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