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Individual and Family Insurance
Agent Assist -
Online Health Care Applications
The application process
will take approximately 15 minutes to complete. At any time, you may stop,
save the application and complete it at your convenience. Please Note:
... Your application will be password
protected.
... All applications are submitted
electronically.
...
You will not need to mail your application to Celtic.
... Information
submitted on the Celtic Online
Application
is passed
securely over the
Internet fully encrypted.
What You Will Need
For each applicant, you will
need the following information:
...
Social Security Number
...
Prior insurance carrier information
...
Complete health history
...
Doctors' names and addresses
The CeltiCare Plan is a comprehensive major
medical insurance plan with more quality features and benefits to help you
customize your coverage, plus, extra options to save you money.
Click Here ...
for The CeltiCare Online
Application
Click here ...
for the 8-page Brochure
The ValueOne Plan provides economical major medical insurance coverage for
individuals ages six months to 64 1/2 and their families. ValueOne works
hard for your clients by controlling costs. Celtic partners with
nationwide provider and pharmacy networks to offer quality services at
reduce fees.
Click Here ...
for The ValueOne Online
Application
Click Here ...
for the 8-page Brochure
The Celtic Short-term Plan is a high quality,
temporary health care plan. You can apply for this one-term, nonrenewable
policy for one to six months of coverage at a deductible level that best
suits your budget.
Not Available in Colorado
One-term, nonrenewable policy
for one to six months.
If you have a question,
please call us at 719 955-0606 or
use our
contact form.
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