Florida Dental Insurance  ~ Important note at bottom ~ Please read CHANGE OF ADDRESS for new apps! 

TO PRINT APPLICATION:  Print setup should be in Landscape mode.  Print setup should also be page 2 to page 2.  

CHANGE OF MAILING ADDRESS TO SEND COMPLETED APPLICATION IS:  CompBenefits Corporation - P.O. BOX 769729 - ROSWELL, GA 30076 - Please do not mail to the Tampa address in article #4 above.  

The application must reach the Home Office by the 10th of the month to have an effective date for the 1st of the following month.   If paying monthly, please include the voided check or your effective date may be delayed.

Please click here to read "disclosure".