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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.
24

ASSURANT (DENTAL) BENEFITS PRESENTATION

Jul 05, 2015

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Page 1: ASSURANT (DENTAL) BENEFITS PRESENTATION

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.

Page 2: ASSURANT (DENTAL) BENEFITS PRESENTATION

2008 Dental Plan Options for

Arizona StateRetirement System

Page 3: ASSURANT (DENTAL) BENEFITS PRESENTATION

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

Page 4: ASSURANT (DENTAL) BENEFITS PRESENTATION

4

Dental Plans-2008

•Freedom Advance℠ (high option)•Freedom Basic℠ (low option)•Prepaid – Heritage Secure Plan

Plans contain limitations, exclusions, and restrictions. Please review the certificate booklet and group policy or Evidence of Coverage for complete details and provisions.

Page 5: ASSURANT (DENTAL) BENEFITS PRESENTATION

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)

Page 6: ASSURANT (DENTAL) BENEFITS PRESENTATION

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

Page 7: ASSURANT (DENTAL) BENEFITS PRESENTATION

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)

Page 8: ASSURANT (DENTAL) BENEFITS PRESENTATION

Type III - Major Services not covered

Orthodontia not covered

Maximum Benefits $1,000 per person

Annual combined preventive and basic

Page 9: ASSURANT (DENTAL) BENEFITS PRESENTATION

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Predetermination of Benefits

Recommended for treatments over $300.00

Page 10: ASSURANT (DENTAL) BENEFITS PRESENTATION

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

Page 11: ASSURANT (DENTAL) BENEFITS PRESENTATION

Freedom Indemnity PlansCustomer Service Number

800.442.7742

Business Hours to assist you:7:00a.m. - 5:00p.m. CT

Monday - Fridaywww.assurantemployeebenefits.com

Page 12: ASSURANT (DENTAL) BENEFITS PRESENTATION

Prepaid Plans

Secure Plan (Arizona)with Specialty Benefit Amendment

may select other states where available

Page 13: ASSURANT (DENTAL) BENEFITS PRESENTATION

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.

Page 14: ASSURANT (DENTAL) BENEFITS PRESENTATION

Arizona Secure Plan sample copayments forselected family dentist

Procedure

D0999 Routine Office Visit $10.00

D1110 Prophylaxis - Adult $10.00

Cleaning (Semi-Annually)

Member Copay

ADACode

Page 15: ASSURANT (DENTAL) BENEFITS PRESENTATION

Copayments cont.

ADA Code Procedure Member Copayment

D2750 Crown - PFM $295.00(Lab Fee Additional)

D3310 Root Canal - Anterior $145.00

D5110 Complete Upper Denture $385.00(Lab Fee Additional)

Page 16: ASSURANT (DENTAL) BENEFITS PRESENTATION

• Member Copayment to Specialist- SBA plan specialists are indicated with an “S” in the provider directory

• 15%-25% discount if procedure is NOT listedon Specialty Benefit Amendment

• 25% discount on Orthodontic Services (Adult and Child)

• No Referral Required

• No Annual Dollar Maximums

Prepaid PlanSpecialty Benefit Amendment

Page 17: ASSURANT (DENTAL) BENEFITS PRESENTATION

Prepaid PlanDirectory of Dentists

• Ability to change dentists• Each family member may select

a different dentist

www.assurantemployeebenefits.comClick on “Provider Search”

Select Heritage Series

Page 18: ASSURANT (DENTAL) BENEFITS PRESENTATION
Page 19: ASSURANT (DENTAL) BENEFITS PRESENTATION

Prepaid Plan

Customer Service 800.443.2995

Business hours to assist you:7:00 a.m.-5:00 p.m. CT,

Monday-Friday

Automated Eligibility SystemBusiness hours to assist you:

7:00 a.m.-7:00 p.m. 7 days per weekwww.assurantemployeebenefits.com

Page 20: ASSURANT (DENTAL) BENEFITS PRESENTATION

Vision Service Plan (VSP)(included with all dental plans)

• Discounts on exams, eyeglasses, laser vision care, contact lens exam, sunglasses

• No waiting periods• No deductibles• No claim forms to fill out

VSP Customer Service 800.877.7195www.vsp.com

Page 21: ASSURANT (DENTAL) BENEFITS PRESENTATION

Online Advantage for Members

• View eligibility • Change facility for

prepaid members• View benefit details• Dental fee cost

estimator• View claims status

• Ask a dentist• Find a dentist and/or

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

800.442.7742 or email [email protected].

Page 22: ASSURANT (DENTAL) BENEFITS PRESENTATION

On-Site RepresentativeMonday - Friday,

8:00 a.m. - 5:00 p.m. MT602.240.2000, ext. 2032

Page 23: ASSURANT (DENTAL) BENEFITS PRESENTATION

This presentation provides a summary ofthe plans offered to the Arizona StateRetirement Systems.

Please review the certificate booklet andgroup policy or the Evidence of Coverage for complete

details andprovisions. Plans contain limitations,exclusions, and restrictions.

Contact Assurant Employee Benefits for moreinformation.

Page 24: ASSURANT (DENTAL) BENEFITS PRESENTATION

Questions?