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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, fax it in, or  email it.

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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