Enroll in a Plan
We make enrolling in an ODA Wellness Trust plan easy for you and your staff. Just follow these steps.
- Request a quote to learn about the best plans for you and your practice.
- Select the ODA Wellness Trust plan that works best for you based on the quote we have provided.
- Sign the New Group Health Plan Participation Contract (signed by the ODA member dentist).
- Complete the Confirmation of Coverage Selection form (signed by the ODA member dentist).
- Have all employees who are declining coverage complete and sign an Individual Waiver.
- Complete the Electronic Funds Transfer form if your office would like to enroll in automatic monthly payments. Return EFT form with a void check.
- Submit all completed forms via fax at (614) 340-9444 or secure email at email@example.com. If you fax your forms, please use this Wellness Trust Enrollment Form Fax as your cover sheet.
What happens next?
Within one business day, our team will email you to confirm we received your documents. If you do not receive a confirmation (please check your junk/spam file), this means we have not received your fax. Please call us at (614) 486-2700.
Have questions or need assistance?
Our ODA Wellness Trust team is available to answer any questions you have. We can also help you complete your forms if you would like assistance. Just contact us at (800) 282-1526 or firstname.lastname@example.org.
We understand that your practice day is busy. We are committed to answering calls in the order received and we will return your call quickly. Because we may not always be available when you are, please feel free to send us your questions via email to email@example.com.