Open to All Dental & Vision Benefits PPO &/or HMO
Disability -Life - Cancer Insurance
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California Dental HMOs with Vision & Joint Privacy Notice
Texas DHMOs with Vision
USA Dental HMOs with Vision [except CA & TX]
Disability -Life - Cancer Insurance
Blue Cross of CAlifornia PPO
Disclaimer

Protect Your Income 
Yes, all Federal and Postal Employees may receive these benefits
 
Disability Income Protection Federal & Postal Employees with no health questions, increasing benefits, unisex & uniage rate
 
Cancer Lump Sum Insurance Policy... it's about time, even a cancer policy I would buy!  A few obvious questions, clear of and no treatments internal cancer last 10 years.... 
 
 
Life Insurance will soon be available and made easy online.
You will be able to receive Life Insurance with only 3 questions:
1.  Are you working today?
2.  Have you missed any work in the last 3 months?
3.  Do you have HIV?
 
Insuring your income is like insuring the "goose that lays golden eggs"  because you are that goose... when your sick or injured extra bills will happen so why not be prepare.  We will have information online soon.

We can provide quotes on a lump sum cancer insurance plan.

application, 1199 payroll deduction form, credit card, or bank draft use

click here to download bank draft & DHMO Premiums

Email Questions> we will do comparisons with other plans and how our Plans would work for you!

click here to download or view disability & lump sum cancer benefits

click here to download applicationS for ALL STATES

Application for Dental Free Choice with PPO (Fusion Plan)
      With Free Choice of Dental & Eye Care offices
                    or
Dental HMOs with vision benefits

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.
 
                       or
 
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_YESYes
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