Payment Installment Agreement
Initial Disclosure Statement / Preamble
This Initial Disclosure Statement (“Statement”) is part of your Installment Agreement (“Agreement”) with Health Betterment Inc. (HBI) and sets out the key terms of your Installment Agreement based on the dental work you will receive from a participating dentist.
When you elect to enroll in the Patient Plus+ Program, you agree to provide us with your personal information and consent to verify your bank account and access your consumer credit file.
If you are approved for credit terms, we will pay the dentist for the cost of your dental work, up to the amount of the revolving line of credit we have approved, and you may then re-pay HBI with Payment Installments.
You understand that each bill rendered by the dentist is due upon receipt and that no additional fees will be charged if paid prior to the time of your treatment.
However, if you are successfully enrolled in the Patient Plus+ Program, HBI may permit you to make payment installments for your dental work by dividing each bill into an equal number of weekly installments for a maximum of 260 weeks, (5 years).
Amounts due will be withdrawn from your bank account on a weekly, bi-weekly or monthly basis, and a processing fee per installment will be applied, subject to your consumer credit profile, your debt to income ratio and the payment duration.
All amounts referenced in this Statement are in Canadian currency and capitalized terms used but not defined in this Statement have the meanings given to them in the Agreement. Please read the Agreement in full for all terms that apply.
You agree to accept a copy of this Statement in electronic form and agree that any electronic disclosures have the same meaning and effect as if provided to you in writing, in paper form. You also agree to carefully review this Statement before entering into the Agreement and to retain a copy of this Statement and the Agreement for your records and future reference.
lf a Co-Borrow is signing this Agreement, Co-Borrower agrees to be equally responsible with the Borrower for this loan and agrees to take full responsibility to fulfill all provisions of this Agreement.
Designating a Bank Account
By electronically enrolling and accepting this Agreement, you agree to provide us with a bank account where your income revenue is primarily deposited and from which installment payments can be drawn. You also permit HBI to verify the designated bank account number and balance; access your account transaction history, (Inflows & Outflows); and name, address and phone number.
Processing Fees / Annual Percentage Rate (APR):
There are no interest charges associated with this Agreement, however the issuer of your Payment Method may charge interest or other charges in accordance with the terms and conditions of the agreement between you and your Payment Method issuer.
You will be charged a flat fee (Processing fee) for each installment payment, subject to your consumer credit profile, your debt to income ratio, the payment duration, the amount of your loan and its pre-set term. (See Installment Payments & Fees)
The fee will be deducted at the time each installment payment is due and being withdrawn from your account. If you repay your outstanding balance early, then the Processing Fee(s) for the outstanding installments will be waived.
The Annual Percentage Rate (APR) may vary depending on the amount of your installment payments and the number of weeks you pay. You should assume that the APR can be as low as 20% and as high as 59.5%.
Borrower has the right to prepay the loan at anytime without penalty. If you repay your outstanding balance early, then the Processing Fee(s) for the outstanding installments will be waived.
To view your payout amount, login to your Funding Portal and click on the 'Payment Schedule' tab.
Any payment returned NSF is subject to a $48.00 NSF fee.
PROMISE TO PAY
This Agreement governs your repayment to us in connection with funds we disburse at your direction and on your behalf to an approved dentist to pay for your dental treatment or services that you have accepted or will accept.
You promise to pay the sum of your deposit (if required) and other payment amounts under this Agreement on the dates and according to the amounts displayed as “Deposit”, “Installment” and "Fees" (together, your “Payment Schedule”) plus all other charges accruing under this Agreement, if any, until paid in full. You understand that the actual amounts and due dates of your “Deposit” and the payments in your "Payment Schedule” will be provided to you in your Finance Portal.
Dental Bill Payments
Approved loans are paid directly to your dentist. Any full or partial refund due to you from the dentist must be paid to
You will be provided with an installment schedule to pay for your dental work and the weekly payments will be withdrawn from your bank account.
If you do not wish to pay by installments, you can pay your entire balance upfront and there will be no extra fees.
Payment Due Date
If you are paying the full amount of your dental work, your payment is due 7 business days prior to your scheduled treatment date.
If you are paying in Installments, your first payment and any deposit amounts are due 7 business days prior to your treatment.
