COBRA Carrier Contact Information for State-Sponsored Dental and Vision Plans
Please mail the Dental Plan Enrollment Authorization (STD. 692) forms to the corresponding dental carrier’s COBRA unit, and the Vision Plan Direct Payment Authorization (STD. 703) forms to VSP:
Delta Dental
Wolfpack Insurance Services, Inc.
P.O. Box 833
Belmont, CA 94002-0833
(888) 837-7511
DeltaCare USA
Wolfpack Insurance Services, Inc.
P.O. Box 833
Belmont, CA 94002-0833
(888) 837-7511
Premier Access
Attn: COBRA Unit
8890 Cal Center Drive
Sacramento, CA 95826
(888) 534-3466
MetLife*
Attn: SOC COBRA Billing
P.O. Box 13724
Philadelphia, PA 19101-3724
(800) 880-1800
*Benefits provided by SafeGuard Health Plans, Inc., a MetLife company.
Western Dental
Attn: Group Services
530 South Main Street, 1st Floor
Orange, CA 92868
(866) 859-7525
Vision Service Plan (VSP)
Attn: COBRA Unit MS 422
P.O. Box 997100
Sacramento, CA 95899-7100
(800) 400-4569