For info on dental plans with effective dates before 8/1/10: click here

Apply for DentalQUICK

Multiple Application Options




Apply by Phone

1-888-350-2416

Apply by phone during business hours (Mon - Fri 8am - 6pm CST).

Apply by Fax

1-888-770-8818

[Download Application - PDF]
Fax line is available 24 hours a day. Application processing occurs only during business hours.