Assurant
Health - Short Term Health Insurance
Applications
Underwritten
by: Time Insurance Company
Short
Term Health Insurance from Time /
Assurant Health Insurance Company is
available in the following states.
The applications and brochures can be
downloaded or printed directly
from the Internet using Adobe Acrobat
Reader®. If you don't have
Adobe Acrobat, you can download it by
clicking HERE.
Click
on the State you currently have
residence in. Many states have
plans available for up to 12 months.
The Application will open in a new
window. Applications are
State specific. If you plan on
moving or traveling while you are
covered, your Short Term Health coverage
will follow you throughout the United
States.
Complete
the application and either mail or fax
the application with payment made
payable to: Assurant Health. Your
policy will be issued and mailed the
same day we receive it by mail or fax.
Complete
the application and either
mail or fax the application
with payment made payable to: Assurant
Health. Your policy
will be issued and mailed the
same day we receive it by mail
or fax.
If
Applying
by Mail
or Fax -
Select
Your
State
Below
