amerrix.1dental.net Open in urlscan Pro
13.66.39.88 Public Scan

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Submitted URL:
https://click.email.amerrix.com/?qs=f0cfdbb9f00b59a63b47e895b141a21f94279c7ccb4c472435cf201735f32a2a10bb7c87bfef74965bff6a8e8ef7...
Effective URL:
https://amerrix.1dental.net/become-a-broker/kzymc
Submission: On May 18 via api (May 18th 2022, 1:44:24 pm UTC) from US — Scanned from DE

Form analysis
7 forms found in the DOM

<form _ngcontent-c11="" novalidate="" class="ng-untouched ng-pristine ng-invalid">
  <div _ngcontent-c11="" class="form-row">
    <div _ngcontent-c11="" class="col-12">
      <h5 _ngcontent-c11="" class="font-22 muted-blue fontweight600">Name</h5>
    </div>
    <div _ngcontent-c11="" class="col-2"><input _ngcontent-c11="" class="form-control ng-untouched ng-pristine ng-valid" formcontrolname="id" name="id" type="hidden" value="">
      <div _ngcontent-c11="" class="form-group form-group-default"><label _ngcontent-c11="" class="control-label">Prefix/Title</label><input _ngcontent-c11="" class="form-control ng-untouched ng-pristine ng-valid" formcontrolname="prefix"
          name="prefix/title" type="text"></div>
    </div>
    <div _ngcontent-c11="" class="col-3">
      <div _ngcontent-c11="" class="form-group form-group-default"><label _ngcontent-c11="" class="control-label">First Name<span _ngcontent-c11="">*</span></label><input _ngcontent-c11="" class="form-control ng-untouched ng-pristine ng-invalid"
          formcontrolname="firstName" name="firstName" type="text"><!----></div>
    </div>
    <div _ngcontent-c11="" class="col-2">
      <div _ngcontent-c11="" class="form-group form-group-default"><label _ngcontent-c11="" class="control-label">Middle Name</label><input _ngcontent-c11="" class="form-control ng-untouched ng-pristine ng-valid" formcontrolname="middleName"
          name="middleName" type="text"></div>
    </div>
    <div _ngcontent-c11="" class="col-3">
      <div _ngcontent-c11="" class="form-group form-group-default"><label _ngcontent-c11="" class="control-label">Last Name<span _ngcontent-c11="">*</span></label><input _ngcontent-c11="" class="form-control ng-untouched ng-pristine ng-invalid"
          formcontrolname="lastName" name="lastName" type="text"><!----></div>
    </div>
    <div _ngcontent-c11="" class="col-2">
      <div _ngcontent-c11="" class="form-group form-group-default"><label _ngcontent-c11="" class="control-label">Suffix</label><input _ngcontent-c11="" class="form-control ng-untouched ng-pristine ng-valid" formcontrolname="suffix" name="suffix"
          type="text"></div>
    </div>
  </div>
  <div _ngcontent-c11="" class="form-row">
    <div _ngcontent-c11="" class="col-9">
      <h5 _ngcontent-c11="" class="font-22 muted-blue fontweight600">Contact Information</h5>
      <div _ngcontent-c11="" class="form-row">
        <div _ngcontent-c11="" class="col-6">
          <div _ngcontent-c11="" class="form-group form-group-default"><label _ngcontent-c11="" class="control-label">Email<span _ngcontent-c11="">*</span></label><input _ngcontent-c11="" class="form-control ng-untouched ng-pristine ng-invalid"
              formcontrolname="email" name="email" type="text"><!----></div>
        </div>
        <div _ngcontent-c11="" class="col-4">
          <div _ngcontent-c11="" class="form-group form-group-default"><label _ngcontent-c11="" class="control-label">Phone<span _ngcontent-c11="">*</span></label><input _ngcontent-c11="" class="form-control ng-untouched ng-pristine ng-invalid"
              formcontrolname="phone" minlength="10" name="phone" type="text"><!----></div>
        </div>
        <div _ngcontent-c11="" class="col-2">
          <div _ngcontent-c11="" class="form-group form-group-default"><label _ngcontent-c11="" class="control-label">Extension</label><input _ngcontent-c11="" class="form-control ng-untouched ng-pristine ng-valid" formcontrolname="ext"
              name="extension" type="text"></div>
        </div>
      </div>
      <div _ngcontent-c11="" class="form-row">
        <div _ngcontent-c11="" class="col-6">
          <div _ngcontent-c11="" class="form-group form-group-default"><label _ngcontent-c11="" class="control-label">Address<span _ngcontent-c11="">*</span></label><input _ngcontent-c11="" class="form-control ng-untouched ng-pristine ng-invalid"
              formcontrolname="address" maxlength="200" name="address" type="text"><!----></div>
        </div>
        <div _ngcontent-c11="" class="col-6">
          <div _ngcontent-c11="" class="form-group form-group-default"><label _ngcontent-c11="" class="control-label">Address Two</label><input _ngcontent-c11="" class="form-control ng-untouched ng-pristine ng-valid" formcontrolname="address2"
              maxlength="200" name="address2" type="text" value="Suite 200"></div>
        </div>
      </div>
      <div _ngcontent-c11="" class="form-row">
        <div _ngcontent-c11="" class="col-6">
          <div _ngcontent-c11="" class="form-group form-group-default"><label _ngcontent-c11="" class="control-label">City<span _ngcontent-c11="">*</span></label><input _ngcontent-c11="" class="form-control ng-untouched ng-pristine ng-invalid"
              formcontrolname="city" name="city" type="text"><!----></div>
        </div>
        <div _ngcontent-c11="" class="col-3">
          <div _ngcontent-c11="" class="form-group form-group-default"><label _ngcontent-c11="" class="control-label">State<span _ngcontent-c11="">*</span></label><input _ngcontent-c11="" class="form-control ng-untouched ng-pristine ng-invalid"
              formcontrolname="state" name="state" type="text"><!----></div>
        </div>
        <div _ngcontent-c11="" class="col-3">
          <div _ngcontent-c11="" class="form-group form-group-default"><label _ngcontent-c11="" class="control-label">Zip<span _ngcontent-c11="">*</span></label><input _ngcontent-c11="" class="form-control ng-untouched ng-pristine ng-invalid"
              formcontrolname="zipCode" maxlength="5" name="zipCode" type="text"><!----></div>
        </div>
      </div>
      <h5 _ngcontent-c11="" class="font-22 muted-blue fontweight600">Business Information</h5>
      <div _ngcontent-c11="" class="form-row">
        <div _ngcontent-c11="" class="col-6">
          <div _ngcontent-c11="" class="form-group form-group-default"><label _ngcontent-c11="" class="control-label">Business Name</label><input _ngcontent-c11="" class="form-control ng-untouched ng-pristine ng-valid" formcontrolname="businessName"
              maxlength="150" name="businessName" type="text"><span _ngcontent-c11="" class="inputIcon"><i _ngcontent-c11="" aria-hidden="true" class="fa fa-info"></i></span>
            <div _ngcontent-c11="" class="infoBox">
              <h6 _ngcontent-c11="">What is this? <span _ngcontent-c11="" class="Icon"><i _ngcontent-c11="" aria-hidden="true" class="fa fa-info"></i></span></h6>
              <p _ngcontent-c11=""> This is the name that will appear on your personalized retail selling website. Don't have a business name? Your personalized website will say 'Presented by [Your Name]'. </p>
            </div>
          </div>
        </div>
        <div _ngcontent-c11="" class="col-6">
          <div _ngcontent-c11="" class="form-group form-group-default"><label _ngcontent-c11="" class="control-label">Business DBA</label><input _ngcontent-c11="" class="form-control ng-untouched ng-pristine ng-valid" formcontrolname="businessDBA"
              maxlength="50" name="businessDba" type="text"><span _ngcontent-c11="" class="inputIcon"><i _ngcontent-c11="" aria-hidden="true" class="fa fa-info"></i></span>
            <div _ngcontent-c11="" class="infoBox">
              <h6 _ngcontent-c11="">What is this? <span _ngcontent-c11="" class="Icon"><i _ngcontent-c11="" aria-hidden="true" class="fa fa-info"></i></span></h6>
              <p _ngcontent-c11=""> Add a Business DBA if the name you're operating under differs from your legal business name. If you add this information, your custom website will say 'Presented by [Business DBA]'. </p>
            </div>
          </div>
        </div>
      </div>
      <div _ngcontent-c11="" class="row mt-3">
        <div _ngcontent-c11="" class="col-5 pr-0"><button _ngcontent-c11="" class="btnTransparent" routerlink="/edit-banking-information" type="button" tabindex="0">Edit Your Banking Information</button></div>
        <div _ngcontent-c11="" class="col-5 pl-0"><button _ngcontent-c11="" class="btnTransparent" routerlink="/edit-tin-information" type="button" tabindex="0">Edit Your TIN Information</button></div>
      </div>
    </div>
    <div _ngcontent-c11="" class="col-3">
      <div _ngcontent-c11="" class="uploadCard p-2 mt-3"><p-radiobutton _ngcontent-c11="" class="customRadio" name="groupname" value="checking">
          <div class="ui-radiobutton ui-widget">
            <div class="ui-helper-hidden-accessible"><input type="radio" name="groupname" value="checking"></div>
            <div class="ui-radiobutton-box ui-widget ui-state-default"><span class="ui-radiobutton-icon ui-clickable"></span></div>
          </div><!---->
        </p-radiobutton><label _ngcontent-c11="" class="font-22 muted-blue fontweight600 mt-2" for="checking">Optional Photo</label>
        <p _ngcontent-c11="" class="font-14 mb-0 text-dark-gray">Click to enable your personal photo on your retail selling website and printed materials. JPG file type accepted.</p>
        <div _ngcontent-c11="" class="preview text-center"><img _ngcontent-c11="" alt="Preview Image" class="rounded" height="110" src="https://qualbe-cdn.azureedge.net/groupenrollment/userUpload.png" width="110">
          <div _ngcontent-c11="" class="browse-button"><input _ngcontent-c11="" class="browse-input" id="UploadedFile" name="UploadedFile" required="" type="file"></div><button _ngcontent-c11="" class="btnTransparent text-center mt-3 w-100">Update
            Photo</button>
        </div>
        <div _ngcontent-c11="" class="hoverContent">
          <h6 _ngcontent-c11="">This feature <br _ngcontent-c11=""> is coming soon!</h6>
        </div>
      </div>
    </div>
  </div>
</form>

