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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
    • Abenity Discounts
    • Employer Resources >
      • Freedom Hybrid - Employer Resources
      • HSA Freedom Hybrid - Employer Resources
      • Freedom Traditional - Employer Resources
      • Cost Saver Plan - Employer Resources
      • PPO - Employer Resources
      • Freedom Essentials - Employer Resources
      • MEC - Employer Resources
      • Apex MEC - Employer Resources
      • Community Health Plan - Employer Resources
      • Prime-Fundamental Care - Employer Resources
      • Vault PPO - Employer Resources
      • Vault RBP - Employer Resources
    • EBA Newsletter
  • Members
    • Member Resources
    • HealthCare Assistant
    • HealthChoices
    • Self-Service Login
    • Find A Provider
    • Prescription Benefits
    • Telehealth
    • Lab Program
    • Abenity Discounts
    • Member Download Forms >
      • Appeals
    • Member FAQs
  • Agents
    • Agent Edge
    • Plans >
      • Level Funding >
        • Freedom Plan >
          • Hybrid
          • Traditional
          • Essentials
        • PPO
        • Cost Saver Plan
        • Preventive Minimum Essential Coverage
        • Direct Primary Care >
          • DPC Directory
      • Dental Design
      • Pivot Health Individual Plans >
        • Short Term Medical
        • Fixed Benefit
        • Brilliant Dental
      • Premium Only Plan
    • Self-Service Login
    • Download Forms - Agents
    • Product Availability
    • Training Webinars
    • Agent FAQs
  • Provider
    • Provider Verification
    • DPC & Benefit Plans
  • About Us
    • History
    • Testimonials
    • Blog
    • Newsroom >
      • Allied Logos
  • Contact Us