Just fill out the form for your
1st Choice of Insurance Company and then email,
fax or
snail mail the completed
form to us.
Depending on your computer configuration, some of the
forms may be filled out ONLINE and emailed to us, some printed off and
faxed, whatever. It is easiest for us, if you can email the forms in
.pdf.
These forms can be submitted CONFIDENTIALLY, just put in your first name
and last initial or just initials.
The healthy members of your family should be able to qualify
for a
standard plan.
If the preliminary decision from the
Insurance Company is favorable, say less than a 51% rate up, complete the
full application here.
You can also
verify rates & benefits here. This quote engine only provides the
preferred rate, just add your surcharge, if any, to compute the final
"preliminary offer" rate.
If not, check out
guaranteed and other options or
email
us to review further.
