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You wishes get your insurance card in the mail with your insurance corporate. PART E – EMPLOYEE SIGNATURE – Sign and date form as verification of your enrollment. Not all insurance cards are alike, but my card desires contents basic information about your plan. Please call our customer service team at 855-643-3582. Your umr. PART E – EMPLOYEE SIGNATURE – Sign and date form as verification of your enrollment. Employer-Sponsored IndemnityPrimary marine. Primary navigation. enrollment form please print or type be sure form is completed in full to ensure enrollment po box 9695, 465 medford street boston, massachusetts 021291454 customer service (617× 8861234 toll free Please call our customer service team at 855-643-3582. Make a Payment. Reverse Lookup Toll-Free Phone Numbers with 800-888-877-866 Directory. How to call USA from: USA. Automated system is available 24/7. Victoria, B. General information. Quartz: 800-362-3310 . 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Individual and Family Plan Enrollment Mailing Address: Delta Dental of Minnesota Attention-Enrollment Department PO BOX 74008400 Chicago, IL 60674-8400 Group Sales Support: For small group sales (up to 50 eligible employees), contact Delta Dental Connect SM: If you have any questions about filling out this form, please contact our Individual Customer Service at (855) 643-3582.