Helpful hints to complete an application
To speed up the process, it is best to have the following information on hand when completing your application:
- Social Security Number(s) for all applicants
- Residential address for applicants (PO box will not be accepted)
- Height, age, weight and birthdate of all applicants
- Physician selections (if applying for HMO plans)
- Medical history for each applicant (including physician name, address, date(s) of treatment(s), status of treatment(s), and names and dosages of any medications
- A copy of the insurance card of any applicants who are currently (or were recently) covered by another health insurance policy
- Payment information. Credit card, Automatic checking account payment(Routing # & Account #)
Help Available @ 949 331-8419
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