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Forms and Resources
We’ve got you covered! Get all the resources you need — including forms, benefit materials, and oral health resources — to better manage your dental benefits plan.
Forms
- Group Authorization - Insured
- Group Authorization - Self-Insured
- Dependent Verification Request
- Employee Enrollment / Change Form - (Dental)
- Employee Enrollment / Change Form - (Vision)
- Group Supplies Order Form
- Payment Option Form - Fully Insured and Vision
- Payment Option Form - Monthly Billed ASO
- Payment Option Form - Weekly Billed ASO
- Termination Report Form
Important Forms and Resources