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Attention Delta Dental providers: Protect your practice and patient data with multi-factor authentication. As of October 20, 2025, all users will need their password and an additional way to confirm their identity to log in to their Delta Dental of Connecticut account. See how MFA works.
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Customer Service Hours: Customer Service will be closing at 1:00 PM ET on Friday, August 29th and will be closed on Monday, September 2nd in observance of Labor Day. Labor Day is a time to recognize the hard work and dedication of workers across the nation. We hope you enjoy a well-deserved break and have a relaxing holiday. 
To view benefit information and claim status at any time, please sign into your account or use our Interactive Voice Response System 24/7 at 1-800-452-9310.

Small Group Forms for Brokers

Easily access and download all the small group forms and applications.

Small Business 2-50 enrolled employees

Easy employer application (PDF, 8 pages, 2,490 KB)
Download our easy group application for 2-50 business

Simple employee enrollment (PDF, 1 page, 204 KB)
Download our easy group enrollment form for 2-50 business

Enrollment spreadsheet (Excel)
Download our easy group enrollment spreadsheet guide for 2-50 business