What's Needed to Quote

Illinois groups with 2 to 150 eligible employees can get an online quote from Delta Dental of Illinois here.

If you’d like to quote an Illinois group with 151 or more eligible employees, please complete the form below and note that Delta Dental of Illinois requests the following items:

  • Census (total benefit eligible employees) with date of birth, gender, home ZIP code, plan, tier elections and current product
  • SIC code
  • In-force carrier, plan design, current and/or renewal rates
  • Claims experience (24 months – if available)
  • Employer contribution
  • Commission level (if applicable)

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