Get Application - Equestrian Insurance Group

Filling out the APPlICAtIOn - Equestrian Insurance Group online can be a straightforward process when you know the key steps to complete each section accurately. This guide will walk you through the necessary components to ensure your application is submitted successfully.

Follow the steps to fill out your application with ease.

1. Press the ‘Get Form’ button to access the application form and open it in the appropriate editor.
2. Begin filling out Section 1, providing detailed information about the individual applying for coverage, including last name, first name, middle initial, and Social Security number if applicable.
3. In Section 2, indicate the state where you currently reside, ensuring it is served by the Federally-run Pre-Existing Condition Insurance Plan.
4. Provide information on your citizenship or immigration status in Section 3 by selecting the appropriate option and including required documentation.
5. Fill out Section 4 regarding your medical condition, checking the relevant boxes and attaching necessary documentation from a healthcare provider.
6. Complete Section 5 by answering questions about previous health coverage and providing information on any past insurance, including company names and reasons for coverage ending.
7. In Section 6, select one of the three plan options available for the year 2011, based on your expected health care needs.
8. Read through Section 7, verifying your understanding of the application process, and ensure you sign and date the application properly.
9. If applicable, complete Section 8 by indicating how you heard about this plan.
10. Use the Checklist in Section 9 to review that all questions are answered, signatures are complete, and required documents are included.
11. Once complete, save your changes, and you can proceed to download, print, or share the application form.

Complete your application online today to secure your health coverage without delays.