I Need to Register

Welcome! If you are enrolled in a benefits plan with Delta Dental of Oklahoma, please complete the information below and submit to register. Only one (1) Spotlight account for the primary subscriber is needed to access the entire family’s dental benefits information.

Member First Name:	*
Member Last Name:	*
Policyholder SSN/Alternate ID:	*
	No dashes or spaces
Member Date of Birth:	/ / *
	(mm/dd/yyyy)
Policyholder Home Zip Code:	*
Phone:
Email:	*
	A valid email address is required to retrieve forgotten passwords.
Confirm Email:	*
Delta Dental will never provide your email to a third party without your consent.
Do not send me any Delta Dental paper mail.
Do not send me any Delta Dental emails, unless they are directly related to my coverage, Spotlight registration and/or password.
I agree to receive electronic communications by unencrypted email that may include surveys regarding my benefits, treatment, payment and healthcare operations. I acknowledge these email communications are not secure, and therefore, there is some risk the communications could be read by someone other than the intended recipient. I understand there is no requirement to provide consent as a condition to purchasing any goods or services. You may rescind this consent at any time.
User Name:	*
Password:	*
Confirm Password:	*
Challenge Question:	City of birthplace? Name of favorite pet? Mothers maiden name? Last 4 digits of drivers license? Name of high school? *
Challenge Answer:	*
Upon log on, I certify, under penalty of law, I am the person insured and authorized to set up this account. By setting up this account, I state, under oath, I am authorized to set up this account and am the insured on this account. I understand that if it is determined that I do not have the right to open this account, I can and may be prosecuted to the full extent of the law.
Notes: Password must be between 8 to 30 characters. Password must have: At least 1 Uppercase letter At least 1 Lowercase letter At least 2 numeric characters Password can not have special characters listed below: '%', '(', ')', '*', '\', '&', '#', '_', '?' Password can not match User Name. Username must be between 6 to 25 characters and can contain "@". Usernames can not contain spaces or other special characters.