EFT Authorization: Broker/Agent

Broker commissions are paid by direct deposit. Use this secure website to sign up for direct deposit or update your EFT information. Note: If you have multiple offices and want payments issued to different bank accounts, you'll need to complete this form for each office.

Important Information

When are commission payments deposited to my account?
You will receive separate commission statements by email for individual and group sales:

Group commissions are processed around the 10^th of each month and payment is usually issues within a few days.
Individual commissions are processed around the 15^th of each month and payment is usually issues within a few days.

Can I submit a paper EFT authorization instead of the online form?
Of course. You can download the Direct Deposit Authorization for Brokers/Agents and send the completed form back to us. Submission information is on the form.

Questions?

Hours:
Monday - Thursday: 7:30 A.M. - 5 P.M.
Friday: 7:30 A.M. - 4:30 P.M.

Toll-free Phone:
800.352.6132

Our mission is to improve lives by promoting optimal oral health.

Delta Dental of Arizona is a part of Delta Dental Plans Association. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories.

Information provided on this site is for general education purposes only and is not intended as a diagnosis, treatment or a substitute for professional medical or dental advice, diagnosis or treatment. For even more oral health information, check out the Protect My Smile library on the Delta Dental Plans Association website.