Request an ODA Wellness Trust Quote for a New Office
- Complete and sign the Health Plan Participation Contract/Application form. Beginning at the bottom of page 1 is a section where any eligible office members may request a quote.
- Employees (including dentists) requesting quotes must complete a Personal Health Questionnaire.
- Eligible employees not requesting a quote must complete a waiver form.
- Submit the application and Personal Health Questionnaires to ODAWT (faxing your forms to 614-340-9444 is the most secure method, or for a secure email option contact email@example.com). We will submit the office to underwriters for a rate quote and rates will be provided to each office as soon as possible.
Request an ODA Wellness Trust Quote for a Newly Eligible Employee
- Employers currently enrolled in the ODA Wellness Trust and have newly eligible employees or an employee having a qualifying event may request the employees complete a Personal Health Questionnaire to receive a quote.
- Employers complete the Add Employee Form.
- Provide proof that the new eligibility or qualifying event has occurred within the last 60 days.
- Return completed forms to the ODA Wellness Trust (faxing to 614-340-9444 is the most secure method or contact firstname.lastname@example.org for a secure email option). We will submit the information to underwriters for a rate quote and rates will be provided for the newly eligible employee(s) as soon as possible.
How to Enroll:
ODA Wellness Trust representatives are available via phone at (800) 282-1526 and email at email@example.com to answer any questions you have about the health benefit plans and how to obtain a quote.
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