Helpful Hints

To speed up the process, it is best to have the following information on hand when completing your application:

• Social Security Number(s) for all applicants
• Residential address for applicants (P.O. box will not be accepted)
• Physician selections (if applying for HMO plans)

Getting Ready To Start Your Application

You are about to begin the formal application process.

The insurance carrier is:	Delta Dental
Your broker is:	Design Benefits Solutions LLC