Joining Arizona's largest provider of dental benefits is simple and convenient. All the information you need to enroll in the plan, understand your benefits, and learn about our privacy policies is available below. If you have questions or would like to enroll over the phone, please call 602.588.3624.
Individual Plan enrollment
is for consecutive 12-month period(s) and monthly
premium payments are drafted by electronic fund transfer (EFT).
1. |
Select your dental policy, you have several options to choose from.
-- Individual & Family Dental Plan Details |
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2. |
If necessary, review the Individual DeltaVision vision plan.
-- DeltaVision Vision Plan Details |
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3. |
Use our secure web site (click
the "continue" text
below) to complete your Individual
&
Family Plan enrollment form online and choose a payment plan:
- Monthly payments from a checking account through Electronic Fund Transfer.
(EFT)
- Yearly payment by Credit Card or by eCheck.
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Adobe Acrobat Reader is required to view the PDF documents. If you do not have Adobe Acrobat Reader installed on your computer, you can download it free --
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