Massachusetts Delta Dental Total Choice Plan
Morningside Graduate School of BioMedical Sciences Only
2024-2025 Policy Year Enrollment Form

• The enrollment deadline is midnight on 08/10/2024.
• Please note that if you purchase the plan now, your coverage will be effective 9/1/2024-8/31/2025

DISCLAIMER: The Delta Dental Total Choice Plan requires a minimum number of enrollments, which we expect to meet. In the event that we do not receive enough enrollments, we will contact you about a refund as well as your other dental insurance options.

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

To find your ID, go to PeopleSoft, Self Service, Student Center, Personal Information, Demographic Data. You should see your 9-digit ID near the top of the screen.