Join The Team

Before you begin, check with Delta Dental to see if your agency has an active agreement on file.

If your agency has an active agreement with Delta Dental, a company officer will need to notify us in writing that you are a broker at this agency. Please provide your start date, a copy of your license, and complete the State form.

If your agency does not have an active agreement with Delta Dental, have an officer (or another employee with the authority to bind the agency) sign the agreement. The agreement is with the agency rather than individual brokers, so it must be signed by an authorized person.

Include:

• A copy of your agency’s license
• Copies of all the brokers’ licenses
• A completed State form for each broker

Fax all plan documents to:

(615) 244-5796