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

Home
Our Services
Dental PPO Plans
Vision Care Plan *New*
California Dental HMO
Texas Dental HMO
USA Dental HMO
Vision Plan with all Dental HMO Plans
Contact Us
Disclaimer
You may enroll at anytime - We are "NOT" CLOSING ENROLLMENT.
Expedite for almost immediate effective date for the 1st of the month and we can usually back date to the first for faster coverage!

On this home page, we'll introduce our 50 State + DC + world wide coverage Full Insured Dental & Vision Insurance Plans and our Dental HMOs with Vision Benefits &
Licensed in all 50 States DC+ use PPO for added benefits. 
In select areas DHMOs with Vision. 
Payroll deduction, direct bill, and credit cards accepted. 
Open Enrollment to all: Federal & Postal Employees, Retired, TEs, Reserves Active & Not, NationalGuards, part-time,seasonal,management, union members-staff, plus their families.
 USO, Volunteers, any government affiliation.  Surviving Spouse, children, over-age children, parents, grand children, siblings, domestic partners. 
APWU Memebers serving locals of APWU, NALC, NAPUS, NTEU, ICE,  other locals and associations

Children now covered to age 26 for all plans.

Brand New Dental PPO PLAN Click here for more Information

Click for Ameritas Fusion In-Network providers.

Click to find Humana PPO In Network Providers.

Choosing a Dentalcare & Visioncare plan is one of the most important decisions you can make. You want someone who is caring, knowledgeable, and accessible. 
Office Hours:
Administrators: M-F 7:30am -5:30pm (PST) 
PPO Claims: M-Th 5:00am -10:00pm (PST)
& Free Choice: Friday 500am -  4:30pm (PST)

 
23901 Calabasas Road Suite 2014
Calabasas, CA 91302-3307
Office: 818-223-9750 
Toll Free: 800-300-PLAN 
FAX 818-223-8147
EMAIL
Questions: or Payment information: info@fedvp.com

Payroll or Bank draft forms

Click here to view or download our disclaimer (OPM).

Enrollment Application for Dental & Vision
   PPO with Free Choice of Providers 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
Employing Agency or Retired From
Home Address 1:
Home City:
State & Zip Code
Home Phone:
Home Fax
Dental & Vision Plan You would like to enroll in.
Employer Name & Location or Retired from which agency?
Work Title
Work Street
Work City
Work State & zip Code
Work Phone (inc area code)
Work Ext if applicable
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
Select How You Are Paying the Enrollment Fee?
I understand that Fraud by me will effect my coverage CHECK REQUIRED_YESYes
Select to Expedite(& how) or to wait for Coverage?
Premium Mode
Premium Dollar Amount
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 please 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?
I Agree to the Statement below with regards to credit card/bank draft-Tick to Agree
  

By Ticking the I agree box above,You Authorize American Marketing Administrators INC to charge your credit card and administor debits from your account that you have provided details for (Bank Draft). This will be for your enrollment fee and/or your premiums as indicated by yourself above.This Authority will remain in effect until revoked in writing to the address below.

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