APPLY FOR INSURANCE

Congratulations on deciding to move forward with your interest in ADA Insurance Plans. Please click the link for the type of insurance you want to apply for, and an online application will open in a new, secured browser window. Once you've completed the application, click "submit" at the bottom of the online application. Once submitted, your application will be securely transmitted to ADA Insurance Plans. Please remember to print your completed application for your records.

If you have any questions about completing the online application or the application process in general, please call a Plan Specialist at 866-607-5338.

Life Insurance

Disability Insurance

Supplemental Medical

Insurance for Dental Students