Please begin by reviewing the Application Guidelines prior to completing the online enrollment application. The guidelines will open in a separate window so that you can refer to them as you proceed through completing the online enrollment application.
To enroll online, you will need a Visa© or MasterCard©.
Online enrollment applications received by the last day of the month are effective the first day of the following month provided your enrollment and prepayment information can be verified.
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.
Call Customer Service toll-free at 888-838-8737 between 6:00 AM and 6:00 PM Pacific Time Monday through Friday and enroll with your Visa© or MasterCard©.
(AT&T USADirect Access Number*) plus
(*For assistance with international dialing instructions, please visit www.usa.att.com/traveler/index.jsp)
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.
||Review the Application Guidelines found at the start of the TRDP Enrollment Application.
Download and print the TRDP Enrollment Application.
Complete the TRDP Enrollment Application.
After completing the application, please double check that all signature lines are signed.
Return signed and completed enrollment application and premium prepayment to:
Delta Dental of California
Federal Government Programs
PO Box 537008
Sacramento, CA 95853-7008
United States of America