If you already offer benefits, through this portal you can access eligibility, billing, plan, enrollment information and download forms. Just click on the link that applies to you.

Group DHMO Benefit Administrators

If you offer a SafeGuard DHMO plan, click here to log in.

Group Vision Benefit Administrators

If you offer a SafeGuard Vision HMO or PPO plan, click here for further information.

Group SmileSaver Administrators

If you offer a SmileSaver plan, click here for further information.


Administrative Form 
Change Form

Grievance Form
You may print and mail in your grievance according to the instructions included in the forms below, or you may call Customer Service at 1-800-880-1800. 


California Grievance Form1 

California Formulario para Quejas1


Florida Grievance Form 

Florida Formulario para Quejas 

New Jersey Grievance Form 

New York Grievance Form 

Texas Grievance Form 

Texas Formulario para Quejas

Enrollment Forms
These forms are NOT interchangeable. Please use the form that corresponds to the plan your employee has chosen.

California Enrollment Forms: 
Dental HMO 
Vision PPO 
Managed Vision Care 

Florida Enrollment Forms: 
Dental HMO Plan 
Vision PPO 

Texas Enrollment Forms: 
Dental HMO 
Vision PPO

If you have trouble accessing your benefit plan information or forms online, please contact Customer Service at 1-800-880-1800.

Need More Information
Contact Customer Service 1-800-880-1800 

1In the event of urgent grievance, which involves an imminent and serious threat to your health, including, but not limited to, severe pain, potential loss of life, limb or major bodily function, you are not required to participate in SafeGuard's grievance process and may directly contact the California Department of Managed Health Care, as referenced above, for review of the urgent grievance. You may reach the department at 1-888-HMO-2219, TDD: 1-877-688-9891, or http://www.hmohelp.ca.gov

Vision benefits are provided by SafeHealth Life Insurance Company for VPPO and SafeGuard Health Plans, Inc. for VHMO, only in California, both of which are MetLife companies.

Dental Managed Care Plan benefits are provided by Metropolitan Life Insurance Company, a New York corporation in NY. Dental HMO plan benefits are provided by: SafeGuard Health Plans, Inc., a California corporation in CA; SafeGuard Health Plans, Inc., a Florida corporation in FL; SafeGuard Health Plans, Inc., a Texas corporation in TX; and MetLife Health Plans, Inc., a Delaware corporation and Metropolitan Life Insurance Company, a New York corporation in NJ. The Dental HMO/Managed Care companies are part of the MetLife family of companies. "DHMO" is used to refer to product designs that may differ by state of residence of the enrollee, including but not limited to: "Specialized Health Care Service Plans" in California; "Prepaid Limited Health Service Organizations" as described in Chapter 636 of the Florida statutes in Florida; "Single Service Health Maintenance Organizations" in Texas; and "Dental Plan Organizations" as described in the Dental Plan Organization Act in New Jersey.

Like most group benefit programs, benefit programs offered by MetLife and its affiliates contain certain exclusions, exceptions, waiting periods, reductions, limitations and terms for keeping them in force. Please contact MetLife for complete details.