Ohio Health Insurance Options

Ohio Health Insurance Options
For immediate assistance,
call toll free:
1-888-217-4172 or
614-737-3804


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Need help? Call us for personalized help at

1-888-217-4172

 

Group Dental Insurance Plan Quote


Start your group dental insurance quote now! Fill out the form below as completely as possible and click the "submit" button.  One of our agents will contact you within 24 hours.

Click here for printable/faxable form - (requires Adobe Acrobat Reader)

* Required Information

Group Name: *
Nature of Business:*
Contact Person:*

Contact Number: * (ex. 6145551234)    

Fax Number: (ex. 6145551234) 

E-Mail Address:*
Street Address: 
City: *      State:         Zip:* 
County: 
Current Health Insurance Carrier  

 

What other types of coverage would you like to offer your employees in addition to health insurance?  
   Life Insurance   Dental Cancer Plan Disability
   Vision   Not Sure      None
  Employee Census Information:
# Name Sex DOB Spouse/DOB # Children Zip Code
1
2
3
4
5
6
7
8
9
10
11
12
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20

 

Any known medical conditions of employees that need to be taken into consideration with this quote request?
   
   
           

Contact Us

by e-mail at dentalplans@ohioinsuranceoptions.com 
by phone (toll free): 1-888-217-4172