<form _ngcontent-c12="" novalidate="" class="ng-untouched ng-pristine ng-invalid">
  <div _ngcontent-c12="" class="form-row">
    <div _ngcontent-c12="" class="col-12">
      <h5 _ngcontent-c12="" class="font-22 muted-blue semiBold mb-4 letter-spacing">Prospect / Company Information</h5>
    </div>
    <div _ngcontent-c12="" class="col-8">
      <div _ngcontent-c12="" class="form-group form-group-default"><label _ngcontent-c12="" class="control-label">Company Name<span _ngcontent-c12="">*</span></label><input _ngcontent-c12="" class="form-control ng-untouched ng-pristine ng-valid"
          formcontrolname="id" id="proposalId" maxlength="200" name="proposalId" type="hidden" value=""><input _ngcontent-c12="" id="isProspectAccountCreated" name="isProspectAccountCreated" type="hidden"><input _ngcontent-c12=""
          id="isProposalEditClicked" name="isProposalEditClicked" type="hidden"><input _ngcontent-c12="" id="proposalDomain" name="proposalDomain" type="hidden"><input _ngcontent-c12="" id="proposalEmail" name="proposalEmail" type="hidden"><input
          _ngcontent-c12="" id="proposalPlanType" name="proposalPlanType" type="hidden"><input _ngcontent-c12="" class="form-control ng-untouched ng-pristine ng-invalid" formcontrolname="companyName" maxlength="200" name="companyName"
          type="text"><!----></div>
    </div>
    <div _ngcontent-c12="" class="col-4">
      <div _ngcontent-c12="" class="form-group form-group-default"><label _ngcontent-c12="" class="control-label">Company Zip<span _ngcontent-c12="">*</span></label><input _ngcontent-c12="" class="form-control ng-untouched ng-pristine ng-invalid"
          formcontrolname="companyZip" maxlength="5" name="companyZip" type="text"><!----></div>
    </div>
  </div>
</form>

