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Please read the following: Health Care Brochure
Welcome to the Online Rate Quote System! We appreciate you taking the time to complete your Healthcare insurance rate quote.
* Required    
Gender Date of
Birth		 Tobacco
Usage in
Last 12
Months		 Taking
Maintenance
Prescription		 Include
Occupational
Coverage
*Applicant    
Spouse    
Number of Children Covered: 
*Home Address Zip Code: 
     
While we have taken every precaution to ensure accurate quotes, we ask that you also keep the following in mind while completing your quote:
  • We do not write policies for applicants who reside outside of the State of Texas.
  • Your quote will be based on the accuracy of the answers you provide to us.
  • Online rate quotes are subject to change based on your medical history, underwriting guidelines, any optional benefits selected, and the effective date of coverage.
    QUOTED RATES ARE FOR NEW MEMBERSHIP ONLY.
  • Please visit with your agent to ensure that we are providing you the best possible rate. Agent Locator Map