Submit your claims online
GroupNet makes it quick and easy to submit your claims online or print forms that are pre-filled with your personal information. You can also sign up for direct deposit, view coverage information and much more.
Adobe Reader XI or higher is required to fill out and save a completed form. Download Adobe ReaderOpens a new website in a new window.
Use these forms to claim expenses relating to dental services and appliances. Each form is slightly different depending on your insurance plan, so please read all the descriptions carefully before choosing your form.
Not forms you're looking for? Go back to the find a form page.