Appointment with Delta Dental of Illinois

To sell an Illinois group plan or individual policy, you must have a broker agreement on file with Delta Dental of Illinois. Once you complete it, please email to . If you have questions, please email

When submitting, please provide the following items:

Information Needed to Quote

We would like the following information to produce a quote:

  • Census (total benefit eligible employees) with date of birth, gender, zip code, current product
  • SIC Code
  • In-force carrier, plan design, rates
  • Claims experience - 24 months (if available)
  • Employer contribution
  • Commission level

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