Pick Your Center:
Links to Online Applications
Downloadable version of
Individual Family Applications
Downloadable version of Short
Term Applications
Pages related to individual
underwriting and enrollment
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Online Applications for
Individual Family health plans (under age 65)
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Blue
Cross of California
Application used for HMO, PPO, and HSA plans. Also used
for Short term application.
Blue
Shield of California
Application used for HMO, PPO, and HSA plans.
Health
Net
Application used for HMO, PPO, and HSA plans.
Also used for Short term
application.
Tonik
Tonik only has an online application for enrollment.
It is simplified issue and processes fast.
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Downloadable Application for Individual Family
health plans
(under age 65)
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Blue Cross of California
You can download this app, complete it, and
fax to our attention to expedite
Blue Shield of California
You can download
this app, complete it, and fax to our
attention to expedite
Health Net of California
You can download this
app, complete it, and fax to our attention
to expedite
Pacificare of California HMO
Pacificare has a separate application for
their HMO plans
Pacificare of California PPO
Pacificare has a separate application for
their PPO plans
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Downloadable Application for Short Term health
plans
(under age 65)
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Blue Cross of California Short Term
Fax to our attention and complete credit
card if you need an early effective date
Health Net of California Short Term
Fax to our attention and complete credit
card if you need an early effective date |
Important Site Pages
(Quotes, Applications, Doctor Search) |
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Quote:
Individual and Family health
Doctor Search
Online Applications The advantages of
the online application for individual
enrollment
Individual health billing options What
are your billing options with Individual
family coverage
Rate tiers How your health can affect
the rates for individual and family health
plans
What if I am declined
coverage?
Options for applicants declined individual
health insurance
Medical Records
how does the medical record request process
work for individual underwriting
Application Health History Questionnaire
Completing the individual
application health history questionnaire
Delays and your Individual health
application What
can slow down the process?
Individual health insurance enrollment
How does the application and enrollment
process work
Individual Underwriting. How the carrier looks at your
health
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APPLICATION
DOWNLOAD CENTER