Notice


Thru September 2, 2022 our customer service hours are as follows:

Monday – Thursday
8:00 AM ET – 6:30 PM ET

Friday
8:00 AM ET – 1:00 PM ET

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.

Small Group Forms for Brokers

Easily access and download all the small group forms and applications.

Small Business Dental Plan Forms for 2-50 Enrolled Employees

Easy employer application (PDF, 6 pages, 377 KB)
Download our easy group application for 2-50 business

Simple employee enrollment (PDF, 1 page, 204 KB)
Download our easy group enrollment form for 2-50 business

Enrollment spreadsheet (Excel)
Download our easy group enrollment spreadsheet guide for 2-50 business

Enrollment spreadsheet - Flagship (Excel)
Download our easy group enrollment spreadsheet guide for 2-50 business