Group Health Insurance Plans Offered by LF Insurance Group

For group health insurance for your business or organization, please print and complete the form above. Then email or fax it to Lori Fennessey at or (970) 476-6585.
**You MUST complete the Company Information form FIRST.**    or PRINT THE FORM HERE

Group Health Application

  • MM slash DD slash YYYY

Group Health Application - Employee Information

Please complete once for each eligible employee of your company. Please complete once for each family member or parter/spouse and indicate so on each form.

  • MM slash DD slash YYYY
  • E = Employee Only ES = Employee and Spouse EC = Employee and Children F = Family
  • This field is for validation purposes and should be left unchanged.

delta-dental-logoSince 1954, Delta Dental has been working to improve oral health and hygiene by emphasizing preventative care, because we believe that everyone deserves to enjoy a healthy smile

Delta Dental Plans Association is a not-for-profit organization with some for-profit affiliates as member companies. Through our 39 independent member companies, we offer national dental coverage – administering programs and reporting systems that provide employees and individuals with quality, cost-effective dental benefits and superior customer service.

As America’s largest and most trusted dental benefits carrier, we cover more Americans than any other dental benefits provider – and strive daily to make dental coverage more accessible and affordable to a wide variety of employers, groups and individuals.

To find rates and/or enroll, click here.

For more information about any of these Group Health Insurance plans, please contact Lori Fennessey at (970) 390-3706 or