Delta Dental of Arizona

Current Location: Delta Dental of Arizona >Individual Plans >New Enrollment

August 27, 2008

Joining Arizona's largest provider of dental benefits is simple and convenient. All the information you need to enroll in the plan, understand your benefits, and learn about our privacy policies is available below.



1.	Select your dental policy, you have several options to choose from. -- Individual & Family Plan Details

2.	Print and complete the following electronic fund transfer (EFT) authorization form to setup electronic payment of your monthly premiums. Include your three-month premium payment check with the EFT form. Your premium payment check must be from the same account as your monthly EFT withdrawals. NOTE: After your three-month premium payment has been applied, your first EFT withdrawal will occur in the fourth month following your effective date. Click here for more information. -- Electronic Funds Transfer Authorization Form -- Sample Check with Routing Numbers

3.	Use our secure site (click the "continue" text below) to complete your Individual & Family Plan enrollment form. Mail the completed enrollment form, EFT authorization form and initial premium payment to: Delta Dental of Arizona P.O. BOX 63694 Phoenix, AZ 85082

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