ENROLL TODAY – It’s Fast & Easy!

• How to File a Dental Claim
• Dental Claim Form
• How to File a Vision Claim
• Vision Claim Form
• My Dental Claim History

Pay the same premium for either DMO or PPO dental plan option.
– Biweekly premium
– Monthly premium

• FAQs
• Summary Plan Description
• DMO Copay Schedule
• Find a DMO or PPO Dentist
• Find a Vision Provider
• Termination Policy
• Request an ID card:
  — Dental
  — Vision
• Payroll Allotment Form
• Direct Debit Application Form
• Authorized Representative Form