Looking for a Document or Need More Information?
We know that the more quotes you put out there, the more productive you’ll be. So to save you time and money, we’ve developed a fast and reliable support system that you can turn to anytime.
We’ve created 4 teams of professionals to assist you, your staff and your clients throughout the quoting and on-boarding process. Click on the links below for more information.
Sales and Account Management - assists you with quoting and benefit design for groups with 51+ eligible employees
Delta Dental has created an easy to reference contact sheet for our sales and service teams. Click on the links below to download and print.
- All Sales and Service Teams
- Large Group Sales (101+ employees) - Brenda Jensen
- Small Group Sales (1 to 100 employees) and Individual - Mike Elam
- Large Group Account Management (751+ employees) - Sheila Nelson
- Large Group Account Management (251-750 employees) - Jen Nelson
- Large Group Account Management (101-250 employees) - Mandi Comer
Team Service - provides support to you and your clients between renewals, addressing questions about enrollment, benefits and more
Phone: 1-877-983-3582 ext. 4
Team ReNEW - supports the administrative processes related to acquisition of new business and renewal of existing business
Phone: 1-877-423-3582 ext. 5
Individual Support Team - provides pre-sale support to you and individual buyers about our individual plan options.
Phone: 1-877-423-3582 ext. 3
Claims / Benefits
PO Box 9000
Johnston, IA 50131-9000
Group Forms and Documents
- ACH Form - Weekly - Help ASC groups make payments the easy way with ACH.
- ACH Form - Monthly - Help fully insured groups make payments the easy way with ACH.
- Group Administration Handbook - Group administrator's guide for managing dental benefits through Delta Dental of Iowa.
- Employer Connection - Information for groups to manage their Delta Dental account online.
Broker and Agent Documents
- Requesting Proposal - Guidelines for requesting quotes for employer groups with 51 or more eligible employees.
- Broker Access Authorization Form for Employer Connection - Form that brokers and group administrators complete to give the broker access to the group's billing and enrollment through the Employer Connection.
Member Documents and Forms
- Individual Authorization Form - for release of private health information (PHI)
- Personal Representative Form - form to appoint a representative to receive release of private health information (PHI)
- Finding a Network Dentist - Information on finding a dentist and using the online Subscriber Connection to view benefits, print ID cards and see claims.
- Delta Dental of Iowa Claim Form - Claim form for Delta Dental of Iowa.
- Member Connection - How to register and use the Delta Dental secure website to view benefits and claims.