person holding phone with benefits

Spouses need benefit information, too!

If your spouse is covered on Dot’s medical insurance – we want them to get cost saving tips, incentive details, and other helpful benefit information. Complete the form below, and we’ll send occasional messages to help them make the most of your family’s benefits.

"*" indicates required fields

Employee Information

Employee Name*

Spouse Information

Spouse Name*
Translate • Traduire • Traducir »