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SERVING NORTH DAKOTAMaster Application Delta Dental Small Business Clients PART A Client Information Legal Company Name: ___ Physical Address: ___ Phone: () ___City: ___ State: ___ Zip Code: ___ Mailing

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What is group enrollment application delta?

Group enrollment application delta is a form used to update group enrollment information for a specific year.

Who is required to file group enrollment application delta?

Employers sponsoring group health plans are required to file group enrollment application delta.

How to fill out group enrollment application delta?

Group enrollment application delta can be filled out online or submitted through mail with accurate information about the group health plan.

What is the purpose of group enrollment application delta?

The purpose of group enrollment application delta is to update group enrollment information for a specific year.

What information must be reported on group enrollment application delta?

Group enrollment application delta requires information about the group health plan, number of participants, coverage options, and any changes in the plan.

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