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Enrolling a new group

To enroll a new group into an OBM plan, the following guidelines must be met:

• Effective dates of coverage can only be the first of each month.
• Renewal dates will always be the first of the month.
• Groups enrolling in Contributory plans must have at least 75% of the active eligible employees enrolled.
• Groups enrolling in the voluntary plan must have at least 2 people enrolling to be eligible for coverage.
• The employer must contribute at least 50% towards the employee's premium for Contributory plans and no more than 49% for the Voluntary plan.
• Groups whose prior plan did not include comparable dental coverage are subject to waiting periods.

View a comprehensive listing of the underwriting guidelines.

You have two options on how to enroll your new OBM group:

Online application

• After generating your quote, click on the online application button next to the selected plan's name.
• Confirm your plan selection.
• Fill out the online application form.*
  • This form will populate your applications.
• Click “Create Online Application Packet.”
  • This will open a pdf with a submission checklist, all of the paperwork you need, and directions on where/how to send in your paperwork.

*Note: Not all fields on the online form are required, so make sure you review, complete and sign the applications that print out with the packet.

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