Download Group Dental Forms

Easily access and download small group dental forms and applications.

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Fidelity Security Life Insurance Company

Dental Design Sales Brochure
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Allied Dental Design Sales Brochure

Employer Administrative Guide

Guide for employers to administer group benefits

Employee Enrollment/Waiver

Dental Design Employer Application

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Self Service Site Administrator Authorization Form

Form employees use to enroll or waive coverage.

Multi-state dental employer application. Call Allied's Sales Support 888-767-7133 for state-specific applications for: CA, CO, FL, GA, ID, KY, NM, TN and WA.

This form is required and allows one or more representatives of the employer to access the Self Service website.

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Miscellaneous Underwriting Forms

Affidavit - Committed Domestic Relationship

Committed Domestic Relationship affidavit for use with Allied group medical and dental plans

Affidavit - Participating Business Owner

A Participating Business Owner must use this Affidavit to certify eligibility to participate in an Allied Group Plan on the same basis as an eligible employee.

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Formas en Español (Spanish Forms)

Allied No Médico Formulario de Inscripción del Empleado

Employee Enrollment Form.

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Looking for Something Different?

Download brochures, applications, and other resources for all Allied plans. Use these materials to present plan options to your clients.

If you are unable to find what you're looking for, please contact Allied Client Services.