Dental coverage can be added at renewal or the first of any month throughout the year.

• 2021 Employer dental application – Oregon
• 2020 Employer dental application – Oregon
• Small Group Enrollment/change of information form
• Waiver of group insurance for Oregon Small Business Groups
• Dental Portfolio
• Dental Choice HMO brochure
• Dental Choice PPO brochure

1. Obtain rates from the group's medical renewal quote or contact a representative.
2. Select the benefits that best meet your client's needs. See our dental plans and products.
3. Complete the employer dental application.
4. Fax, mail, or email the completed forms to your Kaiser Permanente representative. A check for the first month's premium is not needed as we will bill along with the medical in the next billing month.

Fax: 1-877-237-5548

Mail: Kaiser Permanente
         Small Business Group
         500 NE Multnomah St., Suite 100
         Portland, OR 97232

Email: small.group.respond@kp.org.

Please contact a representative if you have questions regarding the application process.

• Employee census form for small group
• Employer application: Oregon small business
• Employer application: Washington small business
• 
  » All forms