<form _ngcontent-c14="" novalidate="" class="ng-untouched ng-pristine ng-invalid">
  <div _ngcontent-c14="" class="form-row mb-3">
    <div _ngcontent-c14="" class="col-12">
      <h5 _ngcontent-c14="" class="font-22 muted-blue semiBold mb-4">Group / Company Information</h5>
    </div>
    <div _ngcontent-c14="" class="col-6">
      <div _ngcontent-c14="" class="form-group form-group-default"><label _ngcontent-c14="" class="control-label">Company Name<span _ngcontent-c14="">*</span></label><input _ngcontent-c14="" class="form-control ng-untouched ng-pristine ng-invalid"
          formcontrolname="accountCompanyName" maxlength="100" name="accountCompanyName" type="text"><input _ngcontent-c14="" name="activeApps" type="hidden"><input _ngcontent-c14="" name="isConvert" type="hidden"><!----></div>
    </div>
    <div _ngcontent-c14="" class="col-3">
      <div _ngcontent-c14="" class="form-group form-group-default"><label _ngcontent-c14="" class="control-label">Website Domain<span _ngcontent-c14="">*</span></label><input _ngcontent-c14="" class="form-control ng-untouched ng-pristine ng-invalid"
          formcontrolname="accountDomain" name="accountDomain" type="text"><!----><span _ngcontent-c14="" class="inputIcon"><i _ngcontent-c14="" aria-hidden="true" class="fa fa-info"></i></span>
        <div _ngcontent-c14="" class="infoBox">
          <h6 _ngcontent-c14="">What is this? <span _ngcontent-c14="" class="Icon"><i _ngcontent-c14="" aria-hidden="true" class="fa fa-info"></i></span></h6>
          <p _ngcontent-c14="" class="font-14 text-dark-gray mb-3"> This will personalize the link for the Group Employee Enrollment Website. </p>
          <p _ngcontent-c14="" class="font-14 text-dark-gray mb-3"> We recommend using the domain for their current website - if they have one. </p>
          <p _ngcontent-c14="" class="font-14 text-dark-gray mb-3">If not - use their business name (only letters and numbers and hyphens may be used - no special characters or spaces)</p>
          <p _ngcontent-c14="" class="font-14 text-dark-gray mb-3">For example - if you enter “acmeproducts” for their domain...</p>
          <div _ngcontent-c14="" class="form-group form-group-default" readonly=""><label _ngcontent-c14="" class="control-label">Website Domain<span _ngcontent-c14="">*</span></label><input _ngcontent-c14="" class="form-control "
              name="websiteDomain" type="text" value="acmeproducts"></div>
          <p _ngcontent-c14="" class="font-14 text-dark-gray mb-3"> This will be their enrollment website link: </p><a _ngcontent-c14="" class="font-14 font-weight-bold text-center muted-blue">https://acmeproducts.1dental.net</a>
        </div>
      </div>
    </div>
    <div _ngcontent-c14="" class="col-3">
      <div _ngcontent-c14="" class="form-group form-group-default border-0"><!----><label _ngcontent-c14="" class="control-label mb-0">Group Enrollment Website<span _ngcontent-c14="">*</span>&nbsp;<!----></label><input _ngcontent-c14=""
          class="form-control formValue domain-name" type="text"></div>
    </div>
    <div _ngcontent-c14="" class="col-4">
      <div _ngcontent-c14="" class="form-group form-group-default"><label _ngcontent-c14="" class="control-label">Street Address<span _ngcontent-c14="">*</span></label><input _ngcontent-c14="" class="form-control ng-untouched ng-pristine ng-invalid"
          formcontrolname="accountStreetAddress" maxlength="50" name="accountStreetAddress" type="text"><!----></div>
    </div>
    <div _ngcontent-c14="" class="col-2">
      <div _ngcontent-c14="" class="form-group form-group-default"><label _ngcontent-c14="" class="control-label">Unit / Suite</label><input _ngcontent-c14="" class="form-control ng-untouched ng-pristine ng-valid" formcontrolname="accountAddress2"
          maxlength="50" name="accountAddress2" type="text"></div>
    </div>
    <div _ngcontent-c14="" class="col-3">
      <div _ngcontent-c14="" class="form-group form-group-default"><label _ngcontent-c14="" class="control-label">City<span _ngcontent-c14="">*</span></label><input _ngcontent-c14="" class="form-control ng-untouched ng-pristine ng-invalid"
          formcontrolname="accountCity" name="accountCity" type="text"><!----></div>
    </div>
    <div _ngcontent-c14="" class="col-1">
      <div _ngcontent-c14="" class="form-group form-group-default"><label _ngcontent-c14="" class="control-label">State<span _ngcontent-c14="">*</span></label><input _ngcontent-c14="" class="form-control ng-untouched ng-pristine ng-invalid"
          formcontrolname="accountState" name="accountState" type="text"></div>
    </div>
    <div _ngcontent-c14="" class="col-2">
      <div _ngcontent-c14="" class="form-group form-group-default"><label _ngcontent-c14="" class="control-label">Company Zip<span _ngcontent-c14="">*</span></label><input _ngcontent-c14="" class="form-control ng-untouched ng-pristine ng-invalid"
          formcontrolname="accountZip" maxlength="5" name="accountZip" type="text"><!----></div>
    </div>
  </div>
  <div _ngcontent-c14="" class="form-row mb-3">
    <div _ngcontent-c14="" class="col-12">
      <h5 _ngcontent-c14="" class="font-22 muted-blue semiBold mb-4">Company Group Plan Administrator</h5>
    </div>
    <div _ngcontent-c14="" class="col-2">
      <div _ngcontent-c14="" class="form-group form-group-default"><label _ngcontent-c14="" class="control-label">First Name<span _ngcontent-c14="">*</span></label><input _ngcontent-c14="" class="form-control ng-untouched ng-pristine ng-invalid"
          formcontrolname="accountFirstName" name="accountFirstName" type="text"><!----></div>
    </div>
    <div _ngcontent-c14="" class="col-2">
      <div _ngcontent-c14="" class="form-group form-group-default"><label _ngcontent-c14="" class="control-label">Last Name<span _ngcontent-c14="">*</span></label><input _ngcontent-c14="" class="form-control ng-untouched ng-pristine ng-invalid"
          formcontrolname="accountLastName" name="accountLastName" type="text"><!----></div>
    </div>
    <div _ngcontent-c14="" class="col-5">
      <div _ngcontent-c14="" class="form-group form-group-default"><label _ngcontent-c14="" class="control-label">Email<span _ngcontent-c14="">*</span></label><input _ngcontent-c14="" class="form-control ng-untouched ng-pristine ng-invalid"
          formcontrolname="accountEmail" name="accountEmail" type="text"><!----></div>
    </div>
    <div _ngcontent-c14="" class="col-2">
      <div _ngcontent-c14="" class="form-group form-group-default"><label _ngcontent-c14="" class="control-label">Phone<span _ngcontent-c14="">*</span></label><input _ngcontent-c14="" class="form-control ng-untouched ng-pristine ng-invalid"
          formcontrolname="accountPhone" mask="(000) 000-0000" maxlength="14" name="accountPhone" type="text"><!----></div>
    </div>
    <div _ngcontent-c14="" class="col-1">
      <div _ngcontent-c14="" class="form-group form-group-default"><label _ngcontent-c14="" class="control-label">Extension</label><input _ngcontent-c14="" class="form-control ng-untouched ng-pristine ng-valid" formcontrolname="accountExtension"
          mask="000" name="accountExtension" type="text"></div>
    </div>
  </div>
  <div _ngcontent-c14="" class="form-row">
    <div _ngcontent-c14="" class="col-12">
      <h5 _ngcontent-c14="" class="font-22 muted-blue semiBold mb-4">Plan Payment Method<span _ngcontent-c14="" style="color:red">*</span></h5>
    </div>
    <div _ngcontent-c14="" class="col-6">
      <div _ngcontent-c14="" class="d-flex">
        <div _ngcontent-c14="" class="mr-5"><input _ngcontent-c14="" name="planPaymentMethod1" type="hidden"><input _ngcontent-c14="" name="accountProposalId" type="hidden"><p-radiobutton _ngcontent-c14=""
            class="customRadio customRadioBtn ng-untouched ng-pristine ng-valid" formcontrolname="planPaymentMethod" name="planPaymentMethod" type="radio" value="employerPaid">
            <div class="ui-radiobutton ui-widget">
              <div class="ui-helper-hidden-accessible"><input type="radio" name="planPaymentMethod" value="employerPaid"></div>
              <div class="ui-radiobutton-box ui-widget ui-state-default"><span class="ui-radiobutton-icon ui-clickable"></span></div>
            </div><!---->
          </p-radiobutton><label _ngcontent-c14="" class="font-18 text-dark-gray semiBold" for="checking">Employer<br _ngcontent-c14=""> Paid</label></div>
        <div _ngcontent-c14="" class="mr-5"><p-radiobutton _ngcontent-c14="" class="customRadio customRadioBtn ng-untouched ng-pristine ng-valid" formcontrolname="planPaymentMethod" name="planPaymentMethod" type="radio" value="payrollDeduct">
            <div class="ui-radiobutton ui-widget">
              <div class="ui-helper-hidden-accessible"><input type="radio" name="planPaymentMethod" value="payrollDeduct"></div>
              <div class="ui-radiobutton-box ui-widget ui-state-default"><span class="ui-radiobutton-icon ui-clickable"></span></div>
            </div><!---->
          </p-radiobutton><label _ngcontent-c14="" class="font-18 text-dark-gray semiBold" for="checking">Payroll<br _ngcontent-c14=""> Deduct</label></div>
        <div _ngcontent-c14="" class="mr-4"><p-radiobutton _ngcontent-c14="" class="customRadio customRadioBtn ng-untouched ng-pristine ng-valid" formcontrolname="planPaymentMethod" name="planPaymentMethod" type="radio" value="directPay">
            <div class="ui-radiobutton ui-widget">
              <div class="ui-helper-hidden-accessible"><input type="radio" name="planPaymentMethod" value="directPay"></div>
              <div class="ui-radiobutton-box ui-widget ui-state-default ui-state-active"><span class="ui-radiobutton-icon ui-clickable pi pi-circle-on"></span></div>
            </div><!---->
          </p-radiobutton><label _ngcontent-c14="" class="font-18 text-dark-gray semiBold" for="checking">Employee<br _ngcontent-c14=""> Direct Pay</label></div>
      </div>
    </div>
    <div _ngcontent-c14="" class="col-4">
      <div _ngcontent-c14="" class="form-group form-group-default"><input _ngcontent-c14="" formcontrolname="accountid" name="accountid" type="hidden" value="" class="ng-untouched ng-pristine ng-valid"><label _ngcontent-c14=""
          class="control-label pb-1">Initial Enrollment Deadline</label><input _ngcontent-c14="" autocomplete="nope" class="form-control formDate datepicker-input ng-untouched ng-pristine ng-valid" formcontrolname="enrollmentDate" id="datepicker"
          mask="09/09/0999" name="enrollmentDate" placeholder="MM / DD / YYYY" type="text"><!----><!----></div>
    </div>
  </div>
</form>

<form _ngcontent-c20="" class="mb-0 ng-untouched ng-pristine ng-invalid" novalidate="">
  <div _ngcontent-c20="" class="form-row mb-2">
    <div _ngcontent-c20="" class="form-group col-2"><input _ngcontent-c20="" class="form-control ng-untouched ng-pristine ng-valid" formcontrolname="prefix" id="staticEmail1" maxlength="10" ptooltip="Mr., Mrs., Ms., Dr., etc" placeholder="Prefix"
        tooltipevent="focus" tooltipposition="bottom" type="text"></div>
    <div _ngcontent-c20="" class="form-group col-4"><input _ngcontent-c20="" class="form-control ng-untouched ng-pristine ng-invalid" formcontrolname="fName" id="fName" maxlength="50" type="text" placeholder="*First name"><!----></div>
    <div _ngcontent-c20="" class="form-group col-4"><input _ngcontent-c20="" class="form-control ng-untouched ng-pristine ng-invalid" formcontrolname="lName" id="lName" maxlength="50" type="text" placeholder="*Last name"><!----></div>
    <div _ngcontent-c20="" class="form-group col-2"><input _ngcontent-c20="" class="form-control ng-untouched ng-pristine ng-valid" formcontrolname="suffix" id="staticEmail2" maxlength="50" ptooltip="Jr., Sr., III., etc" placeholder="Suffix"
        tooltipevent="focus" tooltipposition="bottom" tooltipstyleclass="custom-tooltip" type="text"></div>
  </div>
  <div _ngcontent-c20="" class="form-row align-items-center mb-2">
    <div _ngcontent-c20="" class="form-group col-6 text-right">
      <div _ngcontent-c20="" class="custom-control custom-checkbox d-inline-block"><input _ngcontent-c20="" class="custom-control-input ng-untouched ng-pristine ng-valid" formcontrolname="checkbox1" id="customCheck" name="example1"
          type="checkbox"><label _ngcontent-c20="" class="custom-control-label text-light-gray" for="customCheck">I prefer a different name</label></div>
    </div>
    <div _ngcontent-c20="" class="form-group col-6">
      <div _ngcontent-c20="" class="form-group m-auto mb-2" style="visibility: hidden;"><label _ngcontent-c20="" class="sr-only" for="preferred">Preferred name (optional)</label><input _ngcontent-c20=""
          class="form-control ng-untouched ng-pristine ng-valid" formcontrolname="preferredName" id="preferred" maxlength="50" placeholder="Preferred Name (Optional)" type="text"></div>
    </div>
  </div>
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      <div _ngcontent-c20="" class="col-11 mt-1"><!----><span _ngcontent-c20="" class="text-light-gray ng-star-inserted">I prefer a different name</span><!----></div>
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        tooltipevent="focus" tooltipposition="bottom" type="text"></div>
    <div _ngcontent-c20="" class="form-group col-4"><input _ngcontent-c20="" class="form-control ng-untouched ng-pristine ng-invalid" formcontrolname="fName" id="fName" maxlength="50" type="text" placeholder="*First name"><!----></div>
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    <div _ngcontent-c20="" class="form-group col-2"><input _ngcontent-c20="" class="form-control ng-untouched ng-pristine ng-valid" formcontrolname="suffix" id="staticEmail2" maxlength="50" ptooltip="Jr., Sr., III., etc" placeholder="Suffix"
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      type="text" placeholder="*Phone number" maxlength="14"></div>
</form>

