Better Business Bureau

Apply for Guaranteed Issue Health Insurance

If you need help filling out a "no medical exam" health insurance application please call 1-800-474-4474.

To apply for one of the guaranteed issue health plans please do the following:

  1. Click on one of the "GO" buttons below to use our exclusive online enrollment process.
  2. We will process your enrolment request and create a PDF application with your personal and plan details.
  3. We will then contact you to go over your application (we may need additional information such as payment details).
  4. We will then send you the PDF application form for your signature, after which it can be sent either to us or direct to the insurance company.
Plan Application Form
(click on GO)
Flexcare* FlexCare Application
FollowMe FollowMe Application
Blue Vision (Express) Blue Vision Application
Sonata (Core Plan) Sonata Core Application

* There are three (3) Flexcare plans that are guaranteed issue: DentalPlus Basic, DentalPlus Enhanced and the ComboPlus Starter plan.