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 | Español

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.