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(On and Off Exchange)

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(On and Off Exchange)

(Must have compatible plan)

(Must have compatible plan)

for Marketplace plans

through UnitedHealth One

through BCBSTX

through GeoBlue

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 PlanAttention: Enrollment1206 West Campus Drive, MS-A4-126Temple, Texas 76502

Paper Applications:

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

2018 Individual Enrollment Guide2018 HMO Application2018 EPO Application

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