Thank you for your interest in Connection Dental Plus. You can enroll online by completing the following information. If you need assistance with enrollment, please call us at 800.793.9335 Monday-Friday from 7 a.m. to 7 p.m. Central Time.
All fields are required unless marked as optional.
Please select coverage option and enter information for your spouse or dependent children, as applicable. Connection Dental Plus eligible dependents are your legally married spouse and each unmarried child who is under age 26. Eligible dependents can enroll even if their parent (who is a current or former federal employee, or an annuitant) is not a GEHA member.
Connection Dental Plus is a supplemental dental plan and will pay last after other coverage. Please provide the name of your current FEHB plan and any other coverage information (if applicable). If you have waived FEHB coverage, please enter WAIVED in this field. If you are a former Federal Employee no longer eligible for FEHB, please enter FORMER in this field.
Please select how you will pay for your Connection Dental Plus coverage. After reading and accepting the terms and conditions below, please press Submit to send us your application. Please allow us one to two weeks to process your application and mail your ID cards. Your Connection Dental Plus coverage will not begin until the first of the month following receipt of your premium payment.
Monthly Premium: To view the current premiums, visit https://www.geha.com/plans-and-benefits/dental-plans/connection-dental-plus/connection-dental-plus-premium-pricing
The Connection Dental Plus plan is neither offered nor guaranteed under the contract with the FEHB program. You must notify Connection Dental Plus of any enrollment changes. Your payroll office will not notify Connection Dental Plus for you. Benefits are subject to plan provisions, limitations and exclusions. Please read the Connection Dental Plus Plan Brochure carefully as deductibles, waiting periods and maximum limits do apply.
If you have any questions or need assistance with this form, please call us at (800) 793-9335.