State of Texas Dental Choice Plan^SM

Appeal Procedure for a Denied Claim

If your claim for benefits is reduced or denied, you may ask HumanaDental to reconsider the claim by submitting a request in writing along with additional information about your claim.

If the claim is again denied after reconsideration, HumanaDental will send you a letter with instructions on how to file an appeal with ERS. Send your written request, along with copies of all correspondence from HumanaDental and any other related information to:

Grievance Administrator
Employees Retirement System of Texas
P.O. Box 13207
Austin, TX 78711-3207

Your request must be made within 90 days of the date of the notice of your right to appeal. You will receive a decision in writing from ERS.

The Customer Benefits Division of ERS will provide information and assistance to you. You may contact the Customer Benefits Division by calling (512) 867-7711 or (877) 275-4377, or by writing to:

Customer Benefits Division
Employees Retirement System of Texas
P.O. Box 13207
Austin, TX 787-11-3207