accessibility ACCESSIBILITY

Request an ODA Wellness Trust Quote for a New Office

  1. 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.
  2. Employees (including dentists) requesting quotes must complete a Personal Health Questionnaire.
  3. Eligible employees not requesting a quote must complete a waiver form.
  4. 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 insurance@oda.org). 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

  1. 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.
  2. Employers complete the Add Employee Form.
  3. Provide proof that the new eligibility or qualifying event has occurred within the last 60 days.
  4. Return completed forms to the ODA Wellness Trust (faxing to 614-340-9444 is the most secure method or contact insurance@oda.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
insurance@oda.org to answer any questions you have about the health benefit plans and how to obtain a quote. 

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