Dental plans enrollment
If you are currently enrolled in dental benefits, you will automatically be re-enrolled in the same plan(s) for 2026 and don’t need to do anything.
Active employees
Open enrollment for the 2026 plan year is October 6 - October 31, 2025.
Dental enrollment
If you plan on enrolling in a different dental plan for 2026, or adding a major coverage supplemental dental plan, visit the State of Wisconsin – ETF enrollment website to verify eligibility and coverage. You will receive a new ID card if you are a new subscriber to a plan.
Local employees
Local employees should check with your employer to see which dental plans are offered.
New hires and current enrollment changes
New hires or currently enrolled employees who would like to change your election should visit with your payroll/benefit specialist.
Wisconsin state and local retirees and state continuants
Open enrollment for the 2026 plan year is October 6 - October 31, 2025.
Dental enrollment
State and local retirees and state continuants who qualify and wish to enroll in supplemental dental benefits can enroll online.
ONLINE ENROLLMENT STARTS OCTOBER 6, 2025
Prefer a paper form?
Download the form below and return it by mail to enroll or make a change to your election of billing information.
Dental Enrollment Change Form for Retirees and Continuants
Current enrollment changes
To make a change to your election or billing information, download the appropriate form. Completed forms can be returned by mail.
Dental Enrollment Change Form for Retirees and Continuants
Contact us
For questions about enrollment or our dental plans contact:
Delta Dental of Wisconsin Customer Service
Hours: 7:30 a.m. to 5 p.m. CST, Monday - Friday
Phone: 844-337-8383
Email: etfcustomerservice@deltadentalwi.com
