Secure STM - Short Term Medical Applications
Underwritten by: Standard Security Life Insurance Company of NY
NOTE: The Liberty STM applications are available for the following states: AL, AK, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IN, IL, KY, KS, LA, ME, MD, MI, MN, MO, MS, MT, NC, ND, NE, NH, NV, NM, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, WI, WV and WY.   Download Secure Med Brochure (PDF)
Instructions: Print the Application and the Rate sheet according to your state of residence. Adobe Acrobat PDF Reader is required.  Check Rates Online by Clicking Here.

Secure STM Applications and Rate Sheets

 Underwritten by Security Life Insurance Company of NY

FOR PROPER HANDLING PLEASE FAX COMPLETED APPLICATION TO: 1-262-523-1910

Instructions: Print the Application and the Rate sheet according to your state of residence. Adobe Acrobat PDF Reader is required.  Check Rates Online by Clicking Here.
AL - Application AL - Rate Sheet MO - Application MO - Rate Sheet
AK - Application AK - Rate Sheet MS - Application MS - Rate Sheet
AR - Application AR - Rate Sheet MT - Application & Rates
AZ - Application AZ - Rate Sheet NC - Application NC - Rate Sheet
CA - Application CA - Rate Sheet ND - Application ND - Rate Sheet
CO - Application CO - Rate Sheet NE - Application NE - Rate Sheet
CT - Application CT - Rate Sheet NH - Application NH - Rate Sheet
DC - Application DC - Rate Sheet NV - Application NV - Rate Sheet
DE - Application DE - Rate Sheet NM - Application NM - Rate Sheet
FL - Application FL - Rate Sheet OH - Application OH - Rate Sheet
GA - Application GA - Rate Sheet OK - Application OK - Rate Sheet
HI - Application HI - Rate Sheet OR - Application OR - Rate Sheet
IA - Application IA - Rate Sheet PA - Application PA - Rate Sheet
ID - Application ID - Rate Sheet RI - Application RI - Rate Sheet
IN - Application IN - Rate Sheet SC - Application SC - Rate Sheet
IL - Application IL - Rate Sheet SD - Application SD - Rate Sheet
KY - Application KY - Rate Sheet TN - Application TN - Rate Sheet
KS - Application KS - Rate Sheet TX - Application TX - Rate Sheet
LA - Application LA - Rate Sheet UT - Application UT - Rate Sheet
MD - Application MD - Rate Sheet VA - Application VA - Rate Sheet
ME - Application ME - Rate Sheet WI - Application WI - Rate Sheet
MI - Application MI - Rate Sheet WV - Application WV - Rate Sheet
MN - Application & Rates WY - Application WY - Rate Sheet
 
 
Long Term Consumer Care, Inc.
N27 W23960 Paul Road Suite 201 ~ Pewaukee, WI  53072
Toll Free: 1.800.544.9505  Fax: 1-262.523-1910