-- View source
Home
Dentists
Subscribers
Employers
Employer Connection
Online Enrollment
Employer Connection -- Existing User
Employer Connection -- New User »
Product Information
The Challenge to Compare
Submit Your File
Request For Proposal
Make a Payment
Document Download
Contact Information
Brokers
Individual & Family Plans
DeltaVision®
About Us
Career Opportunities
Privacy Policies
Delta Dental of AZ Foundation
Site Map
Current Location:  Delta Dental of Arizona >Employers >Employer Connection -- New User November 7, 2009
Employer Connection -- New User
 
Registering for Online Enrollment Application

To register for Online Enrollment, you will need to register for a Delta Dental Employer Connection account. Please take note of the following steps.
You may wish to view or print complete instructions for reference. Please use the link at the bottom of the page, after reviewing all of the instructions, to start the process.

Step 1
Register screenFirst, fill in your personal and group information.
You will need to choose a username and password for your new account.

Step 2
Register screenVerify that Online Enrollment is selected.

After scrolling down to step 2 of the registration process, a list of possible applications is presented. Verify that the Online Enrollment application is selected. (You may choose additional applications at this time as well.)

Step 3
Submit your request.
Verify that all of your information is correct and that you have requested access to the Online Enrollment application. Once you are satisfied, click the button labeled submit.

Step 4
Registration Confirmation.
For your protection, we will validate your data against our files and contact you as quickly as possible to confirm your request to the Employer Connection.

Ready to create a new Employer Connection account and request access to Online Enrollment?
Please use this link to start this process.

 

© 2001-2009 Delta Dental Plans Association and Delta Dental of Arizona
All Rights Reserved.