Request HR Benefits Information

Let's talk benefits for you and your team.

The Dental Cooperative is here to help you navigate the world of benefits for you and for your team. With a variety of services to choose from, get connected with a trusted advisor that has your best interest at heart. Complete the form below to get connected with a trusted and experienced Cooperative advisor who is looking out for your best interest. HR Benefits include:

Health Insurance
Payroll Processing
Long Term Disability
Short Term Disability
Vision
Employee Assistance Programs (EAP)
Telemedicine

REQUEST INFORMATION FOR HR BENEFITS

*required

Step 1) Practice Information:

PRACTICE NAME*

STATE*

NAME OF PRIMARY DENTIST*

NAME OF EMPLOYEE RESPONSIBLE FOR YOUR BENEFITS*

EMAIL OF EMPLOYEE RESPONSIBLE FOR YOUR BENEFITS*

COOPERATIVE ACCOUNT# (Found on Invoice. Optional)

Step 2) Program Information:

FOR WHICH HR SERVICES WOULD YOU LIKE TO RECEIVE INFORMATION?*

You may select more than one.
Health InsurancePayrollLong Term DisabilityShort Term DisabilityVisionEAP (Employee Assistant Program)TelemedicineOther