Text Content

OOPS, THIS BROWSER IS NOT SUPPORTING THIS WEBSITE.

Please click on below link to download other browser and access this website.
Update browser

MY PROFILE INFORMATION

Edit Username & PasswordSave ChangesCANCEL

NAME

Prefix/Title
First Name*
Middle Name
Last Name*
Suffix

CONTACT INFORMATION

Email*
Phone*
Extension
Address*
Address Two
City*
State*
Zip*

BUSINESS INFORMATION

Business Name

WHAT IS THIS?

This is the name that will appear on your personalized retail selling website.
Don't have a business name? Your personalized website will say 'Presented by
[Your Name]'.

Business DBA

WHAT IS THIS?

Add a Business DBA if the name you're operating under differs from your legal
business name. If you add this information, your custom website will say
'Presented by [Business DBA]'.

Edit Your Banking Information
Edit Your TIN Information

Optional Photo

Click to enable your personal photo on your retail selling website and printed
materials. JPG file type accepted.

Update Photo

THIS FEATURE
IS COMING SOON!

CREATE NEW PROPOSAL

Save ChangesCANCEL

PROSPECT / COMPANY INFORMATION

Company Name*
Company Zip*

PRINT PROPOSAL

Would You like download this proposal to save or print?

Download ProposalClose

DELETE GROUP PROPOSAL

CANCEL

Are you sure you want to delete the Proposal for
?

This will permanently remove all the information associated with this group
prospect.

Yes, delete this proposal

INVITE A BROKER

BROKER PROSPECT INFORMATION

Prefix/Title
First Name*
Last Name*
Suffix
Email*
Zip*

We only use this information to correctly set up your referral in our system so
that you get your commission. We will not contact this person directly.

Save Broker InformationCANCEL

SEND INVITATION EMAIL TO THE BROKER

Two Options: Create Email or Copy Example Message

Automatically create the invitation in your default email client and hit send.

Create Email

Copy the example message to the right and email it to your prospective broker.

Copy Example Message
Link To Recruiting Site

EXAMPLE INVITATION EMAIL

Hi ,

I’ve added 1Dental to my product portfolio and thought it might be a good
addition to yours.

1Dental discount plans are a money-saving alternative to traditional dental
insurance.

Here is the link to get more info and if you would like to sign up:

Your Personalized link will appear here.

It took me about 5 minutes to get set up.

Contact me if you have any questions.

Thanks,

undefined undefined

Email:

Call:

Example Message Copied!

Paste the invitation message into
your email client or messaging app
to send the prospective brokers.

CREATE NEW GROUP ACCOUNT

CANCEL

GROUP / COMPANY INFORMATION

Company Name*
Website Domain*

WHAT IS THIS?

This will personalize the link for the Group Employee Enrollment Website.

We recommend using the domain for their current website - if they have one.

If not - use their business name (only letters and numbers and hyphens may be
used - no special characters or spaces)

For example - if you enter “acmeproducts” for their domain...

Website Domain*

This will be their enrollment website link:

https://acmeproducts.1dental.net
Group Enrollment Website*
Street Address*
Unit / Suite
City*
State*
Company Zip*

COMPANY GROUP PLAN ADMINISTRATOR

First Name*
Last Name*
Email*
Phone*
Extension

PLAN PAYMENT METHOD*

Employer
Paid

Payroll
Deduct

Employee
Direct Pay
Initial Enrollment Deadline
Save New Account

DEACTIVATE GROUP ACCOUNT

CANCEL

Are you sure you want to deactivate
the Group Account for
?

Yes, deactivate this account

PRINT PROPOSAL

Would You like download this proposal to save or print?

Download ProposalClose

GROUP SALE DETAILS

View All Group SalesCLOSE

Date of Sale:

Transaction Total:

Group Name:

Transaction Price:

This is the price of the plan
the new group paid.

Setup Fee:

This is the setup fee the
new member paid.

Commission Period:

This is the commission cycle
this sale will be paid in.

Your Commission:

Disclaimer

DISCLAIMER

Commission shown is an estimate and may not reflect in-process transactions
including new sales, cancellations, and group memberships pending initial
payment. There is a standard delay between the plan sale date and commission
payment. Plans sold between days 1-14 of the month are paid on the 15th of the
following month. Plans sold between days 15-31 of the month are paid on the 15th
of the second following month.

INDIVIDUAL SALE DETAILS

View All Individual SalesPrint DetailsCLOSE

Date of Sale:

Transaction Total:

Customer Name:

Address:

Transaction Price:

This is the price of the plan
the new member paid.

Phone:
Email:

Member ID:

Setup Fee:

This is the setup fee the
new member paid.

Selected Plan:

This is the plan the new
member has enrolled in.

Commission Period:

This is the commission cycle
this sale will be paid in.

Your Commission:

Disclaimer

DISCLAIMER

Group Enrollment

Invitation extended by
Amerrix

* Home
* Plans
* Become a Broker

Invitation extended by Amerrix

Become A Broker

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* Home
* Client Benefits
* Broker Benefits
* Plans
* Broker Resources
*

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Looking for specific information?

Group Enrollment
BROKER
* Amerrix
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BROKER ☰ Menu
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* Home
* Dental Plans ❯ Dental Plans by PlanStart Here Dental Access

Best Plan to use with
Specialists

Care 500

Best Plan to use with
General Dentists

Preferred Plan

Both Plans
Bundled Together

by TypeIndividual PlanFamily PlanSenior PlanEmergency PlanCompareCompare Our
Plans1Dental vs InsuranceLearn MoreHow It WorksFAQs
* Procedures
❯ Procedures Procedure Prices Care 500

Exact Price List

Dental Access

Estimated Price List

ExtractionsWisdom TeethNeed a Tooth
Pulled?ProsthodonticsDenturesImplantsPreventativeExamsCleaningsX-RaysRestorativeFillingsCrownsRoot
CanalsOrthodonticsBraces
* About Us
❯ About Us About Us1Dental Difference 1Dental GuaranteeTestimonials Veterans
Relief Program
* Find a Dentist
* 1Dental Members
*
*

$30/yr or 25% off monthly for Preferred Plan

Amerrix

*
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*

BECOME A 1DENTAL BROKER

* Offer your clients the best dental plans at the best prices.
* Earn top commissions with an opportunity to grow.

1Dental – Winner of 17
National & Regional Awards

Sell dental plans that are helping millions of individuals, families,
and seniors save money.Take 5 minutes and start selling today!

Become a Broker
Dental is one of the most desired benefits for people to have today.

Source: JP Griffin Group

* Over 40% of adults will forgo dental care due to cost (ada.org).
* Improper oral health may affect a person’s heart, brain and
overall health (heart.org).

“One of the true joys of our business is helping
people with their dental needs. And for 1Dental,
there is the added bonus of helping our brokers
succeed as well.

As a former broker myself, I invite you to join our
award winning team!”

RANDALL MEINEN, CLU, CHFC

CEO & Founder of 1Dental

How do 1Dental Plans work?

