Benefits Administrators

Less Paper, More Convenience

Delta Dental PPOSM and Delta Dental Premier® enrollees can now get paperless benefits statements. We've created a special Paperless Kit to help you promote your company's green initiative.

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Mobile Enrollee Services – info on the go

Our mobile website streamlines the tools and features enrollees use most, so they can get the information they need on the go – with just a few clicks.

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Keep Employees’ Smiles Holiday Bright

Our oral health and wellness materials keep your employees’ pearly whites sparkling all through the holiday season

Get the Kit

Online Services

Manage your enrollment and view eligibility and benefits.

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Forms

Claim Forms

Tip

How To File
A Dental Claim

Dentists who accept Delta Dental will file claims for you. You only need to file a claim when visiting a non-Delta Dental dentist.

Customer Service Forms

For fastest response, select the form for the company through which you receive benefits.

Grievance Forms by Program

We urge you to communicate directly with your dentist. If you cannot obtain a satisfactory resolution, file an online grievance report or call customer service.