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Online Application

Choose the Louisiana Dental Plan online Online Application system and become a LDP member in just 3-5 minutes. Simply click on the icon below to access this option.

Member Fees
Individual
Individual
(plus one)
Family Plan
Monthly
$6.00
$8.00
$10.00
Quarterly
$18.00
$24.00
$30.00
Semi-Annual
$36.00
$48.00
$60.00
Annual
$72.00
$96.00
$120.00
There is a one time application fee of $20.00.

 

Printable Application