Unlike dental insurance, we offer discount plans with the following benefits:

* Immediately save 15-60% on dental work with NO waiting periods.
* NO deductibles or maximums ever.
* NO exclusions–all dental conditions accepted, including pre-existing.
* Immediately save on network specialists, including cosmetic dentistry,
orthodontics, pediatric, and oral surgery.
* Typically less than half or more of the cost of traditional dental insurance.
* Affordable plans, starting at $99/year or $9.95/month.

Watch this short video for a quick explanation.

1Dental Plans are easy for clients to use:
* Visit any of the tens of thousands of dentists in our nationwide network.
* Easy to use plan with our mobile app from the Apple store or Google Play.
* Include Everyone You Care About with our Family Plans – elderly parents,
adult children, grandchildren – even if they live at another address.
* EyeMed Vision & MedImpact Prescription Discount Plans included for free!
* Group Dental Plans are substantially less expensive for your clients than
dental insurance, making it easy to sell through payroll deduction.

How does this benefit you, the broker?

1Dental is built by a broker for brokers. While many companies are looking to
cut commissions, we are looking for ways to pay brokers more and still have the
best dental plans at the best prices for their customers.

* Earn 100% of all Setup Fees.
* Start at 25% commission on all collected premiums (less refunds).
* Level commission paid for the full life of each membership.
* 5% override commission on every agent or broker you refer.
* Full brokerage and general agent opportunities.
* Immediately able to sell in 48 states with no licensing requirements.
* Sell group plans to private employers, associations, unions, and government
agencies. 1Dental plans are used by some of the largest corporations in the
world.

Become a Broker

PLANS YOU CAN OFFER AS A 1DENTAL BROKER

Industry Price: $165.95/yrMember Price:$99/ yrSavings:$65.95 (40%)
1 Member2 Members3+ Members
See Plan Details
Industry Price: $165.95/yrMember Price:$99/ yrSavings:$65.95 (40%)
1 Member2 Members3+ Members
See Plan Details
Industry Price: $329.90/yrMember Price:$129/ yrSavings:$200.90 (61%)
1 Member2 Members3+ Members
See Plan Details

COMPARE THE PLANS

Plan Features

General Dentist Savings15-50%20-60%15-60%Specialist
Savings15-50%20%15-50%Pharmacy DiscountsVision CareLASIK Vision
CorrectionCombined Network of DentistsMaximum Savings at Both General Dentists &
SpecialistsLEARN MORELEARN MORELEARN MORE

1Dental is simple and affordable, with great commission opportunities.Take 5
minutes and join our team!

Become a Broker
Why offer 1Dental plans?

Your clients need a better dental plan. Be the first one to offer it.

Individual Consumer Market

* It is anticipated that tens of millions of Americans will be losing their
employer-sponsored dental plans as the cost of healthcare continues to grow.
* Americans will be retiring by the millions over the next 5-10 years and there
is no Medicare equivalent to dental insurance for seniors.

Employer Group Market

* Employers are shifting the cost of dental to the employee. Compared to
high-cost dental insurance, low-cost 1Dental plans are well suited for
voluntary enrollment.
* 1Dental plans don’t have employee participation requirements or
percentages unlike most insurance.

What Our Brokers Are Saying

“I sold a lot of these plans. Now that I retired 3 years ago I still receive a 6
figure renewal income. Very grateful!”

*
*
*
*
*

JERRY C. - BROKER IN GA

"1Dental is the only dental plan I sell. Discounts
are so much better than dental insurance and the Customer Service & Broker
Services teams go above and beyond to help my clients and me with questions or
needs we may have.”

*
*
*
*
*

TRACI M. - BROKER IN OH

Your 1Dental Broker Resources

* A personalized selling website.
* Broker Portal for all the information and resources you need.
* Customized printable flyers and brochures.
* Social media content and posting instructions.
* Group proposals to customize for your prospects.
* State-of-the-art mobile app for your members.
* World-class customer service department.

What makes 1Dental different?

At 1Dental we strive to pay the highest commissions to our brokers and agents,
while
still providing the best dental plans at the best prices for their clients.

REAL STORIES FROM OUR MEMBERS

"Great experience, my wife and
I had our initial exams and
I have a followup treatment,
the discounts we received are
almost 3 times more than our
enrollment for one year."

William G., Michigan

“We were hesitant to put our trust in an unknown in today’s era of scams. But we
called 1Dental and were greeted with intelligent, caring individuals who put our
minds at peace.”

Charles F., Texas

“I called and signed up, it wasn’t a long process - I used it the same day...
Without this company I still would have been in pain but I got my problem fixed
and sleep well at night.”

Marlene F., Texas

BECOME A BROKER TODAY

NO OBLIGATION. NO SET-UP FEE. START SELLING IN FIVE MINUTES.

* Contact Info
* Business Info
* Your Broker Profile
* Agreements
* Financial

FIRST, ENTER YOUR CONTACT INFORMATION.

I prefer a different name
Preferred name (optional)

NEXT
* ContactInfo
* BusinessInfo
* Your BrokerProfile
* Agreements
* Financial

FIRST, ENTER YOUR CONTACT INFORMATION.

I prefer a different name

NEED HELP FINDING YOUR ROUTING
& ACCOUNT NUMBERS?

Questions?

Schedule a 10 minute Q&A call with a
1Dental Broker Success Manager.

Or contact us at brokers@1dentalbroker.com
or 877-857-7194 (Select Option 1).

--------------------------------------------------------------------------------

What Our Brokers Are Saying

"With 1Dental, I can not only help my clients and prospects save on their dental
expenses – I can save on my own dental cost. Between my wife and I, saved big on
routine care, and we saved almost $5,000 between the both of us on oral
surgeries!"

*
*
*
*
*

SADLER H. - BROKER IN NY

CARE 500 PLAN

THE TRANSPARENCY YOU’VE ALWAYS WANTED IN A DENTAL PLAN.

1) READY TO USE TODAY

2) EXCELLENT SAVINGS

Careington has millions of members for a reason. Many save more in one visit
than they spend on a year of membership.

3) KNOW WHAT YOU’LL PAY

No mysteries here! Save on all official dental procedures, and see exactly what
you’ll pay for each one.

See the full schedule of discounts for procedures in your area

CARE 500 FAQ

How can I be confident that I’m
getting the best deal?

Check that the procedure you’re getting matches the ADA code next to the name of
the procedure on the full price list. The Care 500 fee schedule includes about
95% of the most common dental procedures, but if the dentist recommends a
procedure with an ADA code you don’t see listed, you still get 20% off. Also, if
their original price is less expensive than the Care 500 discounted price, you
get an additional 20% off! You really can’t lose with this plan.

You can also take a list of the prices with you when you go in for your dental
visit or pull them up on your phone. If there is any confusion, you or the
dentist can call us to clarify.

> “My family and I have used the Care 500 dental plan from 1Dental for several
> years. We have enjoyed as much as 70% savings on the procedures we’ve needed.
> We will be members for life!” – Aaron, OK

What about braces and other
specialist work?

The Careington Care 500 plan saves an automatic 20% on children’s and adult
braces. It also saves 20% on any other work performed by a dental specialist
(including orthodontists, oral surgeons, prosthodontists, endodontists, and
pediatric dentists). Please note that these savings do not apply if work is
already in progress.

> “The Careington plan is pretty awesome and worth every penny. I saved 20% on
> the orthodontic work I needed, which ended up saving $1,400 in my pocket”. –
> Beshoy I, Florida

What about Invisalign?

We love Invisalign! A lot of us have used it ourselves. It’s a great product.
However, it’s a product that your dentist sells, not a procedure recognized by
the American Dental Association. Therefore, 1Dental plans don’t save you money
on it, and we have yet to find a plan that does. (But 1Dental plans still save
you money on traditional braces!).

What about wisdom teeth?

Sometimes wisdom teeth can be removed by your general dentist (this would be a
normal “simple extraction”), but if they are impacted, an oral surgeon will
usually need to perform the work. You will still save 20% at an oral surgeon.

Are implants included?

Absolutely! In fact, dental savings plans are one of the best ways to save money
on implants. With the Care 500, you save 20% no matter how many implants you
get. In contrast, traditional insurance usually does not give any savings on
implants and other work that the ADA has labeled “cosmetic.”

What’s NOT included?

Anything the dentist does not do (including lab and OSHA fees) Invisalign (which
is a product sold by your dentist, not a procedure the American Dental
Association recognizes) Work in progress (for example, if you already have your
braces on) If you don’t see a dental procedure on the full savings list, you
still receive 20% off.

Will I still get savings at dentists
that are out-of-network?

