Contracting and Appointments
Thank you for considering Delta Dental. To receive a quote for your client, you must first be contracted with Delta Dental of Missouri and appointed by our carrier(s) with the Department of Insurance. Follow the simple steps below to get started.
1. Click the link below to create an account and complete the digital application. Check out these helpful steps when using NoMoreForms™.
2. Upon submission of all the necessary forms, Delta Dental of Missouri will review your application. Please allow up to 10 business days for the appointment to be processed. Once this is complete, the counter-signed agreement will be returned.
If the agency is a disregarded entity, you are a representative for an agency or you need assistance during the application process, please contact Broker Relations at Broker-Relations@DeltaDentalMO.com.
Please note: Your session may time out after 25 minutes of inactivity. If your session times out, please reference Package Code: DDMOSC
Once you are contracted and have requested to sell our Individual and Family plans, a producer number will be assigned. To ensure commissions are paid for the individual sale, please include your broker number through our website or written on the individual application.
Applicable commissions: The applicable commission for Individual products (Basic, Enhanced, Premium, Ultimate and Clear dental plans) sold by Producer beginning September 26, 2023 will be based on the percentage as indicated below:
| Individual dental products
Updating your Information
If you have previously applied to sell Delta Dental of Missouri insurance and wish to update your information on file, please update the applicable forms below and submit the request to Broker-Relations@DeltaDentalMO.com
• Change of 1099 address
• Change of physical or commission address – Contact Form PDF
• Mergers and acquisitions – please submit a copy of the acquisition or merger agreement to Broker-Relations@DeltaDentalMO.com. If you have questions, contact us directly at 314-543-4924.