5% Additional Grant
You will receive an additional 5% Grant when you pay for your dental services through the Patient Plus+ Program. The 5% Grant will be applied whether you pay for your dental work in full upfront, or if you pay using an installment plan.
The 5% additional Grant will be deducted from your payment(s).
You may elect to provide a deposit to reduce the amount of your principal and payment term for the outstanding amounts owing for your dental work. You are responsible for ensuring that you have sufficient funds available to make Installment Payments on the dates specified in your Installment Plan.
If you make an initial partial payment or deposit, the initial partial payment or deposit will be credited against the outstanding balance of the amount owing when the partial payment was made and shall be applied against the then outstanding balance.
You may then make payment installments on the remainder of your balance pursuant to the allowable installment payment plan available to you, until all amounts due are paid in full.
Installment Payments & Fee Schedule
By enrolling in the Patient Plus+ Program, and upon acceptance of this Agreement, you agree to pay for your dental work based on the Installment & Fee Schedule, or any other mutually agreed upon re-payment schedule set out in the Payment Schedule that will (or has been) sent to you for your review and acceptance.
The payment term you qualify for and any necessary authorization will not affect your obligation to pay when due, all amounts payable under this Agreement.
If you would like to change your Payment Account or make alternate payment arrangements, or if you have further issues or questions, you may contact us at email@example.com.
The foregoing authorization is in addition to, and not in limitation of, any rights of set-off we may have under applicable law.
Delinquency and Default
If you fail to make any payment when due in the manner required by this Agreement, you will be delinquent. If you are delinquent, have filed or have instituted against you bankruptcy or insolvency proceedings or are in breach of any other material term of this Agreement, we may, to the extent and at the time permitted by applicable law, deem you in default and accelerate the maturity of this Agreement and all payments due hereunder.
If you fail to make a payment required under this Agreement, we reserve the right to limit, restrict, suspend, or terminate your access to your account and seek redress as permitted by law.
Credit Bureau Notification
HBI is a member of a consumer reporting agency, and as such we will report all positive payments and all late or delinquent payments to your consumer credit bureau file.
Pre-Authorized Debit Agreement
You acknowledge that this authorization is to allow Health Betterment Inc. to debit funds from your bank/credit union account for regular or recurring payments and/or one-time payments based on your payment obligations to the dentist for the dental work provided to you.
YOU WAIVE ANY LEGISLATIVE OR REGULATORY REQUIREMENT FOR PRE-NOTIFICATION.
Transaction dates that fall on a weekend or holiday will be processed the next business day. You understand this is a personal PAD agreement.
You may revoke your authorization at any time, subject to providing notice 10 business days before the next scheduled debit. You can obtain a sample cancellation form or more information on your rights to cancel a PAD agreement at your financial institution or by visiting www.payments.ca/paying-pre-authorized-debit. You can also reach out directly to us and cancel your authorization.
You have certain recourse rights if any debit does not comply with this agreement (because the debit was not withdrawn in accordance with this authorization or amounts were withdrawn after the agreement was revoked). For example, you have the right to receive reimbursement for any debit that is not authorized or is not consistent with this PAD agreement based on the timeline set out by the Canadian Payment Association. To obtain more information on your recourse rights, contact your financial institution or the Canadian Payment Association.
Approvals & Account Cancellations
All requests for installment payments are subject to our approval. We may, in our sole discretion, not approve your application, or cancel an approved application before the dental work is provided. If we cancel your previously approved application:
(a) We will apply a full refund of any amounts you have paid in advance of receiving the dental work (excluding any chargebacks or fees incurred in relation to your payment), and we will cancel any future payments related to that treatment; and,
(b) The dentist providing the services will not be obliged to deliver the dental work (or provide any related services); and
(c) You will have no obligation to make any further payments to us, or continue any other ongoing relationship with us, with respect to your application.
Approval for making installments on your dental work does not guarantee future approval for future dental work.
Pre-Authorizations & Consumer Credit Checks
The dentist may provide us with a pre-authorization request indicting an estimate of the amount of funds you will owe on the date you are going to receive dental services.
