How To Become A Broker of Record

Become a Broker of Record for an Employer Group

Include these documents with your first sold Employer Group Master Application:

• W-9 Form 
• Producer Fee Agreement
• Copy of Producer License
• Copy of Agency License if a TIN is provided on the Producer Fee Agreement and W-9 form

If you have never received commission payments from DDCO you are not appointed.

Become a Broker of Record to sell Delta Dental Individual & Family Plans

You must first be appointed with DDCO in order to sell our individual & family plans.  The appointment process can take up to 15 business days before receiving a broker/vendor number.

In order to receive a broker/vendor number you need to submit a copy of the following documents to brokerappointments@ddpco.com or fax to 303-741-4233.

• W-9 Form
• Producer Fee Agreement
• Copy of Producer License
• Copy of Agency License if TIN is provided on W-9 and Producer Fee Agreement
• ACH Form for direct deposit commission payments

I’m already appointed as a Broker of Record for an Employer Group. How do I become appointed to sell Delta Dental Individual & Family Plans?

Please send an email to brokerappointments@ddpco.com and a representative will assist you in this process.

I’m already appointed to sell the Delta Dental Individual & Family Plans. How do I become appointed to sell my first Employer Group?

Submit a completed Master Application for the Employer Group sold.  Under the “Producer” section of the Master Application be sure to include your broker/vendor number assigned to you by DDCO.

Are you still uncertain about your appointment status with Delta Dental? 

Please send an email to brokerappointments@ddpco.com with your questions or call 303-741-9300 ext. 116.