delta dental (morgan white group)

Enrollment Kit - delta dental mgw (dental)

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This checklist is provided as a guide. The carrier may require additional items and documentation. Please refer to the carrier’s underwriting guidelines for a complete list of requirements. Please use the latest version of forms.​

 

Our goal is to process y​our new group enrollment easily and efficiently in order to provide you and your client with a quick approval.  The following list outlines Delta Dental (MWG)'s case submission requirements

  • Employer Application / List Bill Ag​reement​

  • Authorization Agreement for Auto​matic Payments​ with copy of voided check made payable to “Morgan-White Administrators, Inc.”

  • Employee Enrollment Forms​ – minimum two employees enrolled.  If employee wants vision, see page 4 of the Delta​​​​ DFE Brochu​re​​ for th​e two plans.

Licensing:  Broker appointment must be completed.  NOTE: The group will not be approved until licensing is received.

 
​After approval, prior carrier termination letter must be submitted by the employer or broker. 
 

For other useful or older documents, please refer to the Forms database.