Senior Health Insurance Applications
Currently there are no online applications for Senior Medigap plans. You will need to select one of the plans below, print out the associated health insurance application PDF, fill it out, and then fax it to us at the number on the cover sheet. If you are applying for a plan outside of California, please contact us.
Anthem Blue Cross California:
Small Group Employer Applications, Small Group Employee Forms
Blue Shield California:
Small Group Employer Applications, Small Group Employee Forms
HealthNet California:
Small Group Employer Applications, Small Group Employee Forms
United Health California:
Small Group Employer Applications, Small Group Employee Forms
