Delta Dental Plan Option for
George Washington University Students

DELTA DENTAL PPO PLAN
Spring 2026 Policy Period Enrollment Form

The enrollment deadline for coverage effective January 1, 2026 through August 31, 2026 has been extended to February 15, 2026. This is the final deadline. No enrollment will be accepted after this date. Enrollment will be processed after the deadline. Once processed, enrollment will be effective back to January 1, 2026.

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

*if you are an international student and do not have a social security number, please use your student ID replacing the "G" with a zero if necessary to make a 9-digit number