Request More Information

Thank you for inquiring about our medical and dental plans, and other services. Please fill in the form below, and we will be happy to send you the information you request.

If you prefer, you may also contact us by telephone or mail.

Please send me information on:
ODS Dental Plans
ODS Premier Medical Indemnity Plan (Traditional Medical)
ODS Preferred Provider Organization (Medical PPO)
ODS PPO/Point of Service (Medical POS)
ODS Managed Care Plan (Medical)

I would also like:
A quote request form
Information on COBRA Continuation Administrative Services
Information on Flexible Spending Account (FSA) Services

Please send me the following directories (indicate number needed):

ODS Network Provider Directory
Managed Care Northwest (MHN) Directory

You can also view the directories by going to the provider search page.

Name:
Title:
Company:
Nature of Business:
Number of employees:
Address:
City:
State:     Zip:
Daytime telephone:
E-mail address:

Questions or Comments:

A marketing representative will respond to your inquiry promptly. Please allow extra time for mail delivery. Thank you for your interest in ODS.

Disclaimer
E-mail is not a secure method of transmission. If you prefer, you can reach us by telephone or mail.