As part of our approval process and our assessment as to whether or not you have the ability to fulfill your obligation to pay when due all amounts owed under this Agreement, we reserve the right to conduct a consumer credit check at the time of enrollment pursuant to our Application for Credit & Consumer Credit Check policy and disclosure.
Refunds and Other Adjustments after Disbursement of Funds
Processing refunds or modifications are subject to the discretion of the dentist to whom you directed us to disburse funds under this Agreement.
You will remain obligated to make all payments still outstanding under this Agreement when due.
However, for any amounts that a dentist returns directly to us in connection with an applicable refund, we shall retain such amounts and reflect an equivalent credit to reduce your outstanding obligation to us under this Agreement or, where applicable, refund to you any amounts already paid.
In the event of a partial refund, the credit will be applied against your last payment first. If, for any reason, we are unable to apply a refund to the order to which it corresponds, we may in our discretion apply the refund to any method of payment you have on file with us. You will remain obligated to make payments still outstanding when due.
If you are entitled to a refund for any reason, you agree to accept the refund policy of the specific dentist with whom you received dental work. We will not be liable if a dentist does not give you a credit, imposes any additional charges or takes any other action.
Transfers or Assignments
We may transfer, assign, or sell this Agreement, and any rights under this Agreement, to a third party without your consent. You agree that we may appoint third party collections agencies to collect any amounts owing to us under this Agreement without your consent. To the extent permitted by applicable law, you hereby waive demand, notice of non-payment, protest and all other notices or demands whatsoever, and hereby consent that without notice to and without releasing the liability of any party, the obligations evidenced by this Agreement may from time to time, in whole or part, be renewed, extended, modified, accelerated, compromised, settled, canceled or released by us.
Complaints and Disputes
If you have a complaint with us arising out of or related to this Agreement, you should contact us at firstname.lastname@example.org. If you have a complaint arising out of the delivery or quality of the dental work you received, you should contact the dentist that provided the services to you. You acknowledge and agree that HBI is not responsible for resolving disputes you may have with a dentist.
If you wish to submit a general complaint to us, you should do so by contacting us at email@example.com. We may request additional documentation from you to assist us in resolving any complaints or disputes, and you must provide all reasonable assistance to us to facilitate us in resolving all complaints and disputes.
(a) To expedite resolution and to minimize the cost of any claims and disputes arising out of or relating to this Agreement (“Dispute(s)”), we both agree to attempt to negotiate any Dispute (except those Disputes expressly excluded below) informally for at least thirty (30) days before initiating any arbitration or court proceeding. Such informal negotiations will commence upon receipt of a written notice (each, a “Notice”). Your address for such Notices is the email address you have provided in your account. Our address for such Notices is: Health Betterment Inc., 2300 Yonge St, Box 2340, Toronto, ON Canada, M4P 1E4, Attention: Legal, or by email to firstname.lastname@example.org.
Any Notice from you must include your name, pertinent account information, a brief description of the Dispute, and your contact information, to help us to evaluate the Dispute and to attempt to resolve it. Any Notice from us will include pertinent account information, a brief description of the Dispute, and our contact information, to help you to evaluate the Dispute and to attempt to resolve it. If the informal negotiations are successful, no further action is necessary.
(b ) IF THE PARTIES ARE UNABLE TO RESOLVE A DISPUTE THROUGH INFORMAL NEGOTIATIONS, WITHIN THIRTY (30) DAYS FROM THE DATE OF THE FIRST NOTICE, THE PARTIES AGREE THAT ALL DISPUTES SHALL BE RESOLVED BY BINDING ARBITRATION BY A SOLE ARBITRATOR. THE ARBITRATOR SHALL HAVE THE JURISDICTION TO DECIDE ANY ISSUES RELATING TO THE MAKING, VALIDITY, ENFORCEMENT, OR SCOPE OF THIS ARBITRATION AGREEMENT, ARBITRABILITY, DEFENSES TO ARBITRATION INCLUDING UNCONSCIONABILITY (COLLECTIVELY, “ARBITRABILITY” ISSUES).
(c) The arbitration will be seated in the City of Toronto, Ontario, Canada and shall be conducted under the rules of the International Centre for Dispute Resolution (the “ICDR”) in accordance with its International Arbitration Rules (the “ICDR Rules”) which are available on the ICDR’s website www.icdr.org. Your arbitration fees and your share of arbitrator compensation will be governed by the ICDR Rules.
