Member Information
Name: John Mayhone
Address: 5237 89th Ter N, Pinellas Park, FL 33782
Phone: (727) 621-3294
Email: 22mayhone22@[Link]
Date of Birth: 06-27-1984
Gender: M
Product Information
Health Essential Care DVH
$68.93 per Month for Individual
$0.00 one-time Enrollment
Terms and Conditions for Health Essential Care DVH
DENTAL
A Healthier Smile for You and Your Loved Ones
Partnering with DenteMax’s extensive nationwide network has afforded more than 12 million
members access to the network each year. In turn, this gives members the freedom to choose
qualified local dentists within the network. For peace of mind, DenteMax dentists go through a
rigorous screening process, including a re-credentialing every three years. Not only does Health
Essential Care bring members substantial savings, but members are also guaranteed access to quality
of care.
VISION
Helping Members See Clearly for Over 20 Year
Health Essential Care members receive significant vision savings through the EyeBenefits Provider
Network, consisting of over 15,000 optical and LASIK locations nationwide. The EyeBenefits
Provider Network includes most national and regional optical chain locations such as Vision Works,
J.C. Penney Optical, LensCrafters, Pearle Vision, Sears Optical, and Target Optical.
Health Essential Care Members receive savings off of LASIK procedures, including pre-screening
and post-surgical visits. EyeBenefits LASIK Provider Network (QualSight) consists of highly
qualified surgeons, each with an outstanding reputation for excellent patient care. Helping Members
See Clearly for Over 20 Years
With over 1,500 LASIK locations available nationwide, EyeBenefits Members can save 10% - 50%
off of retail services.
EyeBenefits and 1800AnyLense are partnered to bring Health Essential Care members the best
savings on contact lenses. Members receive near wholesale pricing, an additional 10% off orders and
free standard shipping.
HEARING
Wide-Range of Facilities and Hearing Service
In joint efforts to provide the right hearing coverage, Health Essential Care and Hear in America
have partnered to provide eligibility for a free hearing screening for Health Essential Care members.
It takes the average person with hearing loss 5 to 7 years before seeking a professional diagnosis, in
spite of the fact that the signs and symptoms of hearing loss are clear to other people. Currently
serving more than 10 million members nationwide, Hear In America brings quality hearing care
services, including:
• Free annual hearing screening for you and your extended family
• Hearing aid discounts from 35% - 70% (off MSRP)
• 3 year repair warranty
• 3 year loss and damage coverage
• 3 years of free batteries
• Office service (cleanings, adjustments, etc.)
To search for providers, please visit: [Link] or call toll-free at: (844) 203-479
This plan is NOT a health insurance policy. This plan provides discounts at certain health care
providers for medical services. This plan does not make payments directly to the providers of
medical services. The plan member is obligated to pay for all health care services but will receive a
discount from those health care providers who have contracted with the discount plan organization.
The DMPO does make available a list of all program providers which includes their name, city &
state, and medical specialty prior to purchase, upon request.
Billing Authorization
By signing below, you confirm the following:
You authorize FirstEnroll, on behalf of Health Essential Care (HEC), to charge the credit card or
ACH debit indicated in this authorization. If the above noted payment dates fall on a weekend or
holiday, you understand that the payments may be executed on the prior business day. You
understand that this authorization will remain in effect until you cancel it in writing, and you agree to
notify FirstEnroll, in writing, of any changes in your account information or termination of this
authorization at least 15 days prior to the next billing date.
FirstEnroll - contact information:
101 Crawfords Corner Road Suite 4233
Holmdel, NJ 07733
members@[Link]
This payment authorization is for the type of bill indicated above. You certify that you are an
authorized user of this credit card or bank account and that you will not dispute the scheduled
payments with your Credit Card Company or bank, provided the transactions correspond to the
terms indicated in this authorization.
The information you provided is accurate.
You understand the details of the membership, including the membership fees.
You have read and agree to the General Membership Disclosures.
You have read and agree to the Insurance Disclosures
If ACH: You hereby authorize FirstEnroll to initiate ACH debits to your bank account in the amount
listed above on the date listed above. You may revoke this authorization by contacting us at (732)
876-9733, no less than 3 business days from the date above and/or the recurring monthly transaction
date.
Refund Policy
You are entitled to a full refund of your initial payment if you cancel your membership within 30
calendar days of your enrollment date. To request a refund, you must submit a written cancellation
notice to FirstEnroll via email at members@[Link], Cancellations received within the
30-day period will result in a full reimbursement of the initial payment. Refunds will be issued to the
original payment method within 7–10 business days of confirmation of your cancellation request.
Third-Party Administrator Disclaimer
FirstEnroll operates solely as a third-party billing and administrative services provider. FirstEnroll
does not design, underwrite, manage, or make decisions regarding the benefits, coverage, or claims
associated with the insurance plans offered through Mclaren Insurance Solutions LLC (Texas office).
Plan and Claims Inquiries
All inquiries related to your Health Essential Care DVH, including questions about benefits,
coverage, and claims, must be directed to your writing agent. Please use the contact information
provided below:
Writing Agent Contact Information:
Joshua DeBurr
Mclaren Insurance Solutions LLC (Texas office)
customerservice@[Link]
Plan Availability and Coverage Continuity
In the event your selected Plan becomes unavailable, FirstEnroll may, in an effort to ensure there is
no lapse in coverage, transition your enrollment to a substantially similar product at no additional
cost to you. If such a rollover occurs, you will be provided with advance written notice and offered
the opportunity to opt-out of the change. Your writing agent will remain the same and continue to
serve as your designated contact for any plan-related matters. Should your writing agent no longer
be available, please contact Mclaren Insurance Solutions LLC (Texas office)
custo@[Link].
Telephone Consumer Protection Act (TCPA) Notice
By signing, you expressly consent to receive recurring telephone calls, SMS or MMS text messages,
and/or emails from FirstEnroll for purposes such as billing, product updates, or customer support at
the phone number provided. You understand that these communications may involve the use of an
automatic telephone dialing system or an artificial or prerecorded voice. Message and data rates may
apply. You may opt out of future communications from FirstEnroll at any time by replying STOP to
any message or by emailing Compliance@[Link].
Company Name Change and Assignment
You acknowledge and agree that FirstEnroll may, at its sole discretion, change its business name,
corporate structure, or branding in the future. Any such change shall not affect the validity or
enforceability of this Agreement. All rights, obligations, and responsibilities under this Agreement
shall continue in full force and effect and shall be binding upon and inure to the benefit of
FirstEnroll and its successors, assigns, or any legal entity resulting from such change References to
“FirstEnroll” in this Agreement shall be deemed to include any successor entity or new business
name adopted by the company, without need for further amendment to this Agreement.
Grievances
Should you have any concerns, please contact members@[Link], and we can assist in
directing you to the appropriate entity to address your concern.
Severability
If any provision of this agreement is found to be invalid or unenforceable, the remaining provisions
shall remain in full force and effect.
Payment Method
Type: Credit Card
Name: Patricia Mayhone
Number: xxxxxxxxxxxx-4846
Expiration: November 2030
Electronic Signature
By electronically acknowledging this authorization, I acknowledge that I have read and agree to the
terms and conditions set forth in this agreement.
Name: John Mayhone
Date: December 15, 2025 at [Link] PM
IP Address: [Link]
System: Mozilla/5.0 (iPhone; CPU iPhone OS 26_2_0 like Mac OS X) AppleWebKit/605.1.15
(KHTML, like Gecko) CriOS/143.0.7499.108 Mobile/15E148 Safari/604.1
