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Find the forms and resources to assist you in administering Delta Dental of Oklahoma benefit products and services. PDF forms may be downloaded.
Forms
Automatic Draft Authorization Form
Employee Enrollment Form – English
Employee Enrollment Form – Spanish
General Change Form for Groups (editable)
Application for Online Resources (editable)
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
Individuals & Families
Federally Compliant Plans
Federally Compliant Plans Packet
Application for Group FCP
Request for Proposal
Request for Proposal Information Form
Supply Request
Order Group Supplies (email to request)