1 PPO Products and services marketed by Assurant Employee Benefits are underwritten or provided by Union Security Insurance Company. Prepaid Products and services marketed by Assurant Employee Benefits are underwritten and/or provided by United Dental Care of Arizona, Inc.
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PPO Products and services marketed by Assurant Employee Benefits are underwritten or provided by Union Security Insurance Company.
Prepaid Products and services marketed by Assurant Employee Benefits are underwritten and/or provided by United Dental Care of Arizona, Inc.
2008 Dental Plan Options for
Arizona StateRetirement System
About Us• Fortune 500 Company• Financial Ratings*:
A (Excellent) A.M. BestA2 (Good) Moody’sA (Strong) Standard and Poor’s
Assurant, Inc. is a Fortune 500 company and a member of the S&P 500 Index. Assurant Employee Benefits is a part of Assurant, Inc.*Ratings for Union Security Insurance Company
Plans contain limitations, exclusions, and restrictions. Please review the certificate booklet and group policy or Evidence of Coverage for complete details and provisions.
Type I - Preventive Services 80% paidOral exams deductible waivedRoutine cleaningsX-rays
Type II - Basic Services 80% paidFillings deductible appliedMinor and major periodonticsRoot canals, minor oral surgery
Freedom Advance℠ (High Option)
Type III - Major Services 25 or 50% paid transfer credit applies
Crowns deductible appliedBridgesDenturesComplex Oral Surgery
Orthodontia not covered
Maximum Benefits $2,500 per personAnnual combined preventive, basic and major
Type I - Preventive Services 100% paidOral exams deductible waivedRoutine cleaningsBitewing x-rays
Type II - Basic Services 80% paidFillings deductible appliedMinor periodonticsMinor oral surgeryOther x-rays
Freedom Basic℠ (Low Option)
Type III - Major Services not covered
Orthodontia not covered
Maximum Benefits $1,000 per person
Annual combined preventive and basic
9
Predetermination of Benefits
Recommended for treatments over $300.00
Freedom Indemnity Dental Plans include
Dental Health Alliance PPO
• Discounts on covered and non-covered procedures including cosmetic services
• No balance billing
DHA is our PPO network namewww.assurantemployeebenefits.com
Freedom Indemnity PlansCustomer Service Number
800.442.7742
Business Hours to assist you:7:00a.m. - 5:00p.m. CT
Monday - Fridaywww.assurantemployeebenefits.com
Prepaid Plans
Secure Plan (Arizona)with Specialty Benefit Amendment
may select other states where available
Prepaid Plan Features
• No deductibles• No claim forms to file1
• No annual dollar maximums• No waiting periods for services• Coverage for pre-existing conditions• Emergency coverage2
• Cosmetic dentistry1Proof of expenses are required when seeking reimbursement for emergency services performed by a non-plan provider.2Emergency benefits in your plan are limited to the temporary relief of pain.
Arizona Secure Plan sample copayments forselected family dentist
specialist • Dental health center• Request ID card • Contact customer
service
For more information about how Online Advantage can work for you please visit the online demo a www.assurantemployeebenefits.com, call customer service at