DenVantage Terms & Conditions

This agreement is entered into between the individual signing below (“you” or “your”),
Dental Health Advantage Plan, LLC (“DenVantage”), and the dental practice service
provider (“Dentist”) through whom you enrolled in the DenVantage plan (the “Plan”).
The Plan is a membership arrangement designed to keep dental care affordable by
reducing your Dentist’s overhead costs and passing those savings on to you in exchange
for your payment of a low monthly membership fee as outlined in the enrollment form
provided by your Dentist and signed by you. The benefits of the Plan are outlined in the
schedule of benefits provided by your Dentist (“Benefits”). YOU UNDERSTAND
THAT THE PLAN IS NOT INSURANCE. IT IS A MEMBERSHIP PLAN THAT
OFFERS REDUCED FEES, ALLOWING YOU TO SAVE MONEY. By clicking “I
agree” below and paying the fee, in addition to the terms outlined in the enrollment form
and schedule of benefits, you agree to the following:

1. Your enrollment in the Plan is effective on the date of your Dentist’s receipt of
   your first payment (“enrollment”) and will renew automatically on an annual
   basis without action by you, unless and until terminated by you, your Dentist, or
   DenVantage. Your enrollment will automatically terminate in the event of
   nonpayment.
2. Plan Benefits for each 12-month enrollment period do not roll over. It is your
   responsibility to take advantage of Plan Benefits within each applicable 12-month
   period, or lose them.
3. The Plan cannot be transferred to another dental practice. To change to another
   dental practice offering the Plan, you must submit a new enrollment form and
   such a change will be deemed a cancellation of the prior Dentist subject to
   Paragraph 7 Below.
4. In exchange for your payment of the membership fee specified in the enrollment
   form, your Dentist will provide the Benefits as written in the schedule of benefits.
5. Membership fee payments will be processed automatically on the same day each
   month based on the initial start date of the Plan, from your debit/credit card as
   specified at initial enrollment, unless you choose to pay in full up front, and will
   continue until you cancel the Plan in writing. You may be charged a service fee in
   the event of a payment denied for insufficient funds or for a credit/debit card that
   is denied repeatedly by the processor.
6. You agree to also pay a one-time processing fee per enrollment. Currently the fee
   is $55 for individuals and $95 for families.
7. You may cancel the Plan at any time; however, if you cancel prior to the end of a
   12-month enrollment period, you will be responsible for the usual and customary
   fees for all dental services rendered during that time, less any payments made to
   the Plan.
8. Written notice at least 30 days prior to renewal will be given if the processing fee
   or membership fee changes. The Plan will continue past the renewal date at the
   new fee, unless cancelled.
9. You acknowledge that DenVantage is not a dental provider and you agree to
   release and discharge DenVantage from any and all claims and liabilities arising
   from or connected with your, or your child’s, participation in the Plan, or arising
   from or connected with the dental services received by your or your child(ren).

To keep overhead costs low, you agree to comply with the following Dentist policies:

1. . All payments to the Dentist must be made in full by the time of treatment. (Note:
   services covered by the Plan at 100% do not require any additional payments.)
2. Failure to pay for services by the time of service will result in the loss of benefit for
   that service.
3. As a courtesy to the dental team and other patients, a full week’s notice is requested
   for any appointment changes whenever possible.
4. Your Plan payment signifies that you agree to a minimum $86 rescheduling fee for
   missed appointments, or appointments that are cancelled with fewer than two
   business days’ notice. For appointments scheduled for more than an hour in length,
   $86 per scheduled hour will be charged for the missed appointment. (Missed
   appointments are one of the highest overhead costs, of which the $86 rescheduling
   fee covers only a small portion.)
5. The Plan may be discontinued at any time at the sole discretion of Dentist and/or
   DenVantage.

This agreement, and the documents referenced in this agreement, contain the entire
agreement of the parties. No terms, conditions, understanding, or agreements purporting to
modify or vary the terms of the agreement shall be binding unless made in writing by
DenVantage.