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Current Location: Home > Prospective Enrollees > Enrollment
 

Enrollment

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Online
Please begin by reviewing the Application Guidelines prior to entering the online enrollment application. They will open in a separate window so that you can refer to them as you proceed through the online enrollment application.

To enroll online, you will need a Visa© or MasterCard©. For your security, address verification is required when enrolling online using a credit card. The online enrollment application currently accepts only one address. If your billing address is different from your primary address, please enroll by mail or phone.

Due to documentation requirements, we are unable to accept enrollments on our website for Family-Member(s)-Only applicants. To enroll as a Family-Member(s)-Only applicant, please enroll by mail and enclose the appropriate documentation.

Online enrollment applications received by the last business day (Monday through Friday) of the month are effective the first day of the following month (provided your enrollment and prepayment information can be verified.).

To enroll online , please enter your five-digit ZIP Code below. ( If you reside in Canada, enter "99999" as your ZIP Code. If you reside outside of the U.S and Canada and do not have a U.S. postal code, enter "00000" as your ZIP Code.)

ZIP Code:
 

 

Telephone
Call Customer Service Toll-Free at 1 (888) 838-8737 between 6:00 AM and 6:00 PM Pacific Time Monday through Friday and enroll with your Visa© or MasterCard©.

 

Mail
1.

Use the online premium search to determine your current premium prepayment. If paying premium prepayment by check or money order, please make it out to: TRICARE Retiree Dental Program.

2. Download and print the TRDP Enrollment Application.
3.

Review the Application Guidelines found at the start of the TRDP Enrollment Application.

4.

Complete the TRDP Enrollment Application.
After completing the application, please double check that all signature lines are signed
.

5.

Return signed and completed enrollment application and premium prepayment to:
Delta Dental of California
Federal Services
P.O. Box 537008
Sacramento, CA 95853-7008

     
   
 

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