Enroll a Small Employer Group (1 - 50 lives)
Implementation Forms
Also include the following:
- Copy of the sold original quote
- Estimated 1st month premium by check
- Copy of prior carrier bill to receive take over credit
- Copy of prior summary of benefits
- Unemployment Insurance Report of Worker Wages
What's Next
All completed paperwork can be submitted to accountservices@ddpco.com. Mail the binder check to:
Delta Dental of Colorado
Attn: Small Group Sales
4582 S. Ulster Street, Suite # 800
Denver, CO 80237
If the completed application, completed enrollment forms and binder check are received before the 20th of the month, the group will be eligible the first of the next month. The group will be sent a welcome letter once the application and enrollment forms have been processed.
*Enrollment forms must be completed for all eligible employees enrolling in the plan at initial time of enrollment.
Benefit Booklets
For small groups with 1 – 4 enrolled employees, you may download the Benefit Booklet for the plan design that is purchased.
Producer Appointment
If you are not currently appointed with Delta Dental, the following are needed: