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Individual Agents
- Provider Search
- Online Application
- Medical Plans
- Dental Plans
- Medicare Plans
- Enrollment
- Forms & Resources
- Frequently Asked Questions
- 503-243-3948 or
800-578-1402
Forms & Resources
2009 Renewal Information
- Whats New
- Sample Individual Renewal Letter
- Sample Exchange Renewal Letter
- Producer Agreement (Exhibit A - Commission Schedule)
Brochures
- Individual Medical & Dental
- Individual Medical & Dental Quarterfold
- Standalone Dental
- Dental Exchange
Enrollment Forms
- Individual Medical & Dental Enrollment (Online Application)
- Individual Medical & Dental Enrollment
- Standalone Dental Application
- Dental Exchange Application
- Authorization Agreement for AutoPay (EFT)
Claim Forms
- Dental Claim Form
- Medical/Vision Claim Form
- Prescription Drug Claim Form for Med Impact Plans