The arbitration may be conducted in person, through the submission of documents, by phone or online. The arbitrator will make a decision in writing but need not provide a statement of reasons unless requested by a party. The arbitrator must follow applicable law, and any award may be challenged if the arbitrator fails to do so.
(d) The parties agree that the following Disputes are not subject to the above provisions concerning informal negotiations and binding arbitration: (1) any legal proceeding to compel arbitration, stay proceeding pending arbitration or to confirm, modify, vacate or enter judgment on the award entered by the arbitrator; (2) any legal proceeding to seek temporary injunctive relief that will remain in place only until an arbitrator can determine whether the relief should be continued, modified or removed; or (3) any claim related to actual or threatened infringement, misappropriation or violation of a party’s copyrights, trademarks, trade secrets, patents or other intellectual property rights. Notwithstanding the foregoing, either party may assert claims, if they qualify, in small claims court in Toronto, Canada.
(e) You agree that this agreement to arbitrate may be enforced by us or our affiliates, subsidiaries, or parents, and each of their officers, directors, employees, and agents.
(f) NOTWITHSTANDING THE FOREGOING, YOU MAY OPT OUT OF ARBITRATION BY SENDING US WRITTEN NOTICE WITHIN THIRTY (30) DAYS OF SIGNING THIS AGREEMENT STATING THAT YOU WISH TO “OPT OUT OF THE AGREEMENT TO ARBITRATE DISPUTES.” THE OPT-OUT NOTICE SHOULD BE SENT TO THE FOLLOWING ADDRESS: HBI, 2300 Yonge St, Box 2340, Toronto, ON Canada, M4P 1E4, or by electronic mail at email@example.com, Attention: Legal, and include (i) your account identification, (ii) your name, (iii) your address, (iv) your telephone number, (v) your email address and (vi) a clear statement indicating that you do not wish to resolve claims through arbitration. If you do not opt out, but any part or parts of your agreement to arbitrate are unenforceable then we and you agree that such specific part or parts shall be of no force or effect and shall be severed, but the remainder of this agreement to arbitrate shall continue in full force and effect. If, however, the entire agreement to arbitrate or your waiver of the right to participate in class, representative or to arbitrate injunctive relief claims is unenforceable then the agreement to arbitrate shall be of no force or effect.
Applicable Law and Jurisdiction
This Agreement shall be governed by, and will be construed under and in accordance with, the laws of the province listed for the debtor above and the federal laws of Canada applicable therein, without regard to choice of law principles.
No Warranties; Limitation of Liability
EXCEPT AS EXPRESSLY SET FORTH IN THIS AGREEMENT, WE MAKE NO REPRESENTATIONS OR WARRANTIES TO YOU, INCLUDING, BUT NOT LIMITED TO, ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. EXCEPT IF YOU ARE A RESIDENT OF QUEBEC, IN NO EVENT SHALL WE BE LIABLE TO YOU FOR ANY LOST PROFITS, INDIRECT LOSS, OR SPECIAL, EXEMPLARY, CONSEQUENTIAL OR PUNITIVE DAMAGES, EVEN IF INFORMED OF THE POSSIBILITY OF SUCH DAMAGES. FURTHERMORE, WE MAKE NO REPRESENTATION OR WARRANTY TO YOU REGARDING THE EFFECT THAT THE AGREEMENT MAY HAVE UPON YOUR TAX LIABILITY UNDER THE LAWS OF CANADA OR THE PROVINCE IN WHICH YOU LIVE.
You agree that if any lawsuit or court proceeding is permitted under this Agreement, the aggregate liability of us, our subsidiaries, partners, and affiliates, and Health Betterment Inc, its subsidiaries, partners, and affiliates, to you for all claims arising out of or related to this Agreement or your use or inability to use your account will not (other than as may be required by applicable law in cases involving personal injury) exceed the greater of: (a) the amount of any affected order(s) giving rise to such damages, or (b) CAD$75.00.
