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. (“PPACA”).

In all states except New York, prepaid dental products are provided and administered by Sun Life Assurance Company of Canada (SLOC) (Wellesley Hills, MA). In certain states, prepaid dental products are provided by prepaid dental companies affiliated with SLOC. Prepaid dental companies are Denticare of Alabama, Inc., United Dental Care of Arizona, Inc., UDC Dental California, Inc., Union Security DentalCare of Georgia, Inc., United Dental Care of Missouri, Inc., United Dental Care of New Mexico, Inc., UDC of Ohio, Inc., and United Dental Care of Texas, Inc. In New York, prepaid dental products are provided and administered by Sun Life and Health Insurance Company (U.S.) (Lansing, MI).

© 2020 Sun Life Assurance Company of Canada, Wellesley Hills, MA 02481. All rights reserved. Sun Life and the globe symbol are trademarks of Sun Life Assurance Company of Canada. Visit us at www.sunlife.com/us.

GDWC-7687