Information:
- DentalBlue Plan Summary & Premium Rates - 2010 (pdf) (2 pages)
- DentalBlue FAQs (Frequently Asked Questions) (pdf) (9 pages)

Providers:
- Provider Finder - Preferred PPO - Web Site Instructions (pdf) (1 page)
- Provider Finder - Dentcare Primary Network - Web Site Instructions (pdf) (1 page)
- Search for Providers (select "Wisconsin", click "Next", select either Dentacare Primary Care Network for the Dentacare HMO, or Preferred Network for the Preferred PPO, click "Next" and follow the remaining steps)
- Dentacare Primary Care Provider Directory (pdf) (20 pages)
- Preferred Provider Directory (pdf) (31 pages)

Forms:
- Group Dental Application form (pdf) (1 page)
- Group Coverage Continuation form (pdf) (1 page)
- Termination Form (Word document) (1 page)
- Affidavit of Domestic Partnership form - for DentalBlue group dental coverage (pdf) (2 pages) [***See Note below]
- Affidavit of Termination of Domestic Partnership form - for DentalBlue group dental coverage (pdf) (1 page)  [***See Note below]

Benefit Handbooks:
- Supplemental Plan Handbook (pdf) (61 pages)
- Dentacare HMO Handbook (pdf) (66 pages)
- Preferred PPO Handbook (pdf) (64 pages)

For WRS Retirees:
- The OSER contract with Anthem only covers former State of Wisconsin employees who had coverage with Anthem at the time of retirement.
- Dental insurance is also available for all WRS retirees through the Wisconsin Coalition of Annuitants.  For more information, please visit this web site:  http://www.gisconline.com/wcoa or call GIS at 1-877-817-4805.

***NOTE regarding domestic partner enrollments:
To enroll a domestic partner, you may file with your application a notarized copy of form ET-2371 if you are using, or have used, it to apply for domestic partnership coverage for any insurance provided through the Department of Employee Trust Funds.  If an employee does not create a Chapter 40 domestic partnership, an employee is eligible to enroll a domestic partner and the partner's eligible children in the Anthem DentalBlue dental plan by submitting a notarized OSER-DCLR-217 form.  If the domestic partnership later terminates, two forms must be submitted to your payroll office: 1) an ETF or OSER Affidavit of Termination of the Domestic Partnership, whichever is appropriate, and 2) a new application removing the domestic partner and his/her dependent(s) from coverage.