Legacy Individual Plan: Change of Status Form

Important Information

What are my individual and family plan options? 
Check out all our Individual and Family Plan options to find a plan that best first your needs. If you'd like to stay on a legacy plan, you can review Delta Dental's Legacy Individual and Family Plan options

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