Signing Up for AMBA Group Dental and Vision Plan
This plan is available to TPEA members and their immediate families only. If you are not currently a member, monthly dues are very reasonable at $6 a month and if you choose, can be paid through payroll deduction. Please see our sign up page for more details.
Follow these easy steps to enroll in the TPEA Dental/Vision Plan:
- Complete the Enrollment Form. (requires Adobe Reader)
Complete the form in its entirety and print it out. Be sure to sign it, and if adding dependents, include each person’s Social Security number and date of birth.
- Submit your payment.
Monthly Bank Draft: If you elect to pay your premium(s) by monthly bank draft, enclose a check payable to AMBA for your first month's premium(s) plus the $20 one-time enrollment fee. You must also sign the bank draft authorization on the bottom of the application, and include a blank check marked "Void" on the account to be drafted.
Annual Billing: If you elect to pay your premium(s) annually, enclose a check payable to AMBA for your monthly premium(s) x 12 plus the $20 one-time enrollment fee.
- Mail your completed application to:
Association Member Benefits Advisors, Ltd.
6034 W. Courtyard Dr., Suite 300,
Austin, TX 78730