Complete and submit your application online or print an application and submit by mail or email.
If you have any questions about your application please Contact Us for help.
After You Apply: We’ll review your Application and be in touch by email within 3 business days to confirm your coverage. Your insurance will be effective the first day of the next month (unless you request a later date). Your Health Plus™ Welcome Kit and ID card will be mailed to you in about 3 weeks.