Become a Part of the Spirit Dental Team Today!


Download PDF Forms

If you are an agent in CT, FL, MA, NH. NJ, RI, SD, VT click here for a Commission Agreement and Appointment Form

For agents in all other states, click here for a Commission Agreement and Appointment Form


Add Individual and Senior Plan Enrollment to your Agency web site.
Spirit Dental has created a special page for agents that links directly into the Spirit Dental web site and allows you to offer personal plan enrollment via your web site

Request an Agent Personal Plan Enrollment Link:

Agent Name:

TIN or License #:

Address:

City:

State:

Zip Code:

Agent/Agency Email:

Agent/Agency Phone:

Come On Agents...Join The Band!

Greetings Agents,
If you're waiting for an invitation to join our dymamic band of over-achievers, consider it done.

I'm Tom Mayer, founder of Spirit Dental, and we're always looking for top talent. So if you love making things happen, join our band today!