Your savings only apply at in-network dentists because these dentists have
agreed to the savings list and also passed Careington’s thorough approval
process. We want to make sure you are able to save money at a dentist you can
trust.
Every dental plan has a network to some degree (and in our experience, plans
with “out-of-network benefits” end up costing more than they save).
If you would like to nominate a dentist who isn’t currently in the network,
please use our dentist referral form so we can reach out to them.
We do our best to keep an up-to-date list of dentists on our website, but we
always recommend double checking when you call to make your appointment.

> “The dentist I chose showed professional interest in my needs, and he and his
> staff continue to demonstrate interest in my comfort and dental care”. – Lloyd
> H, Texas

When can I start using the
Care 500 plan?

Today! Joining only takes a few minutes.

PERSONALIZED WEBSITE AND SOCIAL MEDIA MARKETING CONTENT

As a 1Dental Broker, we will provide you with a personalized website to share
with clients. You will also have access to social media content designed to
attract people to your DialCare sales page.

Become a 1Dental Broker and start selling today!

DENTAL ACCESS PLAN

DENTISTS YOU WANT, DENTAL CARE YOU NEED, PRICES YOU CAN AFFORD.

1) READY TO USE TODAY

Signing up just takes a few minutes, and your card arrives in about a week.

2) EXCELLENT SAVINGS

Members can save 15% to 50% per visit at over 226,000* available dental practice
locations.
(*Dental locations as of September 2017, Aetna Enterprise Database.)

3) GREAT SAVINGS

Save on everything from general dentistry to root canals, crowns and
orthodontia.

HOW MUCH COULD YOU SAVE?

Each dentist has a different price list, but we took averages from Los Angeles,
New York, Chicago, and Orlando to give you an idea of what you’ll save.

See More Procedures

In addition to the above procedures, your plan will also save on dental work
like implants, veneers, bone grafts, ceramic crowns, adult braces, and more!

*THE SELECT REGIONAL AVERAGE COST REPRESENTS THE AVERAGE FEES FOR THE PROCEDURES
LISTED ABOVE IN LOS ANGELES, ORLANDO, CHICAGO AND NEW YORK CITY, AS DISPLAYED IN
THE COST OF CARE TOOL AS OF JUNE 2018.

**ACTUAL COSTS AND SAVINGS MAY VARY BY PROVIDER, SERVICE AND GEOGRAPHIC
LOCATION. WE USE THE AVERAGE OF NEGOTIATED FEES FROM PARTICIPATING PROVIDERS TO
DETERMINE THE AVERAGE COSTS, AS SHOWN ON THE CHART.

THIS IS NOT INSURANCE.
PARTICIPANTS MUST PAY HEALTH CARE PROVIDERS DIRECTLY.

ACTUAL DISCOUNTS WILL VARY BASED ON THE GEOGRAPHIC LOCATION OF THE DENTAL
PROVIDER AND THE SERVICES PROVIDED.

CAREINGTON INTERNATIONAL CORPORATION PROVIDES ACCESS TO THE AETNA DENTAL
ACCESSÂ® NETWORK, WHICH IS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY (ALIC).
ALIC DOES NOT OFFER OR ADMINISTER THE CAREINGTON DISCOUNT PROGRAM, AND IS NOT AN
AFFILIATE, AGENT OR PRINCIPAL OF CAREINGTON. DENTAL PROVIDERS ARE INDEPENDENT
CONTRACTORS AND NOT EMPLOYEES OR AGENTS OF ALIC. ALIC DOES NOT PROVIDE DENTAL
CARE AND IS NOT RESPONSIBLE FOR OUTCOMES.

DENTAL ACCESS FAQ

Is this the same as Aetna
dental insurance?

No. Dental Access is a dental savings plan that uses the Aetna Dental Access
network. Members get unlimited access to discounted prices at in-network
dentists across the country.

> My company plan ended and I was looking for a more affordable dental plan. I
> chose the Aetna Dental Access plan for good savings!” – Jim, Texas

These are estimates. How do I know
what I will really save?

Each dentist contracts with the Aetna Dental Access network individually, so
prices will vary between providers. While we can give estimates for certain
procedures and a general savings range of 15-50% per visit across all
procedures, we recommend checking with your dentist for exact treatment pricing
at their location. Because the plan is so affordable, most members easily save
more than the cost of membership, whether they just get their regular 6-month
cleanings or need major work during the year.

> “The Dental Access Plan saved us 45% off a Root Canal, Post, and Crown!” – JG,
> Oklahoma

What’s the difference between a
general dentist and a specialist?

Specialists (endodontists, orthodontists, oral surgeons, prosthodontists,
pediatric dentists, etc.) have received advanced training in their area of
expertise. Although 15% is the minimum, there may be times when your savings
range is 15-50% per visit at specialists.

What about braces?

You will save 15-50% per visit at a participating orthodontist. Since the Dental
Access plan is not insurance, there are no waiting periods or limits on your
savings. We recommend checking with your orthodontist for exact pricing with the
plan. Please note that these savings do not apply if work on the braces has
already begun.

What about Invisalign?

Invisalign is relatively new, and while some orthodontists classify it as
traditional braces, others consider it a product they sell. If your orthodontist
classifies it as traditional braces with a designated ADA code, you can save on
it with the Dental Access plan. Please note that while Invisalign is sometimes
discounted, you will not receive savings on Smile Direct Club, Candid, or other
do-it-yourself clear aligners because they are not directly administered by a
dental professional.

What about wisdom teeth?

At a general dentist or oral surgeon in the Aetna Dental Access network, members
can save 15%-50% per visit. Exact savings depend on the type of extraction
involved and whether your general dentist or your oral surgeon is doing the work
(oral surgeons are typically more expensive and perform more complicated
extractions).

> “My wife and I have used the Dental Access Plan for a few years now and saved
> a tremendous amount! I had 2 wisdom teeth removed recently and essentially cut
> my bill in half. I will take 1/2 off of oral surgery any day of the week!” –
> Bryant, Mississippi

Are implants included?

Absolutely! In fact, dental savings plans are an excellent way to save money on
implants and other work that is traditionally labeled “cosmetic.” You save
15%-50% per visit at an in-network provider no matter how many implants you get,
with no waiting or limits of any kind.

What’s NOT included?

Anything the dentist does not do (including lab and OSHA fees) At-home teeth
aligners like Candid or Smile Direct Club Work in progress (for example, if you
already have your braces on)

Will I still get savings at dentists
that are not in the network?

Dentists who are not in the network have not agreed to the discounted prices. To
make sure you’re receiving the savings you’ve signed up for, please visit one of
the 226,000+ dental locations in the Aetna Dental Access Network. You can find
one near you by using our dentist search engine.
We do our best to keep an up-to-date list of dentists on our website, but we
always recommend double checking when you call to make your appointment. If you
discover an error, please let us know by emailing customercare@1dental.com or
calling us at 855-329-6305.
Pro tip: When speaking to the dentist, be sure to refer to the plan as the
Dental Access Plan powered by the Aetna Dental Access Network, not “the 1Dental
plan.” Specify that it is a discount plan, not insurance. If there’s any
confusion, remember we are here to help!

> “I found a wonderful dentist from the list of dentists in the plan and he was
> close by my house. I had broken a tooth and he worked with me and got
> everything done quickly and was so very nice. I would highly recommend this
> plan as it saved me a considerable amount of money.” – Jean D., Virginia

Is vision included?

Yes! With 1Dental, your Dental Access plan automatically includes an EyeMed
vision plan. Members save 20% to 40% off the retail price of eyewear with the
EyeMed Vision Care Access Plan D discount program through the Access network.
Members are eligible for discounts on exams, eyeglasses and contact lenses from
more than 90,000 providers nationwide.

When can I start using
Dental Access?

It takes about a week for your card to arrive in the mail, but if you’re in a
hurry and your dentist is okay with it, we can give you your member number over
the phone.

> “I am happy that I bought this Aetna dental Discount plan for my daughter.
> Before it to take 4 wisdom teeth I would have to pay $2500. With this plan I
> paid $1677…And no waiting period! She had it done in 12 days after signing
> up.” -Yelena, Texas

PERSONALIZED WEBSITE AND SOCIAL MEDIA MARKETING CONTENT

As a 1Dental Broker, we will provide you with a personalized website to share
with clients. You will also have access to social media content designed to
attract people to your DialCare sales page.

Become a 1Dental Broker and start selling today!

SIMPLER, SMARTER VISION SAVINGS

FROM TARGET TO YOUR LOCAL EYE DOCTOR, SAVE 20% TO 40% ON VISION CARE WITH
EYEMED, INCLUDED WITH YOUR 1DENTAL PLAN

Avoid unnecessary trips to urgent care or the emergency room. Stay home, stay
safe and save money with DialCare telemedicine.

