Resources

Quick access to all carrier payment links and intake forms for your insurance needs

Ambetter

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Christus

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Molina

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Antidote

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Cigna

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Oscar

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Baylor Scott & White

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Imperial

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United Health Care

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Blue Cross Blue Shield

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Kaiser Permanante

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Wellpoint

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Affordable Care Act (ACA) Intake Form

This is an Intake form for out records which grants us permission to access your Marketplace application and send a quote. Please contact us for your attestation form to finalize your enrollment.

Additional Documents Upload

If you have completed an intake form and are NOT a U.S Citizen, then please upload legal immigration documents such as, but not limited to: Green Card, Employee Authorization Card, Machine Visa, etc.

Life Insurance/Final Expenses Intake

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Auto Insurance Intake

This an intake form for our records which grants us permission to run an auto application on your behalf and send out a quote accordingly

This an intake form to gather information for a later consultation for either Final Expenses or Life Insurance

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Payment Request

A secure form for our records with your card information should you allow us to make health, auto, vision, dental, and other plan payments on your behalf