Health Insurance - Dental - Medicare Supplement - Life Insurance - Unicare of Texas - Sound Health by UniCare Aetna applications
Applications for state of Texas
Oleg Skurskiy Authorized Independent Agent - Licensed TX 1373904
If you have any questions, please call (818) 654-4548
Medicare products on this web site is not connected with or endorsed by the United States government or the federal Medicare program
health insurance Home Get A Quote Provider Finder Life Insurance Applications  Contact Us
 
add to my favorite
Outside of Texas >>
Select the Insurance Type Below
 
Individual & Family Applications

cigna

Cigna Health Plans - Online

 

Aetna

insurance Aetna Health Plans - Online Application
insurance Aetna Health Plans - Printable Application
insurance
Aetna Health Plans - Order the Application

 

insurance American Medical Security Online Application

Back to Top
 

time insurance

blue cross Assurant Health - Online Application
blue cross Assurant Health Student Health Plans -

blue cross Assurant Health Short Term - Online

 
 
 
     
Senior Applications

 Blue Cross of California

insurance UniCare Medicare Supplement -age 65 +
insurance UniCare Medicare Supplement - under 65

blue cross UniCare Medicare Supplement Order by Mail


Unicare Medicare Rx
blue cross UniCare of Texas Medicare Rx -

 

Health Net

 

blue cross Health Net Orance Rx - Printable
 
Summary of Benefits - Printable
 
 
 
 
 
 
Back to Top
 
 
 
 
 
 
Back to Top
 
ALL APPLICATION MAIL TO:

Oleg Skurskiy
18375 Ventura Blvd. # 226
Tarzana , CA 91356

You also can fax complete application to Fax: (818) 776-9865

If you have any questions, please call (818) 654-4548

 
 
 
 
Site Map
For Agents
 
Free Health Insurance Quote offered through Affiliate Program at Alabama, Alaska, Arizona, Arkansas, Connecticut, Delaware, District of Columbia (Washington DC), Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Assurant Health is the brand name used for products underwritten and issued by Time Insurance Company, John Alden Life Insurance Company and Union Security Insurance Company. California license numbers: 08109 ( Time Insurance Company), 08107 (Union Security Insurance Company) and 3894 (John Alden Life Insurance Company). Assurant Health only accepts agent business from agents licensed and appointed in accordance with state laws.

American Medical Security Life Insurance Company PPO plans that are underwritten by American Medical Security Life Insurance Company (AMSLIC) in AZ, CA, OK, TX, AL, AR, DE, DC, FL, IL, IN, IA, MI, MS, MO, NE, NM, OH, PA, SC, TN, UT, WV, and WI are available only to members of TNI. If you are not already a member of TNI, you must join in order to be eligible for these insurance plans. Through a special agreement between TNI and AMSLIC, you can enroll in the association on this web site. You will fill out the TNI enrollment form prior to making application to AMS for health insurance. For more information on the benefits of TNI membership, visit www.taxpayersnetwork.org. Estimated Monthly Premium does not include the mandatory $7.00 per month dues for TNI membership.

Important: Do not cancel any in-force health coverage until you have received written formal approval of acceptance from the health insurance company. Estimated monthly premiums shown are subject to change based on the health insurance plan, underwriting practices, your health history, occupation (where allowed by state) and your selection of available optional benefits, if any. Final monthly premium is always determined by the health insurance company. Individuals currently with American Medical Security Life Insurance Company may not be eligible for the quoted estimated monthly premium. Requested effective dates may not be guaranteed. TIP: Words that are underlined can be clicked for definition


Insurance or health maintenance organization (“HMO”) coverage underwritten by UniCare Life & Health Insurance Company, UniCare Health Insurance Company of Texas, UniCare Health Plans of Texas, Inc. (HMO only in Texas), UniCare Health Plans of the Midwest, Inc. (HMO only in IL/IN) or UniCare Health Insurance Company of the Midwest (IN and IL only) â registered mark and SM service mark of WellPoint, Inc. ã2005 WellPoint, Inc.

