Easily access and download small group dental forms and applications.

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.

State dental employer applications. If your state is not included in the file, please use the standard application.

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

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.

Formas en Español (Spanish Forms)

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.