Product application and update forms
Apply for New Coverage
- Package Policy Application
- Professional Liability Application
- Hygienist Application (Arizona and Oregon Only)
- Quote Request
DENTISTS BENEFITS INSURANCE COMPANY
Due to heavy call volume resulting from enrollment in the health exchange, you may experience busy signals when trying to reach us by telephone. We are working on resolving the busy signal and apologize for the inconvenience. Please contact us via email at firstname.lastname@example.org for prompt response.