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How To Complete Your Enrollment Application

Small, Mid-Sized & Large Employers

PCI Compliance

PCI compliance means adherence to the Payment Card Industry Data Security Standards, or PCI DSS, which are administered by the Payment Card Industry Security Standards Council (PCI SSC) to manage security standards for electronic transactions.

It is the responsibility of all parties to secure payment card processing – including businesses, merchant services providers, financial institutions and card issuers – to keep the process safe by achieving and maintaining PCI compliance.

  • 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, fax it in, or email it to

To receive more information and quotes, please fill out this form.

Thank you for your interest! We'll get back to you soon.

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