No Liability for the Dental Services
You acknowledge that Health Betterment Inc is not engaged in the sale or resale of any dental goods or services you receive from a dentist and that we do not have control of and are not responsible or liable for such products or services. You agree that we shall have no liability whatsoever caused by a dentists’ delay in providing the goods or services or the quality of the goods or services.
Express Written Consent to Receive Short Message Service (“SMS”) Communications & Email Marketing
(a) Notwithstanding any current or prior election to opt in or opt out of receiving telemarketing calls or SMS messages (including text messages) from us, our agents, representatives, affiliates, or anyone calling on our behalf, you expressly consent to be contacted by us, our agents, representatives, affiliates, or anyone calling on our behalf for any and all purposes arising out of or relating to this Agreement, at any telephone number, or physical or electronic address you provide or at which you may be reached. You agree we may contact you in any way, including SMS and text messages, calls using prerecorded messages or artificial voice, and calls and messages delivered using auto telephone dialing system or an automatic texting system. Automated messages may be played when the telephone is answered, whether by you or someone else. In the event that an agent or representative calls, he or she may also leave a message on your answering machine, voice mail, or send one via text.
(b) You consent to receive SMS and text messages, calls and messages (including prerecorded and artificial voice and autodialed) from us, our agents, representatives, affiliates or anyone calling on our behalf at the specific number(s) you have provided to us, or numbers we can reasonably associate with your account (through skip trace, caller ID capture or other means), with information or questions about your account, this Agreement and/or your account. You certify, warrant and represent that the telephone numbers that you have provided to us are your contact numbers. You represent that you are permitted to receive calls at each of the telephone numbers you have provided to us. You agree to promptly alert us whenever you stop using a particular telephone number.
(c) By signing this Agreement, you are providing express written consent to receive SMS and text messages to each telephone number provided by you to us regarding this Agreement and your account. You agree that you are responsible for any message, data rates or fees that your telephone service provider charges in relation to SMS messages sent and received by you. If you have any questions regarding those rates, please contact your wireless carrier.
(d) If you wish to withdraw your consent to have communications provided via SMS, you may opt-out of receiving SMS from us at any time by emailing us at firstname.lastname@example.org. Upon receipt of your message, we will process the request and it will be effective only after we have a reasonable period of time to process your request If you fail to provide or if you withdraw your consent to receive SMS communications as set forth in this section, We reserve the right to restrict, deactivate or close your Account and you agree that you may be prevented from using certain features of your account.
(e) You agree that we may send you marketing communications to the email address you have provided including but not limited to targeted offers, introduction of new features, or other special announcements. You may opt out of these marketing communications at any time by responding with a “unsubscribe” message within the marketing email or text.
Notices and Communications
(i) to receive this Agreement and all other communications (including, but not limited to, any other agreements, notices, disclosures or other information we may send to you or that we may be required to send to you under applicable law) in electronic form;
(ii) to retain copies of these communications for your records; and,
(iii) that any electronic disclosures have the same meaning and effect as if provided to you in writing, in paper form. Communications will be sent to your email address listed on your account.
Any such electronic notices or communications shall be effective and deemed delivered when emailed to your designated email address, as such address may be updated from time to time.
The parties agree that electronic signatures will have the same legal effect as original (i.e. ink) signatures and that an electronic copy of any signature will be deemed an original and may be used as evidence of execution.
This Agreement is effective until all amounts due under the Agreement are paid in full or otherwise cancelled or refunded. If any provision of this Agreement (or any portion thereof) is determined to be invalid or unenforceable by a court of competent jurisdiction, the remaining provisions of this Agreement shall not be affected thereby and shall be binding upon the parties and shall be enforceable, as though said invalid or unenforceable provision (or portion thereof) were not contained in this Agreement.
This Agreement, including the Initial Disclosure Statement provided above, and all other documents incorporated by reference, constitutes, and contains the entire agreement between you and us with respect to the subject matter hereof and supersedes any prior or contemporaneous oral or written agreements.
The division of this Agreement into sections and the inclusion of headings contained in this document are for reference purposes only and shall not affect the construction or interpretation of this Agreement. No failure by us to exercise or delay in exercising any right under this Agreement (or to insist upon strict performance in any respect or on any occasion) shall operate as a waiver thereof, nor shall any single or partial exercise of any right under this Agreement preclude any other or further exercise thereof or the exercise of any other right. The remedies provided in this Agreement are cumulative and not exclusive of any remedies provided by applicable law.
