Please note
that all applications will be submitted in the name of Wiley
Long, the president of ColoHealth.
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, please view the Celtic Brochure for complete details
on Plan Provisions, Limits & Exclusions, and State Variations:
The fastest
and easiest way to get your coverage in force is to Apply Online,
using one of the links 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
Apply
by Fax of Mail
Celtic
Basic Application 
- CelticSaver
HSA Application
To download
applications: Click your plan application link above.
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. Simply
follow the instructions on the first page and complete the application.
(You
may also fill out our Application
Request Form and I will send you an application right
away.)
Please fill
out the application Completely. Any unanswered
questions will delay the processing. If you have any questions
about filling out the application, you can try to reach me by
calling at letting my receptionist know that the call is URGENT.
However, I am usually in meetings, and unable to come to the phone
most times. You can also email us at info@ColoHealth.com,
leave your name and phone number, and someone from our office
will call you back and answer any application questions you have.
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.
