1. Prepaid Dental forMaricopa Community College

2. Assurant Employee Benefits Prepaid PlansHeritage Plus Plan with Specialty Benefit Amendment Plan limitations and exclusions apply.

3. Prepaid Plan Features: • No Deductibles • No Claim Forms to File • No Annual Dollar Maximums • No Waiting Periods for Services • Coverage for Pre-existing Conditions • Emergency Coverage • Cosmetic Dentistry

4. Schedule of Copayments forAssigned Family Dentistfor Arizona Heritage Plus plan ADA Code Procedure Member Co-payment 999 Routine Office Visit $10.00 1110 Prophylaxis - Adult $5.00 Cleaning (Semi-Annually) 2750 Crown - PFM $265.00 (Lab Fee Additional)

5. Schedule of Copayments forSpecialist accepting SBA in-networkfor Arizona Heritage plan ADA Code Procedure Member Co-payment 150 Comprehensive Oral Eval. $45.00 3330 Root Canal (Molar) $395.00 4341 Perio. Scaling and Planing $100.00 7240 Removal impacted tooth $200.00

6. Prepaid PlanSpecialty Benefit Amendment • Member Copayment to Specialist • 15% Endodontics discount and 25% discount on all other specialists if procedure NOT listed on Specialty Benefit Amendment • 25% discount on Orthodontic Services • (Adult and Child) • No Referral Required • No Annual Dollar Maximums

7. Specialist directory“S” indicates the specialist accepts the SBA

8. Prepaid PlanDirectory of Dentists • Ability to change dentists • Each family member may select a different dentist www.assurantemployeebenefits.com

9. Assurant Employee BenefitsPrepaid ArizonaParticipating General Dentist Directory As of Feb 9, 2005

10. Prepaid Customer Service Number 1-800-443-2995 Business hours to assist you: 7:00am-5:30pm Central time, Monday-Friday Automated Eligibility System Business hours to assist you: 7:00am-7:00pm 7 days per week www.assurantemployeebenefits.com (Heritage Plans Network)

11. Vision Services Plan(included with all dental plans) • Discounts on exams, eyeglasses, laser vision care, contact lenses, sunglasses • No waiting periods • No deductibles • No claim forms to fill out VSP Customer Service 1-800-877-7195 www.vsp.com

12. Assurant Employee Benefits will mail to member’s home: • ID Cards (Dental & Vision)• Evidence of Coverage• Copayment Schedule