DBS, P 2026

1. Click ‘Get Form’ to open the DBS, P application in the editor.
2. Begin with Section A, 'Employee Information.' Fill in your Social Security Number, Date of Birth, Last Name, First Name, Mailing Address, and other personal details. Ensure accuracy as this information is crucial for processing.
3. If you are a new enrollee, complete Sections C through G. For changes, focus on Sections A and B. In Section B, check all applicable boxes regarding changes to your previous enrollment.
4. In Section D, select your coverage options and plan type. Make sure to choose the correct benefit period maximum amount that suits your needs.
5. Complete Section E if you have prior dental coverage that may apply towards waiting periods. Attach any necessary documentation.
6. Fill out Section F for family information if applicable. List dependents accurately and indicate whether they are being added or deleted from coverage.
7. Finally, review Section G for employee authorization. Sign and date the form to certify that all information is true and complete before submitting.

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