Paper EFT form
Download and complete a paper form if you prefer, and mail it to PO Box 1157, Pierre, SD 57501, or fax it to 605-224-0909, or email it to finance@deltadentalsd.com.
Electronic Funds Transfer (EFT) signup
Sign up today for Electronic Funds Transfer (EFT) for your group plan!
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Ensure timely claims processing for your group's members
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Avoid the hassle and save the paper of cutting a check every month.
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Set it and forget it ease of timely payment
Complete the online form below to get started with EFT.
Online form instructions:
- The entire form is displayed below. We suggest preparing in advance, as it requires a file upload that includes bank account information.
- The form must be completed in one sitting. If you exit the page before submitting the form, your information will not be saved.
- Required responses are marked with an *
If you have any questions, contact us at finance@deltadentalsd.com or call 877-841-1478. We're happy to help!