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GROUP DENTAL ENROLLMENT FORM Complete for TDA

GROUP DENTAL ENROLLMENT FORM Complete for TDA

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Instructions and help about GROUP DENTAL ENROLLMENT FORM Complete For TDA

hi this is eric titki and i'm with the tda financial services insurance program we're going to go over the small group enrollment process and we've put a little video together if at the end you need to contact us you have our email address or you can call us at 800-677-8644 so the first thing you're going to do and form you're going to complete is the small employer benefit program application so for this you want to put the legal name of the practice and so that's the if you're using a dba or something like that but this is again the legal name and you'll want to use your employer identification number or the tax id number for that nature of business business will be dentistry and your sic code is going to be eight zero 8021 so then the rest of the information you're going to put the physical address of the practice uh the email address that you're going to want for contacting and same thing with the phone

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