Direct Dental Plans of America, Inc. is pleased to announce that we now offer a secure, traceable web site link. The addition of this link will allow us to track enrollments in our dental plans that occur through your site. This will allow us to automatically pay you commission on these enrollments. This service is at no cost to you and will save you time and money. Please use this easy to follow instructions below to link to Direct Dental Plans of America's online enrollment form and sit back and receive the credit for your referrals.

To add a link to our web form:

  1. Create a link to the enrollment page.
    http://www.directdentalplansofamerica.com/enroll.php?id=AGENT NUMBER

  2. Replace the "AGENT NUMBER" with your agent number.
    Example: http://www.directdentalplansofamerica.com/enroll.php?id=123456
    Your Agent number will automatically populate into the enrollment form.

Direct Dental Plan Forms
United Health Care Forms

Application For Group Enrollment
Triple Option Brochure
Rejection of Plan Consent
Individual Application
Group/Employer Contract

Request For Proposal
Employer Application
Employee Application
Dental Carrier Change Form

Other materials available upon request. 1-800-377-2924

Agent Resources