Delta Dental Plan for Rhode Island Students

PPO PLUS PREMIER PLAN
2026-2027 Policy Year
Annual Enrollment Form

The enrollment deadline for coverage effective September 1, 2026 is August 15, 2026.

Enrollment will be processed AFTER the deadline and once processed, coverage will be effective
September 1, 2026 through August 31, 2027. 

PLEASE FILL OUT THE REQUIRED FIELDS BELOW TO CONTINUE THE ENROLLMENT PROCESS: