Employer Forms and Resources

Forms and resources

Need information fast? Access commonly used forms and materials including claim forms, authorizations, and more.

General forms and information

For client billing inquiries, please call 800-838-8863.

NOTE: Members with billing inquiries should call customer service at 800-524-0149.


Eligibility Enrollment Form (English)

Download this form if you need to make an eligibility enrollment or update.

Download

Eligibility Enrollment Form (Español)

Download this form if you need to make an eligibility enrollment or update.

Download

Benefit Manager Toolkit Registration Form

Download the form to register for Benefit Manager Toolkit.

Download

Benefit Manager Toolkit Update Form

Need to make a change to your account? Download this form.

Download

Risk Billing Calendar

View billing and eligibility cutoff dates.

View Calendar

Group Newsletters

Stay updated with the latest news and information from Delta Dental.

View Newsletters

Electronic Group Information Form

Get started with Delta Dental with our electronic group information form.

Learn More