Welcome to DENCAP
Dental Plans

DENCAP Dental Plans ENROLLMENT APPLICATION

[X]

DENCAP Dentist Locator

Choose Plan:

(Type 2 or 3 Digit I.D. Numbers from Provider Directory)
(Coverage begins on the first day.)
 
 
 
 
For the selected plan, Single coverage cost is $N/A annually or $N/A monthly.
For the selected plan, 2 Persons coverage cost is $N/A annually or $N/A monthly.
For the selected plan, Family coverage cost is $N/A annually or $N/A monthly.

Note: In order to complete the enrollment, please mail check or money order, payable to DENCAP Dental Plans to: 45 East Milwaukee Street, Detroit, MI 48202.
Note: In order to complete the enrollment, please mail voided check or Letter from your Bank that states that you are the account holder, your account number and your routing number.