THREE WAYS TO ENROLL

On-line:
For your convenience, you may enroll for coverage using our on-line enrollment system. Visit our website www.starsdental.com/platinum and follow step by step instructions. To complete the enrollment your agent must provide you with their on-line agent authorization number (AAN). This 8-digit number can be obtained from your agent or by calling 866-847-1120.

Fax:
For your convenience we accept enrollment by Fax. Complete the attached enrollment form and fax it to our administrative team. (See full instructions on the enrollment form).

Mail:
Complete the attached enrollment form and mail to our office.

Underwritten by:
Security Life Insurance Company of America
10901 Red Circle Drive
Minnetonka MN 55343
866-847-1120

Visit our website dedicated to the service of this product.
www.starsdental.com