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How
to Apply
Please note
that all applications will be submitted in the name of Wiley Long, the
president of HSA for America.
If you have already been working directly with one of our advisors, then that
person will be noted in our system as your personal contact. Before
you apply, be sure to view the Golden Rule brochure. It contains
important information regarding benefits, exclusions, limitations, renewability,
and other terms of coverage. To see the brochure, please run an instant
quote and click on the plan details.
Apply
Online:
The fastest
and easiest way to apply is to Apply Online. In order to Apply
Online for any plan with Golden Rule Insurance Company, you will need to
run an instant quote. When you
see the plan you would like to apply for, simply click the APPLY button
next to the quote and you will enter the online application process. Gather
the following information before you start the application in order to speed
the process: -
Your doctors’ names, addresses, and phone numbers
-
Medications you currently take or recently took, including dosage and frequency
- Dates
of hospitalization
-
The name of the plan for which you are applying
-
Your requested effective date
-
Your credit card information to cover the initial premium
For
security, Golden Rule uses VeriSign certified SSL 128 bit encryption.
Apply
by Fax or Mail:
Follow the
steps and you can apply within minutes. To
apply via fax or mail for any plan with Golden Rule Insurance Company, just
follow the instructions below:
Simply run
an instant quote, then click "Apply"
next to the plan you are interested in and select "download an application."
When the Adobe Acrobat reader opens with the application, use the menu bar
at the top to save the application to a file or simply print it out right
from the reader. Follow
the instructions on the first page and complete the entire application. Please
fill out the application completely and include all pages.
Any unanswered questions will delay the processing. If you have any
questions about filling out the application, call application processing department
at 866-749-2039, or email us at info@HSAforAmerica.com,
leave your name and phone number, and someone from our office will call you
back and answer any application questions you have. Fax
your application toll-free to 1-888-771-0010. Or Mail it to:
HSA
for America
1001-A East Harmony Road, #519
Fort Collins, CO 80525
Important:
Golden Rule will charge your first month’s premium immediately upon
receipt of the application. Note:
After receiving your policy or certificate, you have 10 days to review it.
If for any reason you decide not to keep the policy, you will receive a full
refund of your initial premium.
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