Plan Details:
Prepaid plan booklet
- How the plan works
- Prepayment fees
- Q & A about the plan
- Copayment schedule
Dentist Selection form
Please print, complete and mail.
Enrollment Details:
Annual Transfer enrollment
period
October 15 - November 16
Effective date
January 1, 2010
Questions?
Call 800.443.2995
Did you know that more than 75% of
American adults suffer from some kind of periodontal (gum) disease? To learn
more:
Mouth-Body Connection
Dental Facts
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Assurant Employee Benefits provides
retirees of the State of Tennessee a Prepaid Dental Plan, underwritten by
Union Security Insurance Company.
We are committed to establishing and maintaining an excellent provider network,
striving to deliver outstanding customer service, and providing our members with
a dental plan that offers meaningful benefits.
It's Your Choice
Select the following link for more information about the features
and benefits of this plan.
Prepaid Plan - Family members may
choose different dentists.
How to Enroll
-
Complete the appropriate sections of the
State of Tennessee enrollment/change application and return it to Benefits
Administration. If you need a copy of the enrollment/change application,
please contact Benefits Administration.
-
Select a general dentist from the
Directory of Dentists for yourself and every
eligible member of your family. Each family member may choose a different
Plan Dentist. You must select a Plan Dentist to receive services. Except for
certain specialist services, all services must be performed by this selected
Plan Dentist. You may change your Plan Dentist(s) throughout the Plan Year
in accordance with the provisions of the group agreement. However, all
services must be performed by a Plan Provider.
-
Complete the
Dentist Selection form, being sure to include the 7-digit Dental
Facility ID# for the Participating General Dentist you select. The Dentist
Selection form is included in the booklet as well as on this site. Mail the
completed Dentist Selection form to the address on the form.
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