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In this issue...
 
 
Sun Life leans in on preventive oral health with new Lifetime of Smiles® dental plan options

How does your dental plan stack up? Now you can get even more with a Sun Life dental plan when you choose one of our two new plan options. We are disrupting the status quo with Preventive Rewards, our innovative plan option that incentivizes members to get their annual preventive dental care. RollMax allows members to rollover a portion of their unused maximum. Both new plan options bank maximum dollars for future preventive, basic or major services1 and are available with any PPO dental plan, including Administrative Service Only (ASO) plans. Talk to your benefits consultant to learn more and ask for a dental quote from Sun Life.
 
 
 
Webinar recording available: The far-reaching effects musculoskeletal issues have on your employees and organization

If you have any questions about the webinar content or would like to learn more on how Sun Life is expanding access to healthcare and benefits, please visit sunlife.com/healthcareaccess.
 
 
 
2023 High-cost claims and injectable drug trends analysis

Check out our 11th annual High-cost claims and injectable drug trends analysis for insights on this year’s top 10 conditions. The analysis also includes a comprehensive look into newborn-related conditions, as well as cardiovascular, and orthopedics/musculoskeletal; the continued rise of million-dollar claims, injectable drug trends, and more!
 
 
 
Improving access and health outcomes with Health Navigator

The healthcare system can be difficult and overwhelming to navigate alone, which is why our Health Navigator Care Advisors and clinical experts provide our members support on a wide range of conditions to get them access to the best care for their health needs. See our work in action by watching how Health Navigator member Joyce leaned on our services and her dedicated Care Advisor to get her daughter the guidance and support she needed after a traumatic eye injury.

Read more member stories of how Health Navigator had a positive impact on health outcomes.

 
 
 
DMEC Annual Conference registration promo code

As a national sponsor of the Disability Management Employer Coalition (DMEC) Annual Conference occurring August 14-17, 2023 in San Diego, we are pleased to share a discounted registration rate that provides a $100 discount on the current employer member and employer non-member registration rates.

Log in and register with discount code AC23_SPONSORCLIENT.

The registration rates will be honored until registration closes on August 3, 2023 and cannot be applied to registrations that have already been processed and paid.
 
 
 
Important PFML updates and reminders

ON THE HORIZON…

Paid Family and Medical Leave (PFML) mandates have passed in the following states with benefits effective in 2026:

  • Delaware
  • Maine
  • Maryland
  • Minnesota

Sun Life is following the creation of these programs closely in anticipation of offering PFML private plans.

Massachusetts (MA) PFML
  • Employers must renew their Sun Life self-insured and fully insured private plan exemptions through MassTaxConnect every 12 months or as otherwise directed by the Department of Family and Medical Leave (DFML). Employers who fail to renew their private plan with the Commonwealth will be put back into the state plan for MA PFML administration and the Commonwealth may assess historical premium fees or penalties. Clients with a Sun Life private plan should contact your Sun Life representative for the appropriate confirmation form(s) prior to your private plan renewal date.
Connecticut (CT) PFML
  • Effective June 1, 2023: the maximum weekly benefit increased from $840 to $900.
  • Private Plan exemption renewal timeline: CT Paid Leave Authority requires all employers with a private plan exemption to hold a vote and submit a renewal application every 3 years. We are coming up on the first set of required renewals. Employers should find their exemption approval date (note this could be different and earlier than policy effective date) and work with their private plan carrier as needed to secure their renewal approval with CT a minimum of 30 days prior to the expiration date. Clients with a Sun Life private plan that need assistance with the vote can contact their Sun Life representative for information.
Colorado (CO) PFML
  • Employers planning to offer a private plan (including self-insured or administration-services-only models) are not exempt from paying FAMLI premiums until the FAMLI Division has reviewed and approved the private plan or self-insurance documentation in accordance with the Division’s private plan regulations. All employers must register with the Division and will be required to pay premiums until they receive approval from the Division. Employers will be able to request a refund for premiums paid in 2023, if their private plan has an effective date on or before January 1, 2024, and they submit an application for private plan approval on or before October 31, 2023. Employers using self-insured private plans can apply for approval now by submitting an application in My FAMLI+ Employer. The fully insured private plan process will be announced shortly.
  • Colorado announced that the State Average Weekly Wage (SAWW) has increased from $1,350.55 to $1,421.16 effective July 1, 2023. This will impact the PFML benefit calculation when program launches on January 1, 2024, however the Maximum Weekly benefit will remain $1,100, through June 30, 2024.
Oregon (OR) PFML
  • Oregon announced that the State Average Weekly Wage (SAWW) has increased from $1,224.82 to $1,269.69 effective July 1, 2023. When PFML benefits begin, the Maximum Weekly Benefit payable will be 120% of the SAWW or $1,523.63; the Minimum Weekly Benefit will be 5% of the SAWW or $63.48.
 
 
 
Supplemental Health claims email and mailing address changes

Please begin using the following updated contact information for Supplemental Health claims.

Email

New: SLFWorksiteclaims@yourbenefitexpert.com          

All emails sent to the old email address will be automatically forwarded to the new address. Emails from the Sun Life Supplemental Health claims team will use the “yourbenefitexpert.com” domain.

Mail

Old: 300 Southborough Dr. #200, South Portland, ME 04106
New: P.O. Box 9757 Portland, ME 04104

All mail sent to the old address will be automatically forwarded to the new address.

We are currently updating our materials and forms with this new information. Please reach out to your Sun Life representative with any questions.
 
 
 
Improvements in Short-Term Disability claims processing and new email address

New email address starting July 2023: [email protected]

Sun Life is improving its Short-Term Disability claims experience by doing more to match claims complexity to analyst experience. As we maximize experienced talent across our claim organization, we are moving away from regionally based claims teams (and regional “RCC” email addresses). The updates that you receive from claim analysts will now appear in your inbox under the new email address, [email protected]. We invite you to use this email box going forward, in the same way you used the “RCC” email address. The RCC email address will forward emails until such time it expires later this year.

If you have any questions, please contact your Client Relationship Executive or Client Services – or send us an email!
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Wellesley Hills, MA 02481

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1 The additional maximum dollars cannot be used for orthodontia services.

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”).

Group insurance policies are underwritten by Sun Life Assurance Company of Canada (SLOC) (Wellesley Hills, MA) in all states, except New York, under Policy Form Series 15-GP-01 and 16-DEN-C-01. In New York, group insurance policies are underwritten by Sun Life and Health Insurance Company (U.S.) (SLHIC) (Lansing, MI) under Policy Form Series 15-GP-01 and 16-DEN-C-01. Administrative Services Only services for self-funded dental plans are administered by SLOC in all states except New York. In New York, they are administered by SLHIC. Product offerings may not be available in all states and may vary depending on state laws and regulations. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. For cost and complete details of the coverage, please contact the company.

Sun Life Assurance Company of Canada (Wellesley Hills, Mass.) issues group policies in all states, except New York.  In New York, Sun Life and Health Insurance Company (U.S.) (Lansing, Mich.) issues group insurance policies.

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