Introducing your ASRS PPO Plans Freedom Basic – Low Option Monthly Premiumon Retiree $16.82 Retiree and one Dependent $35.56 Retiree and Family $65.10 Yearly Benefit Maximum: • Per Person, Per Policy Year: $1,000 (Preventive services do not count towards your yearly maximum) Coinsurance Percentage Per Person: • Type I Dental Services: 100% RSVP Tracker. This dental plan does not provide coverage for pediatric oral health services that satisfies the requirements for “minimum essential coverage” as defined by the Patient Protection and Affordable Care Act. Introducing your ASRS PPO Plans Freedom Basic Low Option Monthly Premiumon Retiree $16.82 Retiree and one Dependent $35.56 Retiree and Family $65.10 Yearly Bene t Maximum: Per Person, Per Policy Year: $1,000 (Preventive services do not count towards your yearly maximum) Coinsurance Percentage Per Person: Type I Dental Services: 100% This site is for clients covered under Union Security Insurance Company or Union Security Life Insurance Company of New York that have not converted to Sun Life policies. The ASRS proudly serves more than a half-million members, including more than 100,000 retired members. By signing in, you agree to these terms and conditions. Or … The ASRS proudly serves more than a half-million members, including more than 100,000 retired members. For more than 50 years, the Arizona State Retirement System has provided retirement security to Arizona’s public servants, including teachers, municipal workers and other government employees. Began: 11/1/2020 Ended: 11/30/2020. Group Dental Benefits Arizona State Retirement System Advance Plan, Amended 01/01/12 G933 For more than 50 years, the Arizona State Retirement System has provided retirement security to Arizona’s public servants, including teachers, municipal workers and other government employees. This is not my group. Any person obligated for any part of a prepayment fee in connection with an enrollment agreement may cancel such agreement within 72 hours after having signed the agreement or offer to enroll. If you experience technical issues, please call 800-247-6875. 2021 Open Enrollment Period. Complete the ASRS enrollment form, being sure to include the Dental Facility Number of each Plan Dentist selected. 2. NOTE: It is possible that a provider may have left or joined the network since the publishing of the directory. Back to uhcretiree.com » IMPORTANT DATES. 2. If the directory information appears to be inaccurate, please contact us by phone at (800) 451-2513 or by email at ebgdentalsystems@sunlife.com to let us know. This page will automatically redirect in 10 seconds to where you'll need to create a Sun Life account and sign in. Group retiree benefits for ASRS and PSPRS retirees. Click here to RSVP for an Open Enrollment. Complete the ASRS enrollment form, being sure to include the Dental Facility Number of each Plan dentist. Prepaid dental products are provided by United Dental Care of Colorado, Inc., an affiliate of Sun Life Assurance Company of Canada (Wellesley Hills, MA), under Form Series PDC.