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Individual Agents
- Provider Search
- Online Application
- Medical Plans
- Dental Plans
- Medicare Plans
- Enrollment
- Forms & Resources
- Frequently Asked Questions
- 503-243-3948 or
800-578-1402
Forms & Resources
2009 Renewal Information
- Whats New (PDF File)
- Dental Exchange Brochure (PDF File)
- Dental Exchange Application (PDF File)
- Sample Individual Renewal Letter (PDF File)
- Sample Exchange Renewal Letter (PDF File)
- Individual Rate Table (PDF File)
- Producer Agreement (Exhibit A - Commission Schedule) (PDF File)
Resources
- Provider Search
- Request ID Card, Change Address or PCP
- ODS Individual Field Underwriting Guide
- Dental Explanation Of Benefits (EOB) sample (PDF File)
- Medical Explanation Of Benefits (EOB) sample (PDF File)
- Glossary
Enrollment Forms
- Individual Medical & Dental Enrollment (Online Application)
- Individual Medical & Dental Enrollment (PDF File)
- Authorization Agreement for AutoPay (EFT) (PDF File)
Claim Forms
- Dental Claim Form (PDF File)
- Medical/Vision Claim Form (PDF File)
- Prescription Drug Claim Form for Med Impact Plans (PDF File)