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Alabama federal government employee dental insurance plans - Individuals

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  1. Dental
  2. FEP Dental

Dental Enrollment Portlet

Alabama Federal DentalBlue Enrollment

Select Plan

  • 1. Select Plan
  • 2. Personal Information
  • 3. Add Dependent
  • 4. Agreement
  • 5. Payment
  • 6. Confirmation
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Please complete all items on this application. Any information missing may delay processing your application.

To enroll in Alabama Federal DentalBlue you must reside in the service area of Blue Cross and Blue Shield of Alabama. If you enroll in the FEHB or PSHB Basic Option, you will automatically be enrolled in Alabama Federal DentalBlue Basic Option. The same is true for Standard Option. If you have FEHB or PSHB Standard or Basic Option "Self Only" coverage, you must elect Alabama Federal DentalBlue "Self Only" coverage. If you have FEHB or PSHB Standard or Basic Option "Self+One" coverage, you must elect Alabama Federal DentalBlue "Self+One" coverage. If you have FEHB or PSHB Standard or Basic Option "Self and Family" coverage, you must elect Alabama Federal DentalBlue "Self and Family" coverage.

ENROLLMENT PERIOD

As long as you remain eligible for enrollment in Alabama Federal DentalBlue, your enrollment period is for the entire calendar year. The Alabama Federal DentalBlue benefits are based upon year-long premiums. (For Federal employees hired during the calendar year, who transfer in to Alabama from another state within the same Federal agency, or who elect coverage due to termination of existing coverage, the enrollment period and total premium liability are determined based on the effective date of enrollment.) If you cancel your Alabama Federal DentalBlue coverage to enroll in a dental plan other than the national FEP BlueDental plan, you will not be able to re-enroll in Alabama Federal DentalBlue during the next three Open Seasons except if you return to full-time civilian employment from active military duty.

Please provide complete information in each of the sections below, then click 'Next' to continue.

* Indicates Required field

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FEP Plan Information
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FEP Enrollment Type: Cost is per month
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Last Updated: 12/09/2024 23:55

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