You are only
a click away from the
most amazing smile
Are you currently an employee of the Insurance Industry and want to offer a great Dental Discount Plan to your clients? The GMS Dental Discount Plan is easy to sell, provides great benefits, and allows your client to experience the great GMS Dental Centers care and service.
STEP 1 Fill out all forms shown below COMPLETELY. Any incomplete forms submitted will result in a delay in receiving your Agent ID Number. Click the form icons below to print your forms.
STEP 2 Once your forms are fully filled out, you will need to submit them for approval. Once approved, you will receive an AGENT CODE and notification that you are ready to make commissions on GMS Discount Plan sales.
You can submit your form using TWO methods. Whatever is convenient for you is always best.
1. You can scan your Application Kit and ACH Form and EMAIL to:
2. You can fax your Application Kit and ACH Form to: (888) 335-7330
STEP 3 Once your form has been submitted, you will be issued an AGENT CODE. You will then be added to the GMS Dental Discount Plan website as an Authorized Agent.
STEP 4 Direct your clients to sign up for the GMS Dental Discount Plan and select YOU as their agent!
If you have any questions related to becoming an Agent for the GMS Dental Discount Plan, please call (800) 441-0380 ext. 2112. We will be happy to assist. For your convenience, we have included the GMS Dental General Fee Schedule, Specialty Fee Schedule, and a copy of the "paper" GMS Dental Discount Plan brochure!
GMS Discount Plan Agent Sign Up Kit
GMS Discount Plan Agent ACH Form
GMS Dental Discount Plan General Fee Sched
GMS Dental Discount Plan Specialty Fee Sched
GMS Dental Discount Plan Brochure
Once you have been issued an Agent ID for the GMS Dental Discount Plan, you are now ready to introduce and SELL your clients the plan. Click the button below to become familiar with the GMS Dental Discount Plan. You can direct your client to the GMS Dental Discount Plan Website: