Join Our Team
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 – 2022
Application for Group Select Product – 2022
Group Select Checklist – 2022
Group Select Packet – 2021
Application for Group Select Product – 2021
Group Select Checklist – 2021
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 – 2022
Application for Group Contract PDF (26+ Employees) – 2022
Group Application Checklist (26+ Employees) – 2022
Group 26+ Packet – 2021
Application for Group Contract PDF (26+ Employees) – 2021
Group Application Checklist (26+ Employees) – 2021
EyeMed Plan Summary
Health through Oral Wellness® (HOW®)
Summary of HOW® Enhanced Benefits
Finding a HOW® participating dentist
Retiree Conversion Form
Retiree Conversion Overview - 2022
Retiree Conversion Enrollment Form - 2022
Retiree Conversion Overview - 2021
Retiree Conversion Enrollment Form - 2021
Individuals & Families
Federally Compliant Plans
Federally Compliant Plans Packet – 2022
Application for Group FCP – 2022
Federally Compliant Plans Packet – 2021
Application for Group FCP – 2021
Request for Proposal
Request for Proposal Information Form
Supply Request
Order Group Supplies (email to request)