ConnectiCare SOLO Application


ConnectiCare SOLO Application

   
  Health Insurance Connecticut
  Box 896
  Ridgefield, CT 06877
  (800) 870-6881
 
   
   

How to Apply

ConnectiCare® SOLO offers high-quality coverage to individuals who don't have access to health insurance through an employer group. These include:

  • Self-Employed persons
  • Employees not eligible for group coverage (part-time employees, etc.)
  • Those between jobs
  • Early Retirees

All plans are medically underwritten and require new applicants to complete an Individual Health Statement and any additional information as deemed necessary.

Individuals who meet the following requirements are eligible to apply for ConnectiCare SOLO:

  • Legal residents of Connecticut
  • Under age 65
  • Not enrolled in or entitled to Medicare benefits
  • Families with unmarried, dependent children under age 19 (or under age 26 if a full-time student)
  • Married couples and domestic partners who meet eligibility requirements.
ConnectiCare SOLO

THIS SECTION HAS DOCUMENTS IN PDF FORMAT

ConnectiCare Insurance Application

Apply To Qualify For Coverage

Apply Now

Need Assistance or Have Questions - Please Call

(800) 870-6881

To view or print the pdf file, you must have the latest version of Adobe Reader (available FREE from Adobe) installed on your Computer.