To submit your application, please download it, fill it out in its entirety and fax a copy to 1-877-247-9891, email a scanned copy to firstname.lastname@example.org
Our application process typically takes a few business days. Your coverage becomes effective on the first of the month following the month of applying with us.
Once approved and processed, you will receive a welcome package in the mail. The welcome package typically arrives within three weeks of your application being processed.
If you have any questions or problems with the application, please don’t hesitate to call us at 1-877-497-9495 or email us at email@example.com