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- 503-243-3948 or
800-578-1402
Forms & Resources
Brochures
- Individual Medical & Dental
- Individual Medical & Dental Quarterfold
- Standalone Dental
- Standalone Dental Trifold
- Dental Exchange
Enrollment Forms
- Individual Medical & Dental Enrollment (Online Application)
- Individual Medical & Dental Enrollment
- Standalone Dental Application
- Dental Exchange Application
- Authorization Agreement for AutoPay (EFT)
Claim Forms
- Dental Claim Form
- Medical/Vision Claim Form
- Prescription Drug Claim Form for Med Impact Plans
Resources
- Provider Search
- Request ID Card, Change Address or PCP
- ODS Individual Underwriting Field Guide
- Dental Explanation Of Benefits (EOB) sample
- Medical Explanation Of Benefits (EOB) sample
- Glossary