Healthplex Broker Forms Broker Forms REGISTRATION FORMS Broker Registration Form Broker Commission On Line Registration Form W-9 Dentcare Letter of Appointment Form Healthplex Letter of Appointment Form CLAIM FORMS Dentcare Claim Form Healthplex Claim Form GROUP APPLICATIONS Dentcare Group New York IHS CapDent/CapDent Plus New Jersey Healthplex Preferred Choice (H7) New York GROUP PAYMENT Dentcare Healthplex OTHER Group Transmittal Form Subscriber Change Form Dependent Student Certification Form Direct Deposit Form Enrollment Form