Do you need to make changes to your Individual Plan enrollment?

If you are already a member of the Delta Dental of Arizona Individual Plan and…

• You need to add/delete dependents.
• Had an qualifying event change in your family.
  (Marriage, Divorce, Adoption, Birth, Other)
• Need to change your name or the name of one of your dependents.
• Need to change your address .
• Need to change your coverage type.

Please click here to access the
Family Status Change Form