Founded in 1955, Delta Dental is the nation’s largest and most experienced dental benefits provider. As a not-for-profit health care service plan, Delta Dental offers members a full spectrum of plan designs including HMO, PPO, and managed fee-for service options.
New Business Submittal Deadlines
Friday, February 3
Friday, March 3
Founded in 1955, Delta Dental is the nation's largest and most experienced dental benefits provider. As a not-for-profit health care service plan, Delta Dental offers members a full spectrum of plan designs including HMO, PPO, and managed fee-for service options.
The Delta Program of Strategies for Small Businesses offers two choices:
- Classic Plan Designs for 5-49 employees
- Options Plan Designs for 50-99 employees
Both programs make available 4 plan designs to address employer and employee needs:
- Delta Dental Premier (FFS)
- Delta Dental PPO
- DeltaCare (HMO)
- Delta Dental Voluntary PPO
Delta Dental Premier (FFS)
A managed fee-for-service plan, Delta Dental Premier offers optimal freedom of choice through agreements with over 91% of dentists in the state of California. Members may visit any licensed dentist; out of pocket costs are kept to a minimum by visiting a Delta dentist. Delta Dental Premier can solve employer needs for out-of-state and worldwide coverage.
Delta Dental PPO
Delta Dental PPO offers the advantages of a fee-for-service plan with significant in-network provider savings. Members save money by utilizing over 20,276 Delta PPO locations in California, or can access any non-contracted provider at a higher rate for services provided.
A value-added DHMO plan with zero to no co-payments, and no deductibles or annual maximums, DeltaCare provides up to three cleanings a year, comprehensive orthodontia treatment, and orthodontia takeover from other plans. A full service, affordable option for dental care, the DHMO network provides access to over 4,340 dentist locations in California.
Delta Dental Voluntary PPO
Available to groups of 5-99 employees, the Voluntary Plan is open to all industries. Waiving the $50 annual deductible for diagnostic and preventive services, and offering optional child orthodontic coverage to groups of 25+ enrollees, this plan from Delta presents another way to enhance the group benefits portfolio.
Maximum Coverage Options
Delta Dental also offers the opportunity to put together the value of a dental HMO with the freedom of a managed fee-for-service plan. A dual choice product allows members the opportunity to move from one plan design to another at the group's anniversary.
EyeMed Vision Care
A leader in vision plan administration, EyeMed provides competitively priced coverage, comprehensive plans, and access to over 23,000 providers at over 12,000 California locations.
Providing convenient locations, extended hours and one-hour service through name brand outlets - such as LensCrafters, Site for Sore Eyes, Sterling Optical and other recognizable names - members now manage to add quick, efficient, professional and affordable vision care into their budget and busy day.
Contact us at 800.696.4543 or firstname.lastname@example.org for more details.
Claremont Insurance is here to assist you by providing carrier and product information, plan quotes and comparisons, employer presentations, open enrollment assistance and more for a variety of products offered by California's premier insurance carriers.
Plan summaries, enrollment and change forms, and information about Delta Dental and our other carriers are always available through Claremont. You can request materials online at email@example.com or call our broker service representatives Monday through Friday 8:00 a.m. to 5:00 p.m. at 800.696.4543.
If you are ready to enroll your group in a Delta Dental plan, please click the Forms tab for a checklist of required paperwork.
Please note that the submission of all required paperwork, each filled out completely, aids in expediting the underwriting process. We look forward to receiving your enrollment forms and working with you to see your small group business placed.
Thank you for choosing Claremont Insurance Services.
Please submit your new group enrollment information to Claremont:
- Electronically with our secure online service OR
- By mail: 1000 Burnett Avenue, Suite 440, Concord, CA 94520.
Business Hours: 8 am to 5 pm, Monday - Friday
Need more information or assistance?
Contact the small group experts at 800.696.4543 or firstname.lastname@example.org.
- Delta Dental Forms
For employees who decline dental coverage.Revision Date: 12/2008
Must be signed by employer for new group businessRevision Date: 9/2013
Delta Dental of CaliforniaRevision Date: 5/2009
Submission checklist for new groups.Revision Date: 9/2016
- Revision Date: n/a
For Delta Care EnrolleesRevision Date: 11/2016
Employer Application Fillable formRevision Date: 6/2016 Revised
Contains Delta & Delta Care plan descriptions and guidelines.Revision Date: 1/2017
For Delta Dental PPO EnrolleesRevision Date: 11/2016
Employer dental application with EyeMed visionRevision Date: 6/2016
For Employees enrolling in both PPO/HMO coverageRevision Date: 3/2016