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How To Complete Your
Enrollment Application

Small, Mid-Sized & Large Employers

  • 1 - Apply by phone. Call 915.803.4198 to apply for a health benefit plan and enroll over the phone. 
     

  • 2 - Apply in person. Visit a trained counselor in your community to get information, apply, and enroll in person.
     

  • 3-5 - Apply by mail, email or fax. Complete your PDF printable application and mail it in, email it or fax it.

To receive more information, and quote, please fill this form.
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