This Agreement and all related documents have been drafted in the English language at the express request of the parties. La présente convention ainsi que tous documents s’y rattachant ont été rédigés en langue anglaise à la demande expresse des parties.
THIS AGREEMENT IS FULLY SUBJECT TO YOUR CONSENT TO ELECTRONIC TRANSACTIONS AND DISCLOSURES PREVIOUSLY PROVIDED.
By enrolling in the Dental Grants Program and the Patient Plus+ Program, you acknowledge having received and read this Agreement, and that you understand and agree to be bound by this Agreement, including the Initial Disclosure Statement.
Last updated December 2nd, 2021 - 11:20AM ET
Our policies and procedures to protect your privacy are in place.
We, at the Dental Grants Program value you and take your personal privacy seriously. As such, we would like to inform you of our policies for collecting, using, securing, and disclosing your personal information. It is our intention to manage and handle information in a manner consistent with relevant privacy legislation to the extent required by law.
In this policy, here are some important terms you should know:
“Personal Information” or “Information” means information about an identifiable individual such as contact information, date of birth, age, information contained in a credit report, and financial information.
As part of the pre-qualification process, you also understand and agree to all of the following:
In this section, "you", "your", and "yours" mean the applicant. "We", "us", and "our" means the Dental Grants Program, its subsidiaries and parent companies.
"Dentist" means (the supplier of dental services to you) the dentist who receives any Information about you from us. "Information" means personal, financial, credit and other details about you that you provide to us and that we obtain from others outside the organization, including through the products and services you use.
"Third Party" means an individual or organization outside of us including those located in Canada or the United States of America.
“Permitted or required by law” or “legal and regulatory obligations” means actions that we are permitted or required to do under any laws or regulations, or any rules, codes, guidelines, expectations, or requirements of any applicable regulator.
Application for Credit
I/we understand that if I indicated that I wish to apply for Credit terms to pay monthly for the dental work not covered by the Grant, then the information submitted by me (the “Collected Information”) is being collected for the purpose of obtaining credit terms from Health Betterment Inc. (HBI) and is warranted to be true and complete.
HBI will use the Information you provide for the purpose of verifying your identity and to obtain your consumer credit bureau report as described below.
The Information that you provide will be compared against the Information contained in the consumer credit report we access to help confirm your identity. The consumer credit report will also be used to assess your application for potential credit terms that may allow you to make longer term payments for the part of your dental work that's not covered by your insurance or the grant. The credit check may affect your credit score.
Accordingly, if you have requested credit terms from us, you hereby authorize and consent to the collection of the Collected Information and to the making by HBI, its successors and assigns of whatever credit investigations and/or employment and income confirmations HBI or its successors and assigns may deem appropriate from time to time, and to the disclosure, sharing or exchange of the Collected Information and any report or information based thereon for these purposes with credit reporting agencies, and amongst HBI, its successors and assigns or any company with whom I/we have or propose to have a financial relationship.
Should you qualify for consideration of a loan from us, credit terms between 6 weeks and 5 years will be offered to you and HBI will confirm acceptance with your dentist. If you do not qualify for credit terms, we may invite you to provide a suitable co-signer to guarantee your loan.
Should the Information you provide not match the Information contained in your consumer credit report, you will not be able to complete the pre-qualification process for credit terms, however you will still be approved for the Grant and can complete the dental work you want done by providing the dentist with an upfront deposit and agreeing to a payment schedule that is acceptable to the dentist.
Agreement & Consent to Use of Personal Information
I/we accept this as written notice of HEALTH BETTERMENT INC (“HBI”) its affiliates, service providers and professional advisors (collectively HBI) receiving, disclosing, exchanging and using any Collected Information and any other personal information (collectively the “Personal Information”) about me/us for the purposes set out below. HBI, its affiliates and service providers may use any Information relating to me/us:
a) to establish, maintain and administer my/our account;
b) to determine my/our eligibility for credit terms offered by HBI including monitoring my/our purchase history as well as evaluating my/our credit standing;
c) to determine the suitability of benefits, services or enhancements; and/or which other product or service offers may be of interest to me/us;
d) to promote and market additional products, goods and services offered by HBI including by means of direct marketing; &
e) to comply with legal and regulatory requirements;
f) for any other purpose not prohibited by law.