 
I offer Insurance in Cities in the State of Texas : - 76542 - -97.74670 - 31.07510 - Killeen - TX - - 254 - CST - 77445 - -96.07160 - 30.09200 - Hempstead - TX - - 979 - CST - 88582 - -106.49000 - 31.76000 - El Paso - TX - - 915 - MST - 77325 - -95.22000 - 30.07000 - Humble - TX - - 281 - CST - 79079 - -100.26220 - 35.22060 - Shamrock - TX - - 806 - CST - 78954 - -96.73410 - 30.04110 - Round Top - TX - - 979 - CST - 78226 - -98.55110 - 29.39300 - San Antonio - TX - - 210 - CST - 75010 - -96.87770 - 33.03040 - Carrollton - TX - - 972 - CST - 77060 - -95.39810 - 29.93350 - Houston - TX - - 281 - CST - 79565 - -100.99070 - 32.35320 - Westbrook - TX - - 915 - CST - 77496 - -95.62000 - 29.59000 - Sugar Land - TX - - 281 - CST - 78360 - -98.91889 - 26.91275 - Guerra - TX - - 361 - CST - 79241 - -101.42590 - 34.14580 - Lockney - TX - - 806 - CST - 77962 - -96.50310 - 29.03080 - Ganado - TX - - 361 - CST - 79923 - -106.49000 - 31.76000 - El Paso - TX - - 915 - MST - 79336 - -102.36760 - 33.57880 - Levelland - TX - - 806 - CST - 75756 - -95.62290 - 32.29050 - Brownsboro - TX - - 903 - CST - 77865 - -96.23750 - 31.23090 - Marquez - TX - - 903 - CST - 78335 - -97.15000 - 27.90000 - Aransas Pass - TX - - 361 - CST - 78062 - -98.18000 - 28.74000 - Peggy - TX - - 830 - CST - 79025 - -102.21389 - 34.91217 - Dawn - TX - - 806 - CST - 75087 - -96.45450 - 32.90460 - Rockwall - TX - - 972 - CST - 75254 - -96.80000 - 32.95000 - Dallas - TX - - 214 - CST - 76519 - -96.88530 - 30.94570 - Burlington - TX - - 254 - CST - 79408 - -101.85000 - 33.59000 - Lubbock - TX - - 806 - CST - 76155 - -97.05030 - 32.82470 - Fort Worth - TX - - 817 - CST - 78639 - -98.44750 - 30.66620 - Kingsland - TX - - 915 - CST - 78590 - -97.61570 - 26.48316 - San Perlita - TX - - 956 - CST - 77386 - -95.42390 - 30.12880 - Spring - TX - - 281 - CST - 79550 - -100.92000 - 32.72000 - Snyder - TX - - 915 - CST - 79252 - -99.74940 - 34.29560 - Quanah - TX - - 254 - CST - 76307 - -98.49000 - 33.91000 - Wichita Falls - TX - - 940 - CST - 77024 - -95.52010 - 29.76960 - Houston - TX - - 713 - CST - 77328 - -95.08000 - 30.34000 - Cleveland - TX - - 281 - CST - 77536 - -95.12220 - 29.68260 - Deer Park - TX - - 281 - CST - 76063 - -97.14160 - 32.57730 - Mansfield - TX - - 817 - CST - 79766 - -102.34490 - 31.78270 - Odessa - TX - - 915 - CST - 77511 - -95.25150 - 29.41200 - Alvin - TX - - 281 - CST - 78467 - -97.40000 - 27.80000 - Corpus Christi - TX - - 361 - CST - 79423 - -101.87950 - 33.51460 - Lubbock - TX - - 806 - CST - 79948 - -106.49000 - 31.76000 - El Paso - TX - - 915 - MST - 76137 - -97.28910 - 32.86640 - Fort Worth - TX - - 817 - CST - 78255 - -98.65560 - 29.63690 - San Antonio - TX - - 210 - CST - 75853 - -95.75930 - 31.92220 - Montalba - TX - - 903 - CST - 79324 - -102.76410 - 33.85020 - Enochs - TX - - 806 - CST - 75287 - -96.83140 - 33.00050 - Dallas - TX - - 972 - CST - 78059 - -98.85520 - 29.21170 - Natalia - TX - - 830 - CST - 77410 - -95.68000 - 29.98000 - Cypress - TX - - 281 - CST - 79411 - -101.86260 - 33.57040 - Lubbock - TX - - 806 - CST - 75475 - -96.26052 - 33.48808 - Randolph - TX - - 903 - CST - 76861 - -100.18230 - 31.61210 - Miles - TX - - 915 - CST - 75671 - -94.36000 - 32.55000 - Marshall - TX - - 903 - CST - 76104 - -97.31840 - 32.72560 - Fort Worth - TX - - 817 - CST - 77902 - -97.01000 - 28.80000 - Victoria - TX - - 361 - CST - 77471 - -95.79820 - 29.54970 - Rosenberg - TX - - 281 - CST - 76531 - -98.11310 - 31.67810 - Hamilton - TX - - 254 - CST - 78632 - -97.49060 - 29.66610 - Harwood - TX - - 830 - CST - 79225 - -99.51570 - 34.24390 - Chillicothe - TX - - 254 - CST - 75067 - -97.02680 - 33.04500 - Lewisville - TX - - 972 - CST - 78330 - -97.85145 - 27.77694 - Agua Dulce - TX - - 361 - CST - 77355 - -95.68900 - 30.16780 - Magnolia - TX - - 281 - CST - 76227 - -96.98790 - 33.29200 - Aubrey - TX - - 254 - CST - 75647 - -94.93200 - 32.55590 - Gladewater - TX - - 903 - CST - 77803 - -96.37140 - 30.69130 - Bryan - TX - - 979 - CST - 79710 - -102.13000 - 32.03000 - Midland - TX - - 915 - CST - 77864 - -95.90910 - 30.95330 - Madisonville - TX - - 936 - CST - 77504 - -95.18850 - 29.65010 - Pasadena - TX - - 713 - CST - 88565 - -106.49000 - 31.76000 - El Paso - TX - - 915 - MST - 75211 - -96.88180 - 32.73690 - Dallas - TX - - 214 - CST - 78537 - -98.05290 - 26.16710 - Donna - TX - - 956 - CST - 78023 - -98.70350 - 29.59220 - Helotes - TX - - 210 - CST - 78161 - -98.07080 - 29.27780 - Sutherland Springs - TX - - 830 - CST - 77450 - -95.74450 - 29.76760 - Katy - TX - - 281 - CST - 79250 - -101.60460 - 33.87680 - Petersburg - TX - - 806 - CST - 75363 - -96.80000 - 32.78000 - Dallas - TX - - 214 - CST - 76357 - -98.18390 - 34.07280 - Byers - TX - - 940 - CST - 75246 - -96.76970 - 32.79480 - Dallas - TX - - 214 - CST - 78154 - -98.27220 - 29.56820 - Schertz - TX - - 830 - CST - 77396 - -95.26220 - 29.95070 - Humble - TX - - 281 - CST - 79085 - -102.49919 - 34.72724 - Summerfield - TX - - 806 - CST - 76834 - -99.42700 - 31.82870 - Coleman - TX - - 915 - CST - 79935 - -106.33030 - 31.77180 - El Paso - TX - - 915 - MST - 77650 - -94.61170 - 29.45980 - Port Bolivar - TX - - 409 - MST - 88532 - -106.49000 - 31.76000 - El Paso - TX - - 915 - MST - 78738 - -97.98240 - 30.33370 - Austin - TX - - 512 - CST - 76579 - -97.28520 - 31.17590 - Troy - TX - - 254 - CST - 78472 - -97.40000 - 27.80000 - Corpus Christi - TX - - 361 - CST - 77969 - -96.65475 - 28.76884 - La Salle - TX - - 361 - CST - 77083 - -95.65110 - 29.69470 - Houston - TX - - 281 - CST - 76693 - -96.42020 - 31.78650 - Wortham - TX - - 254 - CST - 78043 - -99.46550 - 27.48150 - Laredo - TX - - 956 - CST - 75189 - -96.36480 - 32.96280 - Royse City - TX - - 972 - CST - 76118 - -97.22280 - 32.80890 - Fort Worth - TX - - 817 - CST - 76120 - -97.17810 - 32.76390 - Fort Worth - TX - - 817 - CST - 77517 - -95.12900 - 29.38030 - Santa Fe - TX - - 409 - CST - 79852 - -103.55970 - 29.31650 - Terlingua - TX - - 915 - CST - 78739 - -97.87840 - 30.17200 - Austin - TX - - 512 - CST - 77882 - -96.41967 - 30.91397 - Wheelock - TX - - 979 - CST - 78237 - -98.56450 - 29.42080 - San Antonio - TX - - 210 - CST - 76036 - -97.37030 - 32.58140 - Crowley - TX - - 817 - CST