Subscriber Registration

Primary Subscriber Information To ensure security and data confidentiality, you must register to use Benefits Lookup. It's a quick authentication process. Fill in the fields below to get started.

Subscriber ID:

First Name:

Last Name:

Date of Birth:

    Address Information

    Address and Contact Information

    Street Address:

    Street Address 2:

    Zip Code:
    Country Code:

    Northeast Delta Dental will use your email only to provide you with information of interest from the Northeast Delta Dental family of companies. Northeast Delta Dental will not sell your email address or provide it to other outside entities.

    Email Address:
    Phone Number:

    Dependent Contact Information (Optional)

    Indv ID First name Last name Email Phone


      Choose a username and password

      Please choose a unique password that will identify you when you sign on. Please remember that passwords are case sensitive.
      Special characters are allowed except the following: % and &

      Password (at least 8 char):
      Retype Password:

      To help us identify you in case you forget your password in the future please choose a question to which you will remember the answer:

      Select Security Question:

      Security Answer:

        Terms of Service Agreement



          Complete Registration

          Registration Completed!