Short Term Health Insurance - Liberty Secure STM

Get a Quote & Apply Online

Get a Quote & Apply Online

Apply Online Above  - Printable Applications to Mail or Fax are Below

Please Note: The option to remove the CFA Enhancement Series Discount Plan is only available with online applications.  When applying using the applications below, the Enhancement Series is included.  Applying online will save you between $15 - $45 per month when not selecting the Enhancement Series benefits.  If you would like to apply for the Liberty plan without the Enhancement Series Discount plan, then simply note this on the application and fax it to: 1-262-523-1910.

Get a FREE Rx Savings Plan only when you apply through this site.

NOTE: The Secure STM is available in the following states: AL, AK, AR, AZ, CA, CO, DC, DE, FL, GA, HI, IA, ID, IN, IL, KY, KS, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NV, NM, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, WI, WV and WY.   Download Liberty Secure STM Brochure (PDF) 

Liberty Select STM Applications and Rate Sheets

 Underwritten by Security Life Insurance Company of NY

FOR PROPER HANDLING PLEASE FAX COMPLETED APPLICATION TO: 1-262-523-1910

Instructions: Print the Application and the Rate sheet according to your state of residence. Adobe Acrobat PDF Reader is required.  Check Rates Online by Clicking Here.
AL - Application AL - Rate Sheet MO - Application MO - Rate Sheet
AK - Application AK - Rate Sheet MS - Application MS - Rate Sheet
AR - Application AR - Rate Sheet MT - Application & Rates
AZ - Application AZ - Rate Sheet NC - Application NC - Rate Sheet
CA - Application CA - Rate Sheet ND - Application ND - Rate Sheet
CO - Application CO - Rate Sheet NE - Application NE - Rate Sheet
CT - Click Here for short term plans in CT NH - Application NH - Rate Sheet
DC - Application DC - Rate Sheet NV - Application & Rates
DE - Application & Rates NM - Application NM - Rate Sheet
FL - Application FL - Rate Sheet OH - Application OH - Rate Sheet
GA - Application GA - Rate Sheet OK - Application OK - Rate Sheet
HI - Application HI - Rate Sheet OR - Application OR - Rate Sheet
IA - Application IA - Rate Sheet PA - Application PA - Rate Sheet
ID - Application ID - Rate Sheet RI - Application RI - Rate Sheet
IN - Application IN - Rate Sheet SC - Application SC - Rate Sheet
IL - Application IL - Rate Sheet SD - Application SD - Rate Sheet
KY - Application KY - Rate Sheet TN - Application TN - Rate Sheet
KS - Application KS - Rate Sheet TX - Application TX - Rate Sheet
LA - Application LA - Rate Sheet UT - Application UT - Rate Sheet
MD - Application MD - Rate Sheet VA - Application VA - Rate Sheet
ME - Application ME - Rate Sheet WI - Application WI - Rate Sheet
MI - Application MI - Rate Sheet WV - Application WV - Rate Sheet
MN - Application & Rates WY - Application WY - Rate Sheet

Helping protect businesses, families and the future...

For More Information, Contact: Long Term Consumer Care, Inc.
Toll Free: (800) 544-9505
 
Product Availability Varies By State

Copyright© 2008, Long Term Consumer Care, Inc.

LTCC is a trademark of Long Term Consumer Care, Inc.  All other products mentioned are registered trademarks of their respective companies.  Questions or problems regarding this web site should be directed to info@consumerbenefits.net .