Below you will find a list of commonly used forms for groups with Delta Dental and Vision available for download. While we do the best we can to keep everything up to date, sometimes carrier websites change without our knowledge, which may mean step by step instructions may be out of date. If you notice anything doesn't work as intended, please bring it to our attention and we will correct it.
Please submit all completed forms to Julie Palmer:
Mail: Health Insurance Associates, Inc
Attn: Julie Palmer
19525 Janacek Ct STE 101
Brookfield, WI 53045
Delta Dental Enroll/Change/Term Form
Can be used for any existing dental or vision group to enroll and terminate members, and make any information changes.