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<br />---~ <br /> <br />7.11 <br /> <br />-~ <br /> <br />~ ~-- <br /> <br />The California Department of Corporations is responsible for regulating <br />health care service plans. The department has a toll-free telephone number <br />(1-800-400-0815) to receive complaints regarding health plans. If an <br />Eligible Person has a grievance against the health plan, he or she should <br />contact the plan and use the plan's grievance process. If an Eligible Person <br />needs the department's help with a complaint involving an emergency <br />grievance or with a grievance that has not been satisfactorily resolved by <br />the plan, he or she may call the department's toll-free telephone number. <br /> <br />The Benefits which Delta provides are limited to the applicable percentages <br />of Dentist's fees or allowances specified in Article 4. City of Redwood <br />City requires the Eligible Person to pay the balance of any such fee or <br />allowance, known as the "Patient Copayment", as a method of sharing the <br />costs of providing dental Benefits between City of Redwood City and <br />Eligible Persons. If the Dentist discounts, waives or rebates any portion of <br />the Patient Copayment to the Eligible Person, Delta only provides as <br />Benefits the applicable percentages of the Dentist's fees or allowances <br />reduced by the amount that such fees or allowances are discounted, waived <br />or rebated. <br /> <br />23 <br />