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Delta Dental of VirginiaGroup Enrollment Application4818 Starkey Road, Roanoke, VA 24018 (540) 9898000 (800) 2376060 Fax: (540) 7768109(New Enrollment/Changes to Enrollment)IMPORTANT: Incomplete information
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How to fill out online small group enrollment

01
Step 1: Visit the online small group enrollment website.
02
Step 2: Create an account by providing your personal details.
03
Step 3: Login to your account using the credentials you created.
04
Step 4: Select the option to start a new small group enrollment form.
05
Step 5: Fill out the required information, such as the group name, purpose, and contact details.
06
Step 6: Add the names and information of the group members.
07
Step 7: Review the information entered and make any necessary changes.
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Step 8: Submit the completed small group enrollment form.
09
Step 9: Receive a confirmation message or email indicating successful enrollment.

Who needs online small group enrollment?

01
Online small group enrollment is useful for organizations, companies, or institutions that require a streamlined process to enroll small groups.
02
It is particularly relevant for educational institutions, community centers, sports clubs, and any other group-based organizations.
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Online small group enrollment is a system for businesses to enroll their employees in group health insurance plans through an online platform.
Employers with small group health insurance plans are required to file online small group enrollment.
Employers can fill out online small group enrollment by creating an account on the designated platform, inputting employee information, and selecting the appropriate health insurance plan.
The purpose of online small group enrollment is to streamline the process of enrolling employees in group health insurance plans and ensure all necessary information is provided.
Information such as employee names, social security numbers, dependents, and selected health insurance plans must be reported on online small group enrollment.
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