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.

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):

Managed Care Provider Directory
ODS Preferred Provider Directory (PPO)
Point of Service (POS)
Pharmacy Directory
Managed Care Specialist Directory
PPO/POS Specialist Directory

You can also view the ODS Medical Managed Care Directory, Preferred Provider Directory, or Pharmacy Directory by going to the directory 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. ODS will respond to your inquiry within 24 to 48 hours, excluding weekends and holidays.

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