Our Services

Open to All Dental & Vision Benefits PPO &/or HMO

Our Services

This page is our opportunity to explain the services we provide.

Here are examples of areas of specialization we might mention:

Dental and Eye Care Insured Benefits with Free Choice of Providers and a PPO Panel for additional benefits.

Yes, we pay dentists and eye care professionals that are not also contracted offices.

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Dental HMOs with Vision referral benefits are in certain areas No Maximum, No Waiting for Major Dentistry,No Deductible

click here to view or download a comparison of plans

With the Dental HMOs is a discount vision referral plan click here to view providers

Open to All Payroll Deduction, Credit Card, Automatic Payment from your banking account

Expedite Coverage for the 1st of the month

Federal and Postal Employees

Add coverage for Parents, Domestic Partners, Over Age Children, Siblings, Additional grand children, family members

Surviving Spouse & Childrens

Reserves active or not, National Guard, Veterans

For any questions or to schedule an appointment please e-mail us at: info@fedvp.com

info@fedvp.com

click here for forms you would need: 1199, Bank Drafft, Credit Card, & PostalEASE

click here to view or download Disclaimer OPM

Enrollment Application for Dental & Vision

Fusion PPO with Free Choice of Providers

both Dental & Eye Care available in all 50 States & D.C.

Dental HMO with Vision in specific areas

[for enrolled clients you may request changes

in coverage or make a payment here]

name as it appears on your pay check:
Social Security Number
Primary Email address-if you do not type in we will not have
Employing Agency or Retired From
Home Address 1:
Home City:
Home State:
Home Zip code & plus 4 number:
Home Phone:
Home Fax
Home Email
Pull down the Dental & Vision Plan You Want?:
Employer Name & Location or Retired from which agency?
Work Title
Work Street
Work City
Work State
Work Zip
Work Area Code
Work Phone
Work Ext if applicable
Work Email
Subscriber/Member/Employee Date of Birth Format 11/02/1970
Spouse Name
Spouse Date of Birth Format 01/01/1947
Child(rens) Names & Date of Birth
Plan Requested>Type in: i.e. DHMO 550V, HO, PPO E1, etc.
DDS Office Code # ? for Dental HMOs Only
Premium Dollar Amount
Select How You Are Paying the Enrollment Fee?
I understand that Fraud by me will effect my coverage CHECK REQUIRED_YES	Yes
Enrollment Fee $20 can't by Payroll Deduction other status i.e. ICE Member
Select to Expedite(& how) or to wait for Coverage?
Premium Mode :payroll, credit card, Quaterly, [semi & annual only available with HMO type in mode
Credit Card Type (only VISA & MC) or none?
Name on Credit Card
Credit Card Number
Credit Card Expiration Date
Credt Card Security # .last 3 #s on back of card
Credit Card Billing Address if different
If paying by Bank Draft Enrollment Fee or to Expedite then input 9 digit routing number
If paying by Bank Draft input your account # from your financial institution> Bank
How many dental & vision brochures may we mail for the people you work with?
Are you an APWU Member select Yes or No
Additional Family Member(s) DOB & SS# to add. Premium will be that of a single adult additional. They do not come on the same as normally covered children
Additional Information on other Coverage Requested Will Be Provided
Comments or Questions?

All new Postal Employees will have an increase in premium of $1.00 per pay period if paying by Payroll Deduction because of substantial increases in the trustees banking fees this does not effect any other premium mode. For Fusion PPO or any of the Dental HMOs

American Marketing Administrators, Inc.

Administrator Since 1980

Billing questions, plan changes, you've moved & other concerns: info@fedvp.com

23901 Calabasas Road Suite 2014
Calabasas, CA 91302-3307
Voice 818-223-9750 800-300-PLAN, FAX 818-223-8147

alternate fax when main # is busy 818-992-4438