Dental Insurance Open Enrollment
From April 6, 2020 to June 1, 2020
Step 1: Read carefully the Benefit Guides
Option 1: Delta Dental PPO Premier Plus High Plan Summary
Option 2: Delta Dental PPO Premier Plus Low Plan Summary
Step 2: Review the Rate Sheet
Dental Insurance Rates
Effective July 1, 2020
Step 3: Compete the Enrollment/Change Form
1. Fill out the form electronically | 2. Click PRINT | 3. Save as PDF | 4. Email it to us
- Fill out the form electronically, download and attach to the email accompanied with required support documentation. No need to PRINT to sign it.
- If you are enrolling your spouse, you will need a marriage certificate. If you are enrolling dependents, you will need their birth certificates.
Step 4: Email us the form(s) and required docs
All forms must be emailed to Stephanie Collomb