Dental Insurance Agents WANTED

Thank you for your interest in selling the MultiFlex insurance indemnity dental plans administered by MBA, Inc., and underwritten by Nationwide Life Insurance Company. You must be licensed in each state you sell this dental plan, and maintain a minimum of $1,000,000 E&O coverage for this product type with a policy deductible no greater than $25,000. Your commission is 10% (except on any fees charged by the carrier, administrator, and association).

You will need to complete the following steps to be considered for a company appointment

GO to multiflexdental.com

1. Download, print, and complete these four (4) items:

Producer Agreement
Nationwide Appointment
Nationwide State Licensing Fee Schedule
W-9 Tax Forms

2. Complete the EFT Form (Commissions are automatically deposited into your account).
3. Include a VOIDED check for the account in Step #2.
4. Include a copy of your E&O declarations page showing the limits and deductible.
5. Include a copy of the insurance license for each state you will sell the MultiFlex dental insurance plans.
6. Include a check payable to Nationwide for the applicable appointment fee(s) per the Fee Schedule.

Mail (do not fax as we need the originals) to:

MultiFlex Dental