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ADA Members*

To apply for insurance, please fill out a PDF application in the forms section.

ADA Student Members

As an ADA Student Member attending dental school or post-doctoral education, you can register your online account today.

Or contact a Customer Service Representative at 800-568-2001 (weekdays from 8:30 am to 6:00 pm Central Time) for assistance. You can also pay premiums anytime at 800-568-2001 by selecting option 1.