Notice

June 5, 2020: Member and Dentist secure websites are currently unavailable. We are sorry for the inconvenience and thank you for your patience while we work to restore this feature.

Our Interactive Voice Response System (IVR) is operational 24/7 for self-service at 800-452-9310.

Notice

Our call center is open 8 AM – 4:30 PM Eastern time Monday – Friday. We are working with reduced staff, therefore you may experience longer than normal wait times. Learn more about how we’re continuing to serve our customers during this time.

Broker Forms for Individual & Family Plans

Easily access and download all the forms you need

Producer Appointment Forms (pdf, 27 pages, 540KB)
Use this packet to get appointed to sell Individual & Family Plans and earn commission.