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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.
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
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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.
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
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 dentistry
1Proof 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
Procedure
D0999 Routine Office Visit $10.00
D1110 Prophylaxis - Adult
$10.00 Cleaning (Semi-Annually)
Member Copay
ADACode
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)
• 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
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
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
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
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].
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 more
information.