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Welcome to the On-line Application

Thank you for your interest in applying to become contracted with the Dearborn Life Insurance Company.


For questions, please contact the Commission Department at (800) 352-3935. 

Please review the Frequently Asked Questions by clicking on the link below before proceeding with the application -- it may answer any questions that you may have.

Frequently Asked Questions

New Applicants:

If you are a new applicant, click on the New Applicant button.

Returning Applicants:

If you are a returning applicant, please enter your User Name and Password and click on the Login button.