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Click below to download applications and forms for the premier Texas health insurance carriers.  You will need acrobat reader...it's free.  These are large files so please wait a few minutes for the file to appear.  You may need to hit "refresh".

 


Applications (download)

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here for full form download listing
 
Apply Online
 
-cuts processing time in half
  -waives $25 application fee


   Aetna
   Assurant
   Blue Cross Blue Shield of Texas
   Cigna
  
Humana Insurance Company
  
UnitedHealthOne
 
 

 
 

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Online applications cut time in half

To Expedite Processing...We just need the completed application and first payment by check or credit card (when available)  to start the process.  You can expedite processing by faxing copies of this information to us at 800/349-2730.   Make sure to give yourself enough time to go through the process for your ideal effective date.  Questions on enrollment here


Please call us or e-mail us with any questions.  We are here to help.  
You can send completed your application and first payment 
(made out to Carrier)  to:


Stateside Insurance Services
4001 Avenue D   Austin, Texas  78751
License - TX#
1393118
Nationwide:     866-444-3332
Fax#:               800/349-2730

TexasPlans.net provides rates, applications, and information to better help Texas understand their options.  Stateside Insurance Services, the registered owner of the web site, does not recommend, endorse or provide advice on which insurer to select or which products to buy.
Do not cancel any existing health insurance until you receive written confirmation from the insurance company to which you are applying.

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