Member Forms

Use these handy links to find the form you need. Questions? Call Customer Service at 1-855-504-BLUE (2583), 8 a.m. - 8 p.m. EST Monday - Friday, or Contact Us.

Discrimination is Against the Law

FEP BlueDental complies with all applicable Federal civil rights laws, to include both Title VII and Section 1557 of the ACA. Pursuant to Section 1557 FEP BlueDental does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, or sex (including pregnancy and gender identity).

FEP BlueDental makes the following available:
  • Free aids and services for people with disabilities to communicate effectively with us, such as:
    • Qualified sign language interpreters
    • Written information in other formats (such as accessible electronic formats)
  • Free language assistance to people whose primary language is not English, such as:
    • Qualified interpreters
    • Information written in other languages
If you need these services, contact the customer service number 1-855-504-BLUE (2583) or TTY 1-888-853-7570.

If you believe that we have not provided you these services or discriminated against you in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with FEP BlueDental by:
  • Calling FEP BlueDental at 1-855-504-BLUE (2583) or TTY 1-888-853-7570.
  • Sending a letter to FEP BlueDental, P.O. Box 551, Minneapolis, MN 55440-0551.

For information about how to file a civil rights complaint, go to www.fepblue.org.