Dear Student,
The new policy year will run January 1, 2022 – December 31,2022. Also included are the rates, coverage details, and instructions to enroll in the plan.
The deadline to enroll or re-enroll is December 1, 2021. Students who enroll in coverage, are electing to be enrolled the entire calendar year.
Please also review the rates, coverage details, and instructions to enroll in the plan:
Please note: You are NOT automatically enrolled or billed for the dental plan since the plan is a voluntary plan. If you do not wish to enroll, no action is required.
IMPORTANT ENROLLMENT INFORMATION:
- CURRENTLY ERNOLLED: Students currently participating in the plan must re-enroll for the new policy year by December 1, 2021. Coverage will NOT be renewed unless a new enrollment form and payment is received by EBPA by the deadline.
- NEW ENROLLMENT: To enroll for the first time in The Delta Dental PPO Plus Premier Plan, complete the attached Enrollment Form and Payment Form and submit to EBPA by December 1, 2021.
Mail required documentation and payment information to: EBPA, 37 Industrial Drive, Suite E, Exeter, NH 03833.
