Group Insurance Application Form

Group Plan Enrollment/Change Form

Sub Group Application Addendum

Sub Group Application Addendum (Spanish)

Integrated Voice Response (IVR) Reference Card and Shortcuts for Members

Benefit Manager Toolkit (BMT) Flyer

Find an In-Network Dentist Flyer (English)

Find an In-Network Dentist Flyer (Spanish)

Evidence Based Dentistry w/ PCS Flyer (English)

Preventive Care Security (PCS) only available on select Dental Plans. 

Evidence Based Dentistry w/ PCS Flyer (Spanish)

Preventive Care Security (PCS) only available on select Dental Plans. 

Evidence Based Dentistry w/o PCS Flyer (English)

Evidence Based Dentistry w/o PCS Flyer (Spanish)

Preventive Care Security (PCS) Flyer (English)

Preventive Care Security (PCS) only available on select Dental Plans. 

Preventive Care Security (PCS) Flyer (Spanish)

Preventive Care Security (PCS) only available on select Dental Plans. 

Member Portal Flyer (English)

Member Portal Flyer (Spanish)

Group Insurance Application Form

Group Plan Enrollment/Change Form

Dental Claim Form

ACH Authorization Form

(ACH) Payment Authorization Form (Spanish)

Individual Authorization to Access PHI Form

Individual Authorization to Access PHI Form (Spanish)

Sub Group Application Addendum

Sub Group Application Addendum (Spanish)

Broker Individual Plan Sales - Custom URL Application

Custom link for MySmileCoverage.com. Ex. mysmilecoverage.com/nm/your-name-here. Must already be an appointed broker for Delta Dental of New Mexico.

Integrated Voice Response (IVR) Reference Card and Shortcuts for Members

Benefit Manager Toolkit (BMT) Flyer

Evidence Based Dentistry w/ PCS Flyer (English)

Preventive Care Security (PCS) only available on select Dental Plans. 

Evidence Based Dentistry w/ PCS Flyer (Spanish)

Preventive Care Security (PCS) only available on select Dental Plans. 

Evidence Based Dentistry w/o PCS Flyer (English)

Evidence Based Dentistry w/o PCS Flyer (Spanish)

Preventive Care Security (PCS) Flyer (English)

Preventive Care Security (PCS) only available on select Dental Plans. 

Preventive Care Security (PCS) Flyer (Spanish)

Preventive Care Security (PCS) only available on select Dental Plans.