I/we hereby also authorize any person who is contacted in this regard to provide such information.
I /we acknowledge that my/our consent to “Use of Personal Information” includes HBI providing the dentist who accepts the case work for which I/we are applying (the “dentist”) with HBI’S decision with respect to this application and if my/our application is accepted, my/our Account number and any other information which the dentist may reasonably require.
All information provided by me/us in connection with this application is true, accurate and complete in all respects.
I/we consent to the creation of a Personal Information file containing credit and other personal information. Only those employees of HBI whose job functions involve assessment of creditworthiness, credit applications, monitoring, processing of payments and matters relating to the purpose of the file, will have access to my/our file.
I/we understand I/we can tell you to stop using Personal Information about me/us in order to promote and market additional products, goods and services offered by HBI. I agree that my/our Social Insurance Number may be used as an aid to identify me/us with credit bureaus and others for credit history file matching and other administrative purposes.
I/we also consent to the retention of Personal Information about me/us for as long as is needed for the purposes described above, even after I/we cease to be a customer. In order to ensure the accuracy, completeness and integrity of the credit reporting system, I/we specifically consent to the continued disclosure of my/our Personal Information to credit bureaus even after the loan or credit facility has been retired.
What personal information do we collect?
The personal information we collect depends on the service you request and/or receive. We may collect personal information about you from the following sources:
Information we receive from you on applications or other forms, such as your name, address, phone number, email address and income.
Confirmation of employment.
Information we receive from other third parties, such as credit reporting agencies and other financial institutions, relating to your general eligibility for our or related services, such as those provided through third party companies.
Why do we collect your personal information?
We collect, use and disclose your personal information for the following reasons:
To communicate with or contact you (e.g., address, telephone number, email or other electronic address);
To verify your identity (e.g., date of birth, government-issued identification, occupation);
To meet legal and regulatory requirements;
To provide financial services to you or to recommend financing options, and to authorize and process your applications;
To detect and prevent fraud and help safeguard the financial interests of us, our financial partners and the dental practitioners that enroll in our program (e.g., reviewing and analyzing your transactions and other information to help us identify various types of threats and risks, such as credit, fraud and money laundering);
To develop, offer, and manage the products and services provided by our company in order to meet our clients’ needs (e.g., purchase and payment history, communication preferences and location);
To maintain adequate accounting, tax and business records;
Where applicable, to confirm details of your employment;
To assess the quality and quantity of our products and services (e.g., call monitoring, record and respond to client feedback);
To send you information on products and services that may be of interest to you.
Who sees or obtains your information?
We may provide your personal information to a third party in the following limited circumstances:
Where we have your consent (obtained prior to providing your personal information to a third party);
To consumer or credit reporting agencies to verify your current and ongoing creditworthiness, or to maintain your credit history;
To your financial institution to verify an account;
Where we are required or permitted, by law or our regulators, to do so;
To service providers (including affiliates acting in this capacity) that perform services on our behalf, such as pre-paid credit card financing, online loan underwriting, data hosting, data processing, information technology, marketing and analytics, call center, mailing, collections and billing;
In the unlikely event of a sale or lease of our business, in whole or in part, or a corporate re-organization; or
Where such third party assists us in serving you.
In such cases we will make disclosure to the extent that is necessary to accomplish the required purposes or discharge our regulatory, legal or public duty. We will endeavor to obtain from the third party receiving the information reasonable assurances that it will respect the privacy of personal information in accordance with applicable laws. As certain of our operations are conducted in Canada and the United States of America and certain of our service providers may have operations in Canada and the United States of America, your information may be sent to either country by secure electronic or other means. In the event that your information is sent outside of Canada or the United States of America, there is a remote possibility that it may be accessed by the courts, law enforcement and national security authorities of the jurisdiction where it is sent.
What are our safeguards for protecting your information?
