Dental Benefits Enrollment
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Welcome!
Protect you and your family by applying for GEBA’s Dental Benefits Plan. Before you begin to fill out the application, we recommend that you have the following information listed in the checklist ready.
If preferred, download and complete the Dental Benefits Application to return via fax, mail or email.
Fax: (410) 846-6420 Email: [email protected] Mail: GEBA, 1362 Mellon Road, #100, Hanover, MD 21076
Dental Insurance is underwritten by Delta Dental, 5073 Ritter Rd, Mechanicsburg, PA 17055. View Delta Dental Privacy Notice.
- Member Info
- Coverage
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Checklist
- Bank account information for payment method
Estimated time to complete: 15 minutes
You will be required to complete the entire application once you start since for security purposes we do not save the application for future access.
Dental Insurance is underwritten by Delta Dental, 5073 Ritter Rd, Mechanicsburg, PA 17055. View Delta Dental Privacy Notice.
