Skip to main content
Looking for a different state?
Member
Dentist
Broker
Employer
For
Members
(Not a
Member
?)
Sign in
Register
Contact us
Not registered online?
Create an account to view your coverage, get personalized out-of-pocket cost estimates, and more!
Benefits of registering online
Register now
Login Failed
Need help?
Contact us
Don't have an account?
Register Now
Sign in
Sign in or
register
to view your information
Username
Password
Show Password
Please enter the confirm code
Sign in
Confirm
Forgot
username
or
password
?
Contact us
Don't have an account?
Register Now
Need help?
Contact us
Dismiss
I am a
Member
Dentist
Broker
Employer
Online tools
View your benefits
Find a dentist
Compare costs
Download forms
Our mobile app
Sign in for personalized access
View your dashboard
Track your dental activity
Our plans
Individual & family plans
Advantages of Delta Dental
Dental benefits explained
How to use your dental plan
Our Plans
Our coverage makes it easy and affordable to protect your smile
View our plans
Dental health
Oral Health Library
Glossary
FAQ
Learn About Oral Health
Smile tip
Follow snack and alcoholic drinks with water to keep your smile healthy on game day
Our company
Our leadership
Our history
Diversity Council
In the community
Career opportunities
Foundation
Fight insurance fraud
Press Releases
Not in Connecticut?
Our mission
To promote oral health to the greatest number of people by providing accessible dental benefit programs of the highest quality, service, and value.
View our Mission, Vision, and Values
Sign in
Search
Search
Menu
Sign In
Register
Looking for a different state?
Contact us
Home
>
Dentist home
>
Payments & Direct deposit
>
Direct deposit (EFT) enrollment
Direct deposit (EFT) enrollment
All fields must be completed unless otherwise noted.
View
written instructions.
×
Cancel
OK
OK
Date:
Id:
OK
Please wait...
×