Our security safeguards are designed and maintained to protect your personal information against loss or theft, as well as unauthorized access, use, copying, modification, disclosure or disposal. Our current methods of protection include:
Physical measures including restricted access to branches, alarm systems, and secure filing cabinets;
Technological measures for electronic transfers including our email and point of sale systems running on a VPN with a minimum of 128 bit encryption and a firewall, and our point of sale systems requiring several passwords including a sequel server;
Organizational security measures including security clearances, limiting access to a 'need to know' basis, staff training, and required confidentiality agreement; and
Investigative measures, should we have reasonable grounds to believe that personal information is being inappropriately collected, used or disclosed.
We protect personal information regardless of the format in which it is held.
Although we have various security measures in place, we cannot guarantee the absolute security of our website, or the security of information that you submit or that we send to you over the internet, since no internet transmission is ever fully/completely secure or error-free. Your use of the internet and electronic mail is at your own risk.
Should there be a breach relating to the personal information that you have provided to us, we will make an assessment as to whether the privacy breach creates a real risk of significant harm to you (includes financial loss, identity theft, negative effects on a credit record, humiliation, damage to reputation or relationships, loss of employment, business or professional opportunities, or loss of property). Should we determine that the privacy breach does result in a real risk of significant harm to you, we will provide you with notification at the earliest opportunity. The notification will contain sufficient information to allow you to understand the significance of the breach and to take steps, if any are possible, to reduce the risk of harm that could result from it or to mitigate that harm. It shall also contain any other information required by law. We shall also report any breach of security safeguards to the Privacy Commissioner if it is reasonable in the circumstances to believe that the breach creates a real risk of significant harm to you.
How long do we keep your information and how do we dispose of it?
The length of time we retain your information varies depending on the services you have requested and your relationship with us. We keep information for so long as it is reasonably required by us or legally necessary for us to retain such information. Your information is confidentially destroyed, deleted, erased or converted to an anonymous form when reasonably appropriate.
How do you gain access and verify your personal information?
We will provide you access to the personal information we have about you. If you require information, simply contact our Privacy Officer. We will respond to your request within thirty (30) days. Please note that we may not be able to provide information about you from our records if it contains references to other persons, is subject to legal privilege, contains information proprietary to us, is too costly to retrieve, or cannot be disclosed for other legal reasons.
Having accurate information about you enables us to give you the best possible service. You can help by keeping us informed of any changes, for instance if you move or change telephone numbers. If you find any errors in our information about you, let us know and we will make the corrections promptly and make sure they are conveyed to anyone we may have misinformed. For information that remains in dispute, we will note your opinion in our file. Requests can be made through our website or the Privacy Officer.
How are your choices handled?
Subject to legal or contractual restrictions and reasonable notice, you are free to refuse or withdraw your consent to the collection, use or disclosure of your personal information at any time. You may do so by contacting our Privacy Officer. However, once you are using our service you may not be able to withdraw your consent to our collection, use and disclosure of personal information as necessary to provide that service. You may also wish to limit the amount of personal information we collect, use or disclose about you. However, by doing so, we may not be able to provide our services or connected services to you. You may opt out of receiving marketing information via email, SMS, telephone or direct mail at any time.
Telephone calls made to us may be recorded for quality assurance and record keeping purposes. If you do not wish to have your telephone calls recorded, you have the option to conduct your business with us by writing us.
How is your privacy treated by our website?
In general, you may visit us on the web without telling us who you are or revealing any information about yourself.
We may, however, collect non-personally identifiable information from you when you visit our website or download or use or mobile app. For our website, this includes your domain name, the IP address of the web page from which you enter the site, the pages you visit on our site and the amount of time you spend there. This information is used to improve and customize the content and layout of our website or app.
From time to time we may utilize cookies or scripts on our website. You may disable these features, but by doing so, you may not be able to utilize the services we provide on our website.
We collect the e-mail addresses of those who communicate with us by e-mail and information volunteered by our visitors. The information we collect is used to improve our content and contact these visitors, if they have requested to be contacted.
How do you communicate with us?
Our Privacy Officer is your point of contact if you wish to raise any matters regarding our collection, use, storage or disclosure of your personal information. For information, questions or concerns on our privacy practices contact:
Privacy Officer: J. Zavitz
Our Privacy Officer has the decision-making authority to resolve most concerns.