• 2020 VCPFA Open Enrollment

    Delta Dental Plan Changes
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  • Required Form
    Delta Dental Enrollment/Change Form

    Fill out this form for:

    • New Enrollments
    • Adding a dependent

    If you wish to ADD/REMOVE a dependent you must make the changes on your County of Ventura Benefits "2019 Personal Enrollment Form" and/or on VCHRP.

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    Cancel of

  • Active Members - Payroll Deduction Card

    A payroll deduction card will also be required to add or cancel VCPFA Delta Dental for active members. Please complete a card at the VCPFA office, or call our office to request one be sent to you.

  • Submit your 2020 Open Enrollment Change Request to VCPFA

  • Should be Empty: