Applications *         

 HEALTH INSURANCE
Anthem Blue Cross
Anthem Blue Cross - Online Application! (MARC) 
Tonik - Online Application! 
Blue Shield
Blue Shield - Online Application! (MARC) 
Blue Shield - Online Application! (NICK) 
Health Net
Health Net - Online Application! 
Health Net Farm Bureau
Kaiser - Online Application!   ** Broker ID# 18708 **
NHP - Online Application! 
Universal Care
IPA Benefits - UHP Healthcare - available upon request

SHORT TERM HEALTH INSURANCE
Anthem Blue Cross Short Term
Anthem Blue Cross Short Term- Online Application!
Blue Shield Short Term - Option   1 (set # of days)
Blue Shield Short Term - Option 12 (month-to-month)
Blue Shield Short Term - Online Application!
Health Net QuickNet
Health Net QuickNet - Online Application! 

TERM LIFE INSURANCE
Chase TeleLife®
Chase TeleLife®  - Online Application! 
First Colony
Empire General
Banner Life
Principal Financial Group 

DENTAL INSURANCE
California Dental Network Plan 411 (monthly)
California Dental Network - Plan 460 (annual)
California Dental Network - Plan 595 (cosmetic)
Select Dental (indemnity)
Blue Cross HMO
Blue Cross PPO
Delta Dental - Call us!
PacifiCare 160 HMO
SmileSaver Dental GE400 EOC - Call us!
SmileSaver Dental GE600 EOC - Call us!
Delta Dental - DeltaCare USA
Delta Dental - DeltaCare USA  -  Online Application! 
Delta Dental  
** Broker ID# 4165 **

ANNUITIES
AIG - (will mail upon request)
Principal Financial Group - (will mail upon request)
Allianz - (will mail upon request)
Lafayette Life - (will mail upon request)
                                                                                                               

Adobe Acrobat® Reader is required to view or print some of these documents. Acrobat® is free and available for download from Adobe's website. Click Here To Get It 


Here is what some of our clients are saying:

“It has been a pleasure having you handle all of our health insurance needs. We have been most impressed with your response time, especially in the area of any questions we had about different plans. We look forward to using your service for a long and healthy future!”

-Bita & Masood Ashrafi, Aliso Viejo

   
     Just click the Tonik link above
     then click the "Apply Now" link
Out-of-Pocket Max as low as $5,000

VISION INSURANCE
Vision Plan of America - Online Application! 

HIPAA INSURANCE
Blue Cross of CA HIPAA - 354 KB
Health Net HIPAA - 408 KB
Blue Shield of CA HIPAA - 61 KB

FREEDOM BLUE - MEDICARE ADVANTAGE
Blue Cross Freedom Blue PPO - 128 KB

BLUE SHIELD - MEDICARE
Blue Shield Medicare Supplement Application - 195 KB 
 

Developed and Maintained by
This site is optimized for Internet Explorer 5 or higher. Please download an updated version now.