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If you want to sign up for one of our plans, you can find our enrollment forms below. Premiums are deducted from your payroll check, so you will need to come to our office to get a payroll deduction form.

Services we offer

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ACCIDENT

You have two coverage options for this plan: Diamond or Platinum. Write in which plan you want on the enrollment form.

Click to Download Form

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ILLNESS

Premiums depend on how many people you want to sign up for this plan. Call us or stop by to find out how much coverage will cost you.

Click to Download Form

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LIFE PLANS

Lifetime Benefit Term (Combined)

Premiums vary by age and coverage amount. Call us or stop by to find out how much coverage will cost you.

Click to Download Form

contact

1412 Griffin Street East
Dallas, Texas 75215

214-747-6839
214-747-8194
info@dallaspa.org