BENEFITS ADMINISTRATOR CUSTOMER SERVICE REQUEST

We protect the privacy of sensitive information such as social security numbers.
For more information, see our Web privacy notice.

Required information to access records regarding your request

Group Name		Group Number	-
Benefits Administrator First Name		Benefits Administrator Last Name
Title		Group TIN	-
Contact Name		Contact Phone	( ) -

Please select the state where your company is headquartered.

Please select all that apply
Forgot user ID
Forgot password
Other

Explanation of request



E-mail Address

If you prefer to mail or telephone your inquiry, you can reach us at the following locations:

For California:	Delta Dental of California P.O. Box 997330 Sacramento, CA 95899-7330 Toll-free (888) 335-8227	For the DeltaCare® USA program:	DeltaCare USA Customer Service Department P.O. Box 1803 Alpharetta, GA 30023 Toll-free (800) 422-4234 Fax (562) 809-7059

For: Alabama, Florida, Georgia, Louisiana, Mississippi, Montana, Nevada, Texas, Utah	Delta Dental Insurance Company 1000 Mansell Exchange West Building 100, Suite 100 Alpharetta, GA 30022 Toll-free (800) 521-2651	For: Delaware, District of Columbia, Maryland, New York, Pennsylvania, West Virginia	Delta Dental One Delta Drive Mechanicsburg, PA 17055-6999 Toll-free (800) 932-0783

For: AARP Enrollees:	AARP Dental Insurance Plan Delta Dental Insurance Company P.O. Box 2059 Mechanicsburg, PA 17055-2059 Toll-free (866) 583-2085