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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 for a health insurance plan with World, be sure to view the brochure
for the plan you are applying for. It contains important information regarding
benefits, exclusions, limitations, renewability, and other terms of coverage:
The fastest
and easiest way to get your coverage in force is to Apply
Online, using the link above. 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
If you do not
wish to Apply Online, simply follow the paper application 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
Note:
All policies come with a money-back guarantee. After receiving
your policy, 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.
Remember that you also have access to the guaranteed lowest
life insurance rates available, with easy online quotes and applications.
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