Find the useful forms to assist you with selling and administering Delta Dental of Oklahoma products and services.

Request for Proposal

Business Forms for Group Select (2-99 Employees)

Group Select Packet
Application for Group Select Product
Group Select Checklist
Application for Group Select Contract Patient Direct Discount Program
Employee Enrollment Form for Patient Direct Discount Program – English
Employee Enrollment Form for Patient Direct Discount Program – Spanish
Select Benefit Summaries – English
Select Benefit Summaries – Spanish
EyeMed Plan Summary 

Business Forms For Groups (26+ Employees)

Group 26+ Packet
Application for Group Contract PDF (26+ Employees)
Group Application Checklist (26+ Employees)
EyeMed Plan Summary

Health through Oral Wellness® (HOW®)

Summary of HOW® Enhanced Benefits
Finding a HOW® participating dentist 

Retiree Conversion Form

Retiree Conversion Overview
Retiree Conversion Enrollment Form

Individual & Family Plans

Individual & Family Plans

Federally Compliant Plans

Federally Compliant Plans Packet
Application for Group FCP

Forms

Automatic Draft Authorization Form
Employee Enrollment Form – English
Employee Enrollment Form – Spanish
Onetime Load Enrollment Template
General Change Form for Groups (editable)
Group Application for Online Resources (editable)
Broker Application for Online Resources (editable)

Supply Request

Order Group Supplies (email to request)

Web Links

Online Resources (Please login to Online Resources to generate a proposal)
Delta Dental Dentist Search
EyeMed Vision Care

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