Please provide as much detail as possible, including any supporting documentation. For assistance in completing this form, or if you have any questions, please call: 833-201-0142.
Para ayuda a llenar esta forma, o si usted tiene cualquier pregunta, por favor llame: 833-201-0142
Principal® Dental Access Plan will take the following steps to resolve a Complaint / Grievance filed:
All complaints will be addressed within two (2) business days of receipt with the exception of billing inquiries that require further research or documentation. If the complaint has not been satisfactorily resolved, the Member has the right to request an appeal of the complaint and grievance resolutions. Appeals will be sent to the Grievance Committee and will be entitled to a second review with different individuals. After completing the complaint resolution process and the Member remains dissatisfied, the member may contact their state insurance departments. Principal® Dental Access Plan will provide contact information for the Department of Insurance or Regulatory Compliance Agencies for your state upon request.
Thank you for taking the time to express your opinions and concerns. Your feedback is important to us and is viewed as an important tool in providing a quality dental discount program. If you have any questions, contact us at (833-201-0142), Monday to Friday 8:00 a.m. to 5:00 p.m. PT or using the