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    SUNLIFE  pREPAID  Dental  Plan

    Enrollment form and payment must be received by the 15th of the month in order to begin coverage on the 1st day of the following month.  When your enrollment is processed, membership confirmation will be e-mailed to you.  You may make an appointment with your selected dentist at anytime after your effective date of coverage.  Make sure to select a dental office when you enroll and upload your payment information prior to submitting your application.  Please call 720-488-9892 if you have any questions.  The required PDF payment form "Charge Card Authorization" can be found at the bottom of this page. ​

     - Click here to view the Dental Plan Benefits for Auraria Campus Students (PDF) -

    ​
    Online Enrollment Form- 
    To select a dental office click here
    Enter the ID# in the box to the left
    Max file size: 20MB
Submit

Additional Required Forms

charge_authorization_form.pdf
File Size: 107 kb
File Type: pdf
Download File


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National Benefits - Terms & Conditions of Use
  • Home & Information
    • Buyer's Guide - Health Insurance
    • Industry & Product News
    • PPACA / ObamaCare Guide
    • Understanding Insurance
  • Instant Quotes
    • Dental Insurance >
      • Prepaid Dental Application
    • Individual Medical
    • Home Health Care
    • Life Insurance
    • Limited Medical Benefit Plan
    • Medical Evacuation
    • Medicare Supp
    • Pet Insurance
    • Rx & Healthcare Card
    • Short Term Medical
    • Tel-A-Doc
    • Travel Insurance
  • Plans
    • Group Health Plans >
      • Submit Group Census
    • Individual Health
    • Life Insurance
    • Disability Insurance
    • Medicare Supps & Part D Rx
    • Short Term Medical
    • Travel Insurance
  • Forms
    • Health Forms & Apps
    • Life Forms & Apps
  • The Staff
  • Contact Us
    • Terms & Conditions