Enrollment Forms
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![](https://www.pbainsurance.net/images/DisabilityForm.jpg)
Agent Forms
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Cancellation Forms
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Customer Support
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You can mail or fax forms to:
Professional Benefit Administrators
31 S Center St
Winder, GA 30680-3457
Phone: (770) 963-3939
Toll-free: (800) 578-2082
Fax: (770) 963-6126
Toll-free Fax: (888) 264-6975
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Dental Plans offered in Arkansas
Choose a carrier below for more information on benefits and costs.
1Dental
Careington Discounted Dental
Diamond 1500
Humana PPO
Superior PPO
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