Baylor Scott & White Individual Paperwork for 2018

Individual Enrollment Forms

Here is the updated Baylor Scott & White individual enrollment paperwork for 2018 coverage.

Individual Enrollment Options

For the 2018 enrollment period, Baylor Scott and White is giving brokers two ways to help their clients sign up for individual coverage:

1) The agent can log into Broker Office to run quotes and complete applications instead of using an Express Link as in the past.


2) The other options is to send clients the paper quote rates and the paper applications—either HMO or EPO.

Please submit paper application in one of the following ways:

Email to:

Fax to: 254-298-3199

Mail to:

Scott and White Health Plan
Attention: Enrollment
1206 West Campus Drive, MS-A4-126
Temple, Texas 76502

Paper Applications:

Here are the applications to use for Baylor Scott & White individual and family plans.