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 26 – coverage ends on 26th birthday. Dependent children ages 19 – under 26 must complete a Dependent Enrollment Application (19 under 26) and completely disabled dependent children age 26 and up must complete a disabled dependent application. Forms must be submitted to the Fund Office.