Online Enrollment - New Employer Connection User

Registering for the NEW Online Enrollment Application

To register for the NEW Online Enrollment, you will need to register for a Delta Dental Employer Connection account.
Please take note of the following steps.
You may wish to print these instructions for reference.

Please use the link at the bottom of the page, after reviewing all of the instructions, to start the process.

Step 1

First, fill in your personal and group information.
You will need to choose a username and password for your new account.

Step 2

Verify that Online Enrollment is selected.
After scrolling down to step 2 of the registration process, a list of possible applications is presented. Verify that the Online Enrollment application is selected. (You may choose additional applications at this time as well.)

Step 3
Submit your request.
Verify that all of your information is correct and that you have requested access to the Online Enrollment application. Once you are satisified, click the button labeled submit.

Step 4
Registration Confirmation.
For your protection, we will validate your data against our files and contact you as quickly as possible to confirm your request to the Employer Connection.

If you need to make immediate changes to your enrollment, you can continue to use the existing application. However, we encourage you to wait until Delta Dental authorizes your request for the NEW Online Enrollment so that you can experience the new features!

You may want to print these instructions for reference.

Ready to create a new Employer Connection account and request access to the NEW Online Enrollment?
Please use this link to start this process.