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Click below to download applications and forms for the premier Indiana health insurance carriers.  You will need acrobat reader...it's free.  These are large files so please wait a few minutes for the file to appear.  You may need to hit "refresh".

 


 
Applications (download)

  Anthem Blue Cross Blue Shield of Indiana
  Blue Access Traditional
Blue Access Saver  (HSA)
Blue Access Economy
Blue Short Term
Medicare Supplement
  Unicare of Indiana
Individual
Short Term
Medicare Supplement
 
Apply Online
 
-cuts processing time in half
 

     Blue Cross Blue Shield of Indiana
    
Celtic Basic
    
Celticare
    
CelticSaver HSA
    
Celtic Short Term
     Unicare

   

 
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Online applications cut time in half

To Expedite Processing...We just need the completed application and first payment by check or credit card (when available)  to start the process.  You can expedite processing by faxing copies of this information to us at 317/536-3051.   Make sure to give yourself enough time to go through the process for your ideal effective date.  Questions on enrollment here


Please call us or e-mail us with any questions.  We are here to help.  
You can send completed your application and first payment 
(made out to Carrier)  to:

River Rock Insurance Services Inc.
2351 Sunset Blvd Suite 170/105   Rocklin, Ca 95765
License - IN#469624
Nationwide:     866/486-6551
Fax#:               317/536-3051
 

IndianaPlans.com provides rates, applications, and information to better help Indiana understand their options.  River Rock Insurance Services Inc., the registered owner of the web site, does not recommend, endorse or provide advice on which insurer to select or which products to buy.
Do not cancel any existing health insurance until you receive written confirmation from the insurance company to which you are applying.

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