How to Enroll in A DentAssure Plan

 

Please follow the simple steps listed below:

  1. Consult with your Insurance Broker to determine the best plan that meets your needs and those of your employees;
  2. Complete the Employer Application;
  3. Complete an Enrollment Application for each eligible employee;
  4. Provide a copy of the employer's most recent Quarterly Tax and Wage Report for his or her state (CA DE-6);
  5. For groups of 5 or more, provide a copy of the prior carrier's billing statements, both the current month and one from 12 months prior to the proposed effective date;
  6. Attach a check equal to the first month's premium and billing fees, made payable to:Security Life Insurance Company of America;
  7. Have your Broker review all of the enrollment materials for completeness;
  8. Have your Broker submit all of the enrollment materials to:
Integrity Administrators, Inc.
P.O. Box 13128
Sacramento, CA 95813-3128

 

NOTICE

DO NOT CANCEL YOUR PRESENT INSURANCE UNTIL YOU HAVE RECEIVED A LETTER OF ACCEPTANCE FROM INTEGRITY ADMININISTRATORS, INC. . NO INSURANCE IS IN FORCE UNTIL THE APPROVAL PROCESS IS COMPLETE AND A LETTER OF APPROVAL IS ISSUED.