Group Administrators - Forms & Literature

The documents below can only be viewed by using Acrobat® Reader® software, which can be downloaded free of charge from www.adobe.com.

• Annual Report
• Dental Claim Form
• Informed Patient Options brochure
• International Dental Program Claim Form With Instructions
• Online Enrollment Highlights
• Online Enrollment User Request Form

Billing Forms & Calendars

• 2008 Self Insured (ASO) ACH Authorization Form
• 2008 Self Insured (ASO) Monthly Billing Schedule
• 2008 Self Insured (ASO) Weekly Billing Schedule
• Billing Reports Online User Request Form
• Billing Reports Online User Change Form

Better oral health keeps employees on the job and helps maintain employee productivity.  Preventive dental care, early detection and proper treatment saves the United States $4 billion annually, according to a Public Health Reports study.