You'll find a Dental Plan just right for you, you and one dependent, or you and your family. Choose from our
If you want to enroll in a dental plan that meets the
guidelines of the Affordable Care Act (ACA), you cannot
enroll online. Find out how you can
in our ACA compliant individual plans.
Tell us about you and your dependents (for Two-Person and Family memberships).
Your personal information is confidential and our online enrollment process is secure.
We do not share your personal or contact information with any outside parties.
How did you hear about our individual plans?
Delta Dental of Illinois is commited to providing our enrollees with the best products
and services available. By completing this short questionnaire, you will help us
develop new products that will best serve your needs and those of people like you.
Your responses to this form will not be linked to your name or your policy and will
remain completely confidential. Delta Dental of Illinois is committed to your privacy
and never allows third parties to use your personally identifiable information to
market their products or services.
Thank you for your help.
What is the highest level of education you have completed?:
What is your annual household income?:
Are you a military veteran?: