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If you are shopping for
a family dental plan in Arizona,
Appleton Dental Plan is the choice for you. We offer individual
dental coverage and family dental coverage in Arizona.
We have made the process of enrolling for the
plan very simple. You can apply and pay your enrollment fee in our secure
online area, or you can print your application and fax or mail it to us.
The choice is yours.
If you have any questions, we're right here to help. Just
contact us for assistance.
Monthly group rates for
discount dental
coverage in Arizona are:
|
|
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Cost Per
Month |
|
|
|
|
Under 50 |
Over 50 |
|
|
|
Individual |
$6.50 |
$5.00 |
|
|
|
Individual Plus One |
$8.75 |
$6.67 |
|
|
|
Family |
$13.50 |
$10.00 |
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If you haven't seen
them already, check out the
considerable savings on dental fees you'll receive from
our providers.
Apply and pay for the
plan online using our encrypted 128 bit SSL forms. Your credit
card will be billed for your first and last months.
If you prefer to enroll
in our plan offline, simply
download the consumer enrollment form
in PDF format (94Kb download).
Fill it out; and fax or mail it to us.
GROUP ENROLLMENT & CENSUS FORM
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