- Please complete the following group application: OHI application
- Member Enrollment Form — All employees including Dentist and/or business owners are required to fill out this form to enroll
- Waiver Form for eligible employees who are not enrolling
- Employer Verification Form
- A cover letter from the dental office affirming group qualification — Please photocopy onto your letterhead
- Deposit for first month's premium payable to NYCDS Member Benefits
- Please return all materials to:
AmWINS Group Benefits
50 Whitecap Drive
North Kingstown, RI 02852
- Please do not terminate your current coverage until you have been approved by Oxford.
- Group must have at least 2 eligible full-time employees.
- Case underwriting time is generally 4 to 6 weeks. Underwriting does not begin until applications are fully completed and all underwriting requirements have been met.
- Groups are billed 10-14 days in advance
- Payments are due on 1st of every month
- Payments cannot be applied to lapsed/termed policies
- Past dues are generated on 10th of every month
- Payments are applied every business day to each active account
- Lapse notices are processed on the 1st of the month following the lapsed month (eg. 5/1/00 we will lapse for Aprils uncollected premium)
- There is a 30 day grace period for remitting premiums