Dental Plan Option for
Lafayette College Students

UNITED CONCORDIA FLEX PPO DENTAL 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 though August 31, 2027.

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