Group Admin Portal (Page 1 of 6) Important updates and news Answers to your dental health insurance questions Small Group Options

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1 Group Admin Portal (Page 1 of 6) Follow Us: PATIENTS EMPLOYERS PROVIDERS PRODUCERS ABOUT US CONTACT US You Are Here: Home» Employers Employers What s New Our Ser vice Guarantees Information for you... General Information Administrator, Employer, or Benefit Decision Maker. Dental Plans Claim forms, COBRA forms, and more... We have the information you need as a Benefit Dental and vision coverage benefits Large Group Dental Benefit Options Important updates and news Answers to your dental health insurance questions Small Group Options What Can Do for You New Television Spots - Dental Benefits - Our Focus DeltaVision Great News! The enhanced Group Admin Portal is Encourage Use of Dental Benefits now available! Please click on this link to fill out the Group Authorization letter to determine the type of Request for Proposal access you will have. Forms for Employers Health Care Reform Resources Plan Options Dental Benefits - Our Focus Top Forms Oral Health Dental Benefit Plans for Employers and Groups Login To Group Admin administers dental benefits to more than 740,000 people in Maine, New Hampshire, and Vermont and designs programs for organizations of all sizes. Address: Delta Dental PPOSM Delta Dental PPO is one of our contracted national network based programs. Participating PPO dentists agree to fee schedules as payment in full. These schedules provide deeper Password: discounts that result in greater savings to groups and enrollees. Register Here As with all Delta Dental networks, PPO dentists agree to processing policies and are prohibited from billing and collecting fees in excess of the agreed upon schedule. Delta Dental PPO allows enrolled patients to visit any dentist but offers additional savings when visiting a PPO network dentist. Forgot your password? nedelta.com About Us Tools Plans Home About Us Find a Dentist Dental Plans General Information Contact Us Forms Vision Plans Careers Annual Reports Smile Squad Corporate Giving Directions Print ID Card Tom's Blog Privacy Practices Oral Health Toolkit BoardVantage Radio 2013 Northeast Deltal Dental. All Rights Reserved

2 Group Admin Portal (Page 2 of 6) Add Enrollment Edit Enrollment Plan Info & Resources My Profile Contact Us Enrollment Information Assigned ID/SSN: Address: Effective Date: Hire Date: (MM/DD/YYYY) (MM/DD/YYYY) Qualifying Event: New Enrollment Zip Code: Marital Status: -- Select Marital Status -- City: State: Phone: (Numbers only) Country: UNITED STATES Emal: Misc. (Store loc): * Bolded fields are required. Foreign Address Instructions Coverage and Individuals Dental Group: -- Select a Dental Group -- Dental Coverage: Relation First Name Last Name Birth Date Sex Handicap Dental Vision Subscriber Select a Sex Is there other coverage? Yes Add Subscriber Cancel 2013 All Rights Reserved Add Enrollment Enroll a new subscriber onto the plan.

3 Group Admin Portal (Page 3 of 6) Add Enrollment Edit Enrollment Plan Info & Resources My Profile Contact Us Search for Subscribers Search by ID/SSN Subscriber ID: Search by ID/SSN Search by Name Last Name: First Name: Date of Birth: Search by Name Subscriber ID Last, First Name Birth Date Effective Date Term Date GroupType Select DOE, JOHN 02/04/ /01/2014 Active Dental First Previous 1 Next Last 2013 All Rights Reserved Edit Enrollment Search for an existing subscriber and make changes to an existing subscriber s enrollment.

4 Group Admin Portal (Page 4 of 6) View Enrollment Plan Info & Resources My Profile Contact Us Group Selection: First Previous 1 Next Last Search: Group Sublocation Division Group Name Type City State ABC Company, Inc. Dental Anytown NH ABC Company, Inc. Dental Anytown NH ABC Company, Inc. Dental Anytown NH ABC Company, Inc. Dental Anytown NH Order ID Cards Reports Forms/Documents Frequency/Time Limitation Rates Combined Services To order ID Cards, please select a Group from the top of the page All Rights Reserved Plan Info & Resources Request ID cards; download documents and forms; view enrollment reporting data; review plan benefit information including frequency/time limitations, etc.

5 Group Admin Portal (Page 5 of 6) View Enrollment Plan Info & Resources My Profile Contact Us Contact Information User Name: username@ .com First Name: Last Name: Phone Number: John Doe Address: Confirm Address: State: username@ .com username@ .com New Hampshire Password Question: What is your favorite color? Password Answer: Blue Change Password Are You a Producer? Update Contact and Group Information Group Information Group Name: ABC Company, Inc. Group Number: Add Additional Sublocation Sublocation Number Division Number Status Approved Approved Approved Approved Add Additional Group Update Group Information 2013 All Rights Reserved My Profile Review group contact and password information, and listing of group(s) and sublocation(s) to which the user has been granted access.

6 Group Admin Portal (Page 6 of 6) View Enrollment Plan Info & Resources My Profile Contact Us How To Contact Us Phone Numbers: Fax Numbers: Mailing Address: (Eligibility) (General) (General) (Eligibility) (Marketing) One Delta Drive PO Box 2002 Concord, NH For general Marketing inquiries, Send For general Eligibility inquiries, Send Account Manager Dental Group: -- Select a Dental Group -- Vision Group: -- Select a Vision Group -- Account Manager: Address: Phone Number: 2013 All Rights Reserved Contact Us Provides helpful contact information and contains your Account Manager s contact information.