Main Page Florida Health Insurance - with a complete listing of carriers and plans
All of the applications and descriptions have been converted to
PDF files. To view these forms, you will need Adobe Acrobat
Reader which is a FREE Download.
Click
Here to Download Acrobat Reader
Plan descriptions and applications can be found here and downloaded. All applications need to be fully completed and signed to be processed. If you are self-employed or a business you will need to provide at least 2 proofs of business. One of those must be business taxes. For self-employed persons that must include a schedule C and for larger business must include a UCT6. Corporate paperwork or an occupational license alone is not sufficient.
Generally required for Business health insurance:
| Employer application | |
| Employee applications, including waivers for employees declining coverage | |
| Check for first month's premium made payable to insurance company | |
| Federal Tax Form 941 and particularly the UCT6 | |
| Business or occupational license | |
| Quarterly wage and tax statements for past 2 quarters | |
| If self-employed 1040 Schedule C |
Individual Health Insurance applications require completion of the application and a check made payable to the insurance company or HMO. The check can be for one month, quarterly, semi-annually or annually. Premiums must be paid with a personal check from the insured. American Medical Securities will charge an additional $10 for each time a bill is sent if you would rather be direct billed instead of setup as a bankdraft.
We look forward to hearing from you and receiving your paperwork. If you would like an e-mail confirmation sent to you that we have received your paperwork, please let us know, being sure to include your e-mail address.
All Paperwork is to be returned to
John K. Arnold
PO Box 300801
Fern Park, FL 32730-0801
Applications and Plan Descriptions
American Medical Security/United Wisconsin Life Insurance Company
Blue Cross Blue Shield
| BCBS BlueCare HMO (formerly Health Options) Plan Descriptions (for groups of 4 to 50) | |
| BCBS PPO Plan Descriptions (for groups of 4 to 50) |
DentiCare
| Brochure and Application |
Fortis Health
| Fortis Health Brochure | |
| Fortis Health Application | |
| Student Select Brochure and Application |
Humana
| Humana HMO Description | |
| Humana Point of Service Plan Descriptions | |
| Humana PPO Description | |
| Humana Dental & Short Term Disability Plan Descriptions |
Temporary or Interim Health Insurance
United HealthCare
| Counties in Florida United HealthCare Plans are Available | |
| United HealthCare Open Access Plans |
International Health, Major Medical, Travel and Life Insurance
John K. Arnold
Florida Health Insurance
Group, Employee Benefits & Individual Health Insurance Specialist
Website Address www.floridahealthinsurance.com
E-Mail:
John K Arnold
Phone: 407-592-0311 (Best number to reach me)
Phone: 407-830-0259
Fax: 407-386-7053
If outside the US, it is best to e-mail as we can respond more
quickly. Thanks.
Let me know how I can help you.