SCHEDULED MAINTENANCE: We will be performing system maintenance 8 p.m. Saturday, July 27 through 3 a.m. Sunday, July 28. During this time, certain website features like the cost estimator or dentist search may be unavailable. We apologize for any inconvenience.

Appeals & Grievances

Use this secure form to file a grievance or appeal a dental benefits decision. Note: Please refer to the vision appeals packet for information on submitting DeltaVision Administered by EyeMed appeals.

Important Information

Be sure to review these docs:

Questions?

Hours:
Monday - Thursday: 7:30 A.M. - 5 P.M.
Friday: 7:30 A.M. - 4:30 P.M.

Toll-free Phone:
800.352.6132