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Download Group Dental Forms

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.

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.

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)

Allied No Médico Formulario de Inscripción del Empleado
Employee Enrollment Form.


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.
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  • Home
  • Employers
    • Self-Service Login
    • Prescription Benefits
    • Lab Program
    • Allied Member Discounts
    • EBA Newsletter
    • Downloadable Forms
  • Members
    • Member Resources for Funding Advantage >
      • Explanation of Benefits for Funding Advantage Members
      • Member FAQs
      • Member-Hybrid >
        • Member-Hybrid-Plan-Info
        • Member-Spanish-Hybrid-Plan-Info
      • Member-Traditional >
        • Member-Traditional-Plan-Info
        • Member-Spanish Traditional-Plan-Info
      • Member-Essentials >
        • Member-Essentials-Plan-Info
        • Member-Spanish Essentials-Plan-Info
      • Member-PPO >
        • Member-PPO-Plan-Info
        • Member-Spanish-PPO-Plan-Info
      • Member-Cost Saver >
        • Member-Cost Saver-Info
        • Member-Spanish-Cost Saver-Info
      • Member-Minimum Essential Coverage >
        • Member-Spanish Minimum Essential Coverage
      • Member - Community Health Plan >
        • Member-Community Health-Plan-Info
      • Member-H&H PLan >
        • Member-H&H Plan-Info
      • Member-Vault PPO Resources >
        • Member-Vault-PPO-Plan-Info
      • Member-Vault RBP >
        • Member-Vault RBP-Plan-Info
      • Member-Fundamental Care
      • Member-Fundamental Care Value Plan
    • Benefit Extras >
      • Allied Member Discounts
      • Elite Experience Team
      • HealthCare Assistant
      • HealthChoices
      • Lab Program
      • Telehealth
    • Self-Service Login >
      • Self -Service Site Info
    • Find A Provider
    • Prescription Benefits
    • Member Download Forms >
      • Appeals
  • Agents
    • Agent Edge
    • Group Submissions
    • Plans >
      • Level Funding Group >
        • Freedom Plan >
          • Hybrid
          • Traditional
          • Essentials
        • PPO
        • Cost Saver Plan
        • Minimum Essential Coverage
        • Direct Primary Care
      • Dental Design Group
      • Premium Only Plan Group
      • Individual Plans
    • Self-Service Login
    • Download Forms - Agents
    • Product Availability
    • Training Webinars
    • Agent FAQs
    • Bulletin (Agent)
  • Provider
    • Provider Verification
    • DPC & Benefit Plans
  • About Us
    • History
    • Testimonials
    • Blog
    • Newsroom >
      • Allied Logos
  • Contact Us