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How to Request a Proposal from Delta Dental

We are happy to promptly send you a proposal for prospective customers. In order to do so, we need:
  • Company name, address and telephone/ fax numbers
  • Company SIC/NAICS code and description of business
  • Census - Ages of eligible employees; number of single party, double party and families. If possible, please include
    all ZIP codes of all covered employees
  • Copy of current plan design, including benefit booklet
  • Proposed plan design (if it will differ from current plan design)
  • Experience information (if available) for groups over 100 employees. The minimum included should be paid claims and enrollment by month for the most recent twelve-month period.
  • Effective date
  • Employer/Employee contribution levels
Please note the following minimum requirements before requesting proposals:
  • Minimum group size: In general, Delta Dental requires a minimum of 10 employees (certain industry codes may require other group size minimums).

  • Minimum contribution: The employer must contribute at least 50 percent of the employee rate.

  • Minimum participation: In general, Delta Dental requires the participation of 75 percent of the eligible employees and a minimum of 10 employees.

  • Voluntary requirements: Voluntary enrollment plans must have a minimum participation of 35 percent or a minimum group size of 10.