Coverage includes dental benefits through payroll deduction. In order for you to utilize the specific benefits of the plan, you must select a dentist from the list of Participating General Dentists for you and your family. Click on the following links for more information and benefits of the Prepaid 225 with Ortho Co-payments Plan. This plan is provided by Sun Life Assurance Company of Canada (Wellesley Hills, MA).
Benefits include
- no charge services
- examinations
- x-rays
- routine cleanings
- fluoride treatments
- other services at predetermined co-payments
- implant benefit
- orthodontic co-payments for adults and children
- specialty care available at a 15% to 25% discount of participating specialists’ normal fees
- additional plan features
- no deductibles
- no claims forms
- no annual dollar maximum
- all pre-existing dental conditions are covered
- No waiting periods
Preexisting conditions
Limitations and exclusions apply with respect to the Member’s oral conditions without regard to whether or not such conditions existed before the effective date of the Member’s enrollment.
Orthodontic extractions
Extractions by a Plan Provider for solely orthodontic purposes are not subject to the fixed Co-payments shown for extractions in the Co-payment Schedule. Instead, such extractions are subject to charges reflecting a 25% reduction from that Plan Provider’s normal retail charges for such extractions.
Termination
The Member’s enrollment may be terminated as stated in the TERMINATION article of the Evidence of Coverage.
| Payroll deduction | Bi-Weekly | Monthly |
|---|---|---|
Employee |
$7.47 |
$14.93 |
Employee/Spouse |
$12.59 |
$25.17 |
Employee/Child(ren) |
$16.63 |
$33.26 |
Employee/Family |
$21.77 |
$43.54 |
Resources
New hire and enrollment questions?
Call our agent State Securities Corp
Toll Free: 800-277-2300
Telephone: 850-386-2300
Existing plan member questions?
PPO: 800-442-7742
Prepaid: 800-443-2995
To submit a claim, mail to:
Sun Life
PO Box 1618
Milwaukee, WI 53201-1618
As a member, you have access to view your plan information, claim status and more through your Sun Life account (previously named Online Advantage). Register and/or log in today to access your benefits online!
As a member, you have access to a wide range of information about dental health care and how it relates to your general health and preventive wellness.
Did you know that more than 75% of American adults suffer from various forms of gum disease and don’t even know it?
To enroll for your dental plan, please call People First at 866-663-4735 or enroll online.