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721 South Parker, Suite 200 Orange, CA 92868 www.calchoice.com Buy Dental Application Group Name Contact Name Group Number Phone # Requested Effective Date* Fax # *For Prepaid 1000, Prepaid
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How to fill out buy-up dental application

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How to fill out a buy-up dental application:

01
Start by gathering all necessary information such as personal details, contact information, and current dental insurance information.
02
Read through the application form thoroughly to understand the requirements and any additional documentation needed.
03
Begin filling out the application by providing your full name, date of birth, and social security number if required.
04
Provide accurate contact information, including your current address, phone number, and email address.
05
If you already have dental insurance, provide details such as the name of the insurance company, policy number, and coverage information.
06
Fill out any required information about your current dental health and any pre-existing conditions.
07
If applicable, indicate whether you have any dependents who will also need coverage.
08
Review the application form to ensure all information is entered correctly and make any necessary adjustments.
09
Sign and date the application form in the designated area to validate your submission.
10
Make a copy of the completed application for your records before submitting it as instructed by the dental insurance provider.

Who needs a buy-up dental application:

01
Individuals who require additional dental coverage beyond what is provided by their existing insurance plan may need a buy-up dental application.
02
Those who anticipate needing specialized dental treatments or procedures that are not covered by their current insurance plan may benefit from a buy-up dental application.
03
People who prioritize oral health and want comprehensive coverage for dental services may consider filling out a buy-up dental application to enhance their existing insurance coverage.
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Buy-up dental application is a form used to apply for additional dental coverage beyond the basic plan offered.
Employees who wish to have additional dental coverage must file a buy-up dental application.
Buy-up dental application can be filled out online or in-person, providing personal information and selecting desired dental coverage options.
The purpose of buy-up dental application is to give employees the option to enhance their dental coverage.
Buy-up dental application requires personal information, desired coverage options, and any relevant health history.
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