Delta Dental Plan for Rhode Island Students

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

The enrollment deadline for coverage effective January 1, 2027 is December 15, 2026.

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

PLEASE FILL OUT THE REQUIRED FIELDS BELOW TO CONTINUE THE ENROLLMENT PROCESS: if you do not have a SSN, please enter all zeroes.