Notice

Friday, September 29, 2023: Customer Service hours will be 9:00 AM - 4:00 PM ET. We apologize for any inconvenience this may cause.

To view benefit information and claim status, self-service by signing into your account or using our Interactive Voice Response System (IVR) 24/7 at 800-452-9310.

Dental Forms for Brokers

Find a variety of helpful forms or applications to keep your client’s information updated.

woman pulling up forms on laptop

Download forms and applications

Small Group Forms

Use these forms and applications for small groups

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Individual Commissions Forms

Get started on becoming an individual and family plan broker

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Standard Forms

Keep client information up to date

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