When seeking treatment by an out-of-network Specialty Dentist, you can still receive a benefit under the plan.  Plan benefits are provided for procedures listed in the Maximum Non-Plan Specialty Reimbursement.  A claim will need to be submitted to Assurant Employee Benefits.  Here is how the benefit works:

• At the time of service, you will pay the specialty dentist’s normal retail charge for the services performed. 
• If the procedure is listed on the SB Schedule, you will be reimbursed the amount shown in the Maximum Non-Plan Specialty Reimbursement list or the amount charged by the specialty dentist for the procedure, whichever is less.  An annual maximum of $2,000 applies.
• No benefits are available for services not listed on the SB Schedule.