Delta Dental of North Carolina

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Employer Resources

Need information fast? Download commonly used forms and materials including claim forms, authorizations, and more. 

Eligibility Enrollment/ Update
Eligibility Enrollment/Update (Spanish)
Claim Form
HIPAA Designated Contact Form

BMT Reference Card
BMT Registration Form
Client Administration Manual
Agent of Record Assignment Form
COBRA Premium Subsidy Recap
COBRA Election Form for ARRA (for groups with fewer than 20 full-time employees)

 

Newsletters

Miss one of our newsletters? Check out our most recent issue below. Don't forget to join our mailing list  through the link on the right!

December 2011 Newsletter

  • Play Hard, Protect Your Teeth
  • Eat Sweet Treats in Moderation
  • Happy Holidays from Delta Dental
  • It’s All About Access
     

October 2011 Newsletter

  • Oral Health and Heart Health
  • Why Stay "In"
  • Mission of Mercy Provides Free Dental Clinic