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If you would like to download any of FEDERAL FIRST's Dental Plan forms, you may do so by clicking on the links below. We also have dental tips for children and adults as well as "Brushing and Flossing" information available to download.
Adobe Acrobat Reader is required to view and print these documents. Please note that these documents are quite large and may require longer download times.
If you require additional assistance, please contact Customer Service.
Dental Plan Information
To determine if the PPO plans or Indemnity plans are available in your state please refer to the following lists:
| PPO States | AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, IA, IL, IN, KS, KY, LA, MA, MD, MI, MN, MO, MS, NC, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, WA, WI |
| Indemnity States | AK, HI, ID, ME, MT, ND, SD, VT, WV, WY |
Enrollment Brochure
Enrollment Forms and ACH Authorization Form Claim Form Dental Tips