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Click below to download applications and forms for the Texas health insurance carriers we quote.  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)

Click here for full form download listing

 

 


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Apply Online
 
-speeds processing
  -some carriers may waive application fee

   Blue Cross Blue Shield of Texas
   UniCare Life & Health Insurance
   Company

   Humana Insurance Company
  
Golden Rule Insurance Company
 
 


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Online applications cut time

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, LLC
3301 Bridle Path Austin, Texas 78703
License - TX#
1393118
Nationwide:     866-444-3332
Fax#:              
800/349-2730

TexasPlans.com provides rates, applications, and information to better help Texas understand their options.  Stateside Insurance Services, LLC, 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.
Blue Cross Blue Shield of Texas Blue Cross Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross Blue Shield Association
UniCare Life & Health Insurance Company  UniCare Life & Health Insurance Company, a separately capitalized and incorporated subsidiary of Wellpoint, Inc.
Humana Insurance Company  Humana Insurance Company 
Golden Rule Insurance Company Golden Rule Insurance Company

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