SAVINGS OF 20% TO 40% OFF THE RETAIL PRICE OF EYEWEAR

* Savings of 20% to 40% off the retail price of eyewear
* Unlimited frequency on usage
* Choice of any available frame
* Laser vision correction savings
* Eye exams, contact lenses, frames, lenses and add-ons

OVER 60,000 PARTICIPATING LOCATIONS NATIONWIDE INCLUDING

* Target® Optical
* LensCrafters®
* Pearle Vision®
* Sears® Optical
* JCPenny® Optical
* and many more..

UNLIMITED USE

All vision savings are active and unlimited once you receive your membership
cards in the mail. You could save on an exam, glasses, contacts, and even laser
vision correction all in the same year!

*Frame, lenses and lens options discounts apply only when purchasing a complete
pair of eyeglasses. If purchased separately, members receive 20% off the retail
price.

VALUE ADDED SERVICES

Laser Vision Correction: EyeMed and LCA-Vision have arranged to provide this
discount to all EyeMed members through one of the largest laser networks
available, the US Laser Network. Members are entitled to 15% off the retail
price or 5% off the promotional price of LASIK or PRK procedures, whichever is
the greater discount.

REPLACEMENT CONTACT LENSES BY MAIL

EyeMed members may order replacement contact lenses at competitive prices via
the Internet and have them mailed directly to your home. This service is for
replacement contact lenses only, and your EyeMed discount does not apply. Your
initial pair of contact lenses must still be purchased from your eye care
provider to ensure proper fit and follow-up care.

Click Here to find an EyeMed vision provider near you

SAVE 15%-60% ON GENERIC AND 15%-25% ON BRAND NAME PRESCRIPTIONS

MedImpact is included with your dental plan and saves you money on your
prescription costs. This one price includes everyone on your 1Dental.NET
discount dental plan, even your whole family.

Simply present your MedImpact member card at a participating pharmacy and get
discounted prices on all kinds of brand-name and generic medications.

Already have prescription discounts elsewhere?
Compare savings and use MedImpact when it saves you more.

OVER 62,000 PARTICIPATING PHARMACIES INCLUDING

* Sam’s Club
* Costco
* Publix
* Target Pharmacy
* Kroger Pharmacy
* Winn Dixie
* CVS/Pharmacy
* Rite Aid Pharmacy
* Walgreens
* Safeway Pharmacy

Also receive discounts on over-the-counter medication with a written
prescription.

SAMPLE MEDICATION SAVINGS

Save even more on maintenance medications through the money-saving mail service
at MedVantx. Members save on 90-day supplies of medications when ordered online,
by phone or by mail.

Many Participating Pharmacies Including

A&P Pharmacy
Accredo Health Group
Apothecary Shop
Aurora Pharmacy
Bakers Pharmacy
Bartel Drugs
Beacon Prescriptions
Bel Air Pharmacy
Bi-Lo Pharmacy
Bi-Mart Pharmacy
Brooks
Brookshire Pharmacy
Carnival Pharmacy
City Market
Coborns Pharmacy
Community Pharmacy
Costco Pharmacy
CVS Pharmacy
Demotte Drugs Inc.
Dillon Pharmacy
Discount Drug Mart
Docs Drug
Drug Emporium
Drug Town
Drug Warehouse
Econofood Pharmacy
Family Drug
Family Pharmacy
Familymeds Pharmacy
Farmer Jack Pharmacy
Food 4 Less
Food City Pharmacy
Fred Meyer’s
Fruth Pharmacy
Genuardis
Giant Eagle Pharmacy
Giant Pharmacy
Hannaford Food & Drug
Happy Harry’s
Harps Pharmacy
Harris Teeter Pharmacy
Hartig Drug
Health Partners
Homeland Pharmacy
Hy-Vee Pharmacy
Ingles Pharmacy
Kerr Drug
King Soopers
Kings Pharmacy
Kinney Drugs
Kmart Pharmacy
Kroger Pharmacy
Larry Lyons MD
Longs Drug Store
Marc’s
Marsh Drugs
Martin’s Pharmacy
May Drug’s Store
Medical Arts Pharmacy
Medical Center Pharmacy
Med-X Drug
Meijer Pharmacy
Minyard Pharmacy
Navarro Discount Pharmacy
P&C Foods
Pamida Pharmacy
Park Nicollet Pharmacy
Pathmark Pharmacy
Pharmacare
Pharmacy Express
Pharmacy Plus
Pick ’n Save
Publix Pharmacy
QFC Pharmacy
Quality Markets
Rainbow Pharmacy
Raley’s Drug Center
Ralph’s Pharmacy
Rite Aid
Sack ’n Save
Safeway
Sam’s Club Pharmacy
Sav-A-Center Pharmacy
Save Mart Pharmacy
Schnuck’s Pharmacy
Sedanos Pharmacy
Shopko Pharmacy
Smith’s Pharmacy
Snyder Drug Emporium
Southern Family Market
Stop and Shop Pharmacy
Super 1 Pharmacy
Super D Drug Store
Super Foodmart Pharmacy
Super Fresh Pharmacy
Super RX Pharmacy
Target Corporation
The Medicine Shoppe
The Pharm
Tops Pharmacy
Ukrops Pharmacy
United Pharmacy
USA Drug
U-Save Pharmacy
VGS Pharmacy
Village Pharmacy
Vons
Waldbaums Pharmacy
Walgreens
Walmart Pharmacy
Weis Pharmacy
Winn Dixie
Yokes Pharmacy
Become A 1Dental Broker
* Offer your clients the best dental
plans at the best prices.
* Earn top commissions with an
opportunity to grow.

1Dental – Winner of 17
National & Regional Awards

Sell dental plans that are helping millions of individuals, families, and
seniors save money.
Take 5 minutes and start selling today!

Become a Broker
Dental is one of the most
desired benefits for people to
have today. Source: JP Griffin Group
* Over 40% of adults will forgo dental care due to cost (ada.org).
* Improper oral health may affect a person’s heart, brain and overall health
(heart.org).

“One of the true joys of our business is helping people with their dental needs.
And for 1Dental, there is the added bonus of helping our brokers succeed as
well.

As a former broker myself, I invite you to join our award winning team!”

RANDALL MEINEN, CLU, CHFC

CEO & Founder of 1Dental

How do 1Dental Plans work?

Watch this short video for a quick explanation.

Unlike dental insurance, we offer discount plans with the following benefits:

1Dental Plans are easy for
clients to use:
* Visit any of the tens of thousands of dentists in our nationwide network.
* Easy to use plan with our mobile app from the Apple store or Google Play.
* Include Everyone You Care About with our Family Plans – elderly parents,
adult children, grandchildren – even if they live at another address.
* EyeMed Vision & MedImpact Prescription Discount Plans included for free!
* Group Dental Plans are substantially less expensive for your clients than
dental insurance, making it easy to sell through payroll deduction.

How does this benefit you,
the broker?

1Dental is built by a broker for brokers.
While many companies are looking to cut commissions, we are looking for ways to
pay brokers more and still have the best dental plans at the best prices for
their customers.

Become a Broker

PLANS YOU CAN OFFER AS A 1DENTAL BROKER

Starting at Just

Industry Price: $165.95/yr
Your Price:$99/ yr
You Save:$65.95 (40%)
See Plan Details

Starting at Just

Industry Price: $165.95/yr
Your Price:$99/ yr
You Save:$65.95 (40%)
See Plan Details

Starting at Just

Industry Price: $165.95/yr
Your Price:$129/ yr
You Save:$200.90 (61%)
See Plan Details

COMPARE THE PLANS

Dental Access
500 Series
Preferred Plan
General Dentist Savings
15-50%
20-60%
15-60%
Specialist Savings
15-50%
20%
15-50%
Pharmacy Discounts

Vision Care

LASIK Vision Correction

Combined Network of Dentists

Maximum Savings at Both General Dentists & Specialists

LEARN MORE
LEARN MORE
LEARN MORE

1Dental is simple and affordable, with great commission opportunities.
Take 5 minutes and start selling today!

Become a Broker
Why offer 1Dental plans?

Your clients need a better dental plan. Be the first one to offer it.

Individual Consumer Market

Employer Group Market

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What Our Brokers Are Saying

“I sold a lot of these plans. Now that I retired 3 years ago I still receive a 6
figure renewal income. Very grateful!”

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JERRY C. - BROKER IN GA

"1Dental is the only dental plan I sell. Discounts are so much better than
dental insurance and the Customer Service & Broker Services teams go above and
beyond to help my clients and me with questions or needs we may have.”

