Enroll now online in a Delta Dental Individual and Family plan.
Payment options for electronic application: automatic monthly payments via credit/debit card or bank withdrawal. Charges will be made within the first five business days of each month. Please be aware that our online enrollment website does not work in a Safari browser. Please use another browser if you are experiencing issues. We are sorry for any inconvenience this may cause. **Please note: applications for Delta Dental Individual and Family plans must be received on or before the 25th of the month for coverage to start the first of the following month.** | Download, print and mail in your enrollment form. Payment for a paper application: yearly payment by check made out to Delta Dental of Kansas with your paper application. **Please note: applications for Delta Dental Individual and Family plans must be received on or before the 25th of the month for coverage to start the first of the following month.** |