to Company’s Grievance Coordinator. Informal oral grievances shall be responded to as soon as possible by the Grievance Coordinator. If the informal oral grievance involves a dental-related matter or claim, Company’s Dental Director shall be involved in resolving said grievance. The Member has the right to file a formal written grievance with Company and to grieve directly to the State of Florida Department of Financial Services, Office of Insurance Regulation. FL Advantage 08/03 10 The Agreement and Certificate of Benefits ("Certificate") is hereby amended as follows. The terms and conditions of that certain Certificate are hereby confirmed in their entirety with the exception that to the extent the terms and conditions of this Amendment are in conflict with the terms and conditions of the Certificate, the terms of this Amendment shall govern. 1. Your spouse; 2. Your child; a) from birth to age 26; or b) at least 26 years of age and: i. primarily dependent upon You for support because of mental or physical handicap; ii. was incapacitated and insured under Policy on his 26th birthday; and iii. continues to be incapacitated beyond his 26th birthday.