Brochures & Forms
Find all of the important documents, forms and links all in one place.
Delta Dental’s Website
Delta Dental Summary
Delta Dental Member Brochure
Delta Dental Claim Form
Delta Dental Mobile App
Delta Dental Provider Discounts
Delta Dental Enrollment Form
Before obtaining vision services, please verify eligibility for you or your dependent(s), by calling the Fund Office at 617-354-1110 or email firstname.lastname@example.org.
Dependent Children Verification
Eligible dependent children are covered up until under the age 26 – coverage ends on 26th birthday, provided they meet the eligibility provision requirements – see “Dependent Children Provision Summary.” Dependent children that do not meet the provision requirements, but are full-time students are covered until the age of 25 – coverage ends on 25th birthday; and totally-disabled dependent children can remain your coverage regardless of age. See requirements and application forms below: