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 – 2020
Application for Group Select Product – 2020
Group Select Checklist – 2020
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 – 2020
Select Benefit Summaries – Spanish – 2020
Select Benefit Summaries – English – 2021
Select Benefit Summaries – Spanish – 2021
EyeMed Plan Summary
Business Forms For Groups (26+ Employees)
Group 26+ Packet – 2020
Application for Group Contract PDF (26+ Employees) – 2020
Group Application Checklist (26+ Employees) – 2020
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
Retiree Conversion Enrollment Form
Individuals & Families
Federally Compliant Plans
Federally Compliant Plans Packet – 2020
Application for Group FCP – 2020
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)