Supplemental Plans - Enrollment Forms and Materials
Your clients can enhance their health care packages with these optional employer group health plan add-ons: Dental, Vision and Chiropractic Service plans must have a minimum of 2 enrolled. Chiropractic Services and EAP services will mirror the medical enrollment. Chiropractic Services are not available with PPO or HMO Health Savings Account plans.
Dental Enrollment Forms Delta Dental Group Application
Delta Dental Enrollment Form English
| Español Dental Underwriting Guidelines Limitations and Exclusions
Vision Enrollment Forms and Materials
VSP Choice Provider Directory Pre-enrollment Information and Plan Comparison
VSP Member Enrollment Form English
Chiropractic Enrollment Forms and Materials
There are no enrollment forms needed. Please note the chiropractic coverage selection request on the employer group application.
Employee Assistance Programs
There are no enrollment forms needed. Please note the coverage selection request on the employer group application.