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TRACI M. - BROKER IN OH

Your 1Dental Broker Resources

What makes 1Dental different?

At 1Dental we strive to pay the highest commissions to our brokers and agents,
while still providing the best dental plans at the best prices for their
clients.

REAL STORIES FROM
OUR MEMBERS

"I bought this yesterday and used this yesterday, saved me over 600 dollars for
my one wisdom tooth!"

- Brittany K, CO

"I was quoted $600 for a tooth extraction. After joining 1Dental, I had the
tooth extracted the next day for $183, which included a couple of x-rays."

- P.A., NY

"This savings program took my cost from $5000 to $2418. I just got my dentures
yesterday and couldn't be happier!!"

- Melissa, MO

BECOME A BROKER TODAY

NO OBLIGATION. NO SET-UP FEE. START SELLING IN FIVE MINUTES.

* Contact Info
* Business Info
* Your Broker Profile
* Agreements
* Financial

FIRST, ENTER YOUR CONTACT INFORMATION.

I prefer a different name
Preferred name (optional)

NEXT
* ContactInfo
* BusinessInfo
* Your BrokerProfile
* Agreements
* Financial

FIRST, ENTER YOUR CONTACT INFORMATION.

I prefer a different name

NEED HELP FINDING YOUR ROUTING
& ACCOUNT NUMBERS?

Questions?

Schedule a 10 minute Q&A call with a 1Dental Broker Success Manager.

Or contact us at brokers@1dentalbroker.com
or 877-857-7194 (Select Option 1).

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What Our Brokers Are Saying

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SADLER H. - BROKER IN NY

Better Business Bureau

We are proud to have earned an A+ rating with the Better Business Bureau — an
organization that promotes accountability and honesty between businesses and
their customers.

1Dental’s #1 core value is “Respect others as inherently valuable.” Our goal is
to treat customers with respect and integrity in everything we do.

How We Earned an A+ Rating

In order to maintain an A+ rating, a business must meet the following
qualifications:

* Receive minimal complaints
* Respond to complaints in an appropriate, timely manner
* Maintain ethical, transparent business practices

ACCREDITATION

Accredited Since: 3/25/2008

Years in Business: 23

CHECK US OUT ON BBB

“My routine dental work is cut by at least 50% every time.”

Christina, New Jersey

“I was so relieved.... My cost dropped immediately from over $1,500 to about
$800.”

Deanne, Michigan

“Saved over $700 on a deep cleaning”

Anita C., Texas

“Better than insurance”

Patrick P., Ohio

PreviousNext

What BBB reviewers
are saying

1Dental Refund Policy

Don’t love the plan in your first 30 days? Get your money back

Our goal is to provide dental plans that meet your long-term needs, including
everything from dental emergencies to routine care. Most of the time, we get it
right, but in the event that we don’t, you can cancel within 30 days and receive
a full plan refund, minus the setup fee.

For annual and multi-year plans:
You’ll receive a full plan refund, minus the $20 setup fee.
For monthly plans:
You’ll receive your first monthly payment back, minus the $30 setup fee.
Why do you have a setup fee?
We don’t like these either, but it allows us to provide an affordable 30-day
trial window for those who simply aren’t sure if the plan will work for them. If
the plan is a good fit, we want to reward members for loyalty — which is why we
don’t charge extra renewal fees (like our competitors). The setup fee helps us
cover administration costs and continue to offer these plans at a low price.
Setup Fee Exceptions by State:
In the event that you need a refund, these 3 states have different laws:
* Arkansas: You will be refunded the cost of your plan plus the entire setup
fee.
* Maryland: You will be refunded the cost of your plan, and you will be
refunded all but $5 of your setup fee.
* Tennessee: You will be refunded the cost of your plan plus the entire setup
fee.

Refunds After the First 30 Days
We know that, sometimes, unusual circumstances happen that require you to cancel
your plan after the first 30 days. Often, we are able to switch members to
another plan that works better for them for free. In other cases, members finish
out their year and simply don’t renew. However, there are a few exceptions.
* If you live in Florida, North Dakota, or Oklahoma, you will receive a
prorated refund for the remainder of your plan.
* If a plan member passes away
* If your membership is terminated by 1Dental or Careington

Other circumstances will be considered on a case-by-case basis. Please call our
Customer Care team at 877-583-0389 if you would like to cancel after the first
30 days.
See our full Privacy Policy.
See our Terms And Conditions.
×

WE ARE HERE TO HELP YOU GET THE MOST OUT OF YOUR 1DENTAL PLAN

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WE ARE EASY TO REACH

Call us at _800_number or email customercare@1dental.com

Our US-based Customer Care team is available Monday through Friday from 7 AM to
5 PM Central Time

Download our App!

Get everything you need to use your dental plan and see your account
information!

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WE SPEAK YOUR LANGUAGE

¿Hable español? We’ll connect you with a Spanish speaking representative

Chat with us from our website in any language

AT&T Language line available for any language

WE WILL HELP YOU WITH YOUR DENTIST

Toll free Provider search during business hours or available anytime from mobile
app or Provider Search Website

Member verification hot line available to participating providers 24/7 – Have
your dentist call _800_number to confirm membership

We are happy to call a provider to verify membership or help you set an
appointment upon request

Each representative is dedicated to Emergency Appointment assistance

Company Awards

We at 1Dental are very fortunate to have won many awards over the years.

Our gratitude goes to our faithful customers, talented and team-oriented
employees, and partners who have made all of this possible since 1998!

NATIONAL AWARDS

2-time winner – Inc. Magazine; listed as one of Inc 5000 Fastest-Growing Private
Companies

2-time winner Entrepreneur Magazine – National Top Company CultureiQ (#10 and
#14 medium size companies)

Fortune Magazine - Nationally Ranked #7 Best Small Workplace

STATE AWARDS

Fortune Magazine – Best Workplaces in Texas (#15 Small and Medium Companies)

REGIONAL AWARDS

4-time winner –Dallas Morning News – Top 100 Places to Work (#9, #10, #10, #16
Small company category)

4-time winner FW Inc. – Best Company to work for (#2, #5, #7, #13 Medium to
Large Companies)

SPECIAL AWARDS

* Best Overall Ethics – Dallas Morning News
* Best at Encouraging New Ideas – Dallas Morning News
* Entrepreneur of Excellence, Fort Worth Inc. Magazine: Randall Meinen, CEO
1Dental

DENTIST APPROVAL PROCESS

1. Background check
2. 5-year work history evaluation
3. Verification of a current state license that is in good standing
4. An NPDB (National Practitioner Data Bank) report, which will tell us if a
provider has any malpractice claims history or state licensure actions
5. A current DEA or CDS (This allows the dentist to write prescriptions)
6. Current malpractice insurance
7. Inquiry for Medicare/Medicaid fraud or opting out of Medicare

Please Wait Generating Price List...

BROKER

THE CARE 500 DISCOUNTED PRICES YOU SEE ARE THE EXACT PRICES AT THE GENERAL
DENTIST FOR YOUR STATE. JUST PLUG IN ANOTHER ZIP CODE IF YOU WANT TO SEE
CAREINGTON PRICING FOR THAT AREA. PLEASE NOTE THAT THESE PRICES ARE FOR GENERAL
DENTISTS ONLY. PARTICIPATING SPECIALISTS GIVE 20% OFF THEIR NORMAL RATES.

PLEASE NOTE THAT THIS FULL PRICE LIST IS FOR GENERAL DENTISTS ONLY AND IS
DETERMINED BY THE ZIP CODE OF THE PARTICIPATING DENTIST. PARTICIPATING
SPECIALISTS WILL GIVE 20% OFF THEIR NORMAL RATES. DENTAL PROCEDURE CODES NOT ON
THIS PRICE LIST WILL BE DISCOUNTED 20% OFF THE GENERAL DENTIST'S NORMAL FEE AT
THE TIME OF SERVICE.

QUESTIONS? OUR CUSTOMER CARE TEAM IS HERE TO HELP!

DENTAL PROCEDURES

The Care 500 discounted prices you see are the exact prices at the general
dentist for your state. Just plug in another zip code if you want to see
Careington pricing for that area. Please note that these prices are for general
dentists only. Participating specialists give 20% off their normal rates.

Print This List
Download PDF

QUESTIONS? OUR CUSTOMER CARE TEAM IS HERE TO HELP!

Exams & X-Rays

Cleanings & Preventative Care

Fillings

Crowns

ProceduresAverage Full PriceYou Pay with Care 500You Save