1. Please complete the following group application: OHI application
2. Member Enrollment Form — All employees including Dentist and/or business owners are required to fill out this form to enroll
3. Waiver Form for eligible employees who are not enrolling
4. Employer Verification Form
5. A cover letter from the dental office affirming group qualification — Please photocopy onto your letterhead
6. Deposit for first month's premium payable to NYCDS Member Benefits
7. Please return all materials to:

AmWINS Group Benefits
50 Whitecap Drive
North Kingstown, RI 
02852

Business Rules:

Underwriting Rules

1. Please do not terminate your current coverage until you have been approved by Oxford.
2. Group must have at least 2 eligible full-time employees.
3. 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.

Billing Rules

• 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