Olympic Benefits Trust (OBT) is only Available in WA State
2024 OBT Delta Dental & VSP Information
Delta Dental & VSP Forms
OBT New Business Forms - Dental Dental and VSP
2023-2024 - Delta Dental/VSP Underwriting Rules
2024 - OBT Dental & Vision GMA
2024 - New Business Checklist
2023-24 - OBT Employee Enrollment/Change Form -
2024 - Census Enrollment
OBT Out of Area Membership App - all group must be a member
If Group is located in Thruston County they must be a full member of the Chamber.
Bank Draft Form (for future premium payments)
COBRA Administration Form - If the group wants TPA to administer their COBRA
Producer Forms & Information
Benefit Flyers/Information
VSP Exclusive Member Extras Flier
Delta Dental MySmile Online Member Guide
Delta Dental and VSP Contracts
2024 OBT Delta Dental
Plan B Booklet
Plan D Booklet
Plan E Booklet
Optional Orthodontia Rider 1
Optional Orthodontia Rider 2
2023-2024 OBT VSP
Delta Dental & VSP Benefit/Rate Information
Delta Dental Rates - WASHINGTON STATE ONLY
2024 - Delta Dental Benefit/Rate Sheet
2023-2024 - Delta Dental Current-Renewal Rates
2024 - Delta Dental Benefit Summaries
- Delta Dental OBT Plan B Summary
- Plan B with Ortho Rider 1
- Plan B with Ortho Rider 2
- Delta Dental OBT Plan D Summary
- Plan D with Ortho Rider 1
- Plan D with Ortho Rider 2
- Delta Dental OBT Plan E Summary
- Plan E with Ortho Rider 1
- Plan E with Ortho Rider 2
Vision Service Plan Rates and Summaries
Advantage Plan Network
2023-2024 VSP Information - WASHINGTON STATE ONLY
2023-2024 - VSP Benefit Rate Sheet
2023-2024 VSP Summaries
2023-2024 - VSP OBT Plan A
2023-2024 - VSP OBT Plan B
2023-2024 - VSP OBT Plan C