Subscribers and Members
Brokers and Consultants
If you are a broker or consultant licensed with the Department of Commerce and would like to represent Delta Dental, please complete the appointment documents below.
For best results, please use Firefox or Chrome Browsers. Upon completion of this appointment, you will receive a confirmation email. Please ensure you received that email to verify that your appointment is being processed. If you have any questions, please call 1-866-764-5350.Send your completed appointment documents, along with a copy of your current license to: