Short Term Health Insurance Eligibility Questions
 
Are you eligible for short term health insurance?  To be eligible, you must be able to answer NO to the following questions.  Please Note: The eligibility questions may vary in some states.
Liberty STM and Secure STM Eligibility Questions - Click Here to Get a Quote or Apply
  1. Is the proposed insured, spouse, or any dependent child now pregnant?
  2. Has any person applying for coverage been declined for health insurance for a condition that is still present? (Missouri residents do not have to answer)
  3. Is any proposed insured currently eligible for Medicaid?
  4. Are you or any person proposed for coverage over 300 pounds if male or over 250 pounds if female?
  5. Within the past 5 years have you or any person proposed for coverage been aware of, received an abnormal test report, been diagnosed with, treated by or received follow-up care with a member of the medical profession or taken medication for heart disorder including but not limited to heart attack, stroke, cancer, tumor, emphysema or COPD (chronic obstructive pulmonary disease), diabetes, liver disorder, kidney disorder other than stones, degenerative disc disease or herniated disc, rheumatoid or psoriatic arthritis, degenerative joint disease of the knees or hips, alcohol abuse or chemical dependency, hemophilia?
  6. Have you or any person proposed for coverage been diagnosed or treated for Acquired Immune Deficiency Syndrome (AIDS), AIDS-related complex, or any other immune system disorder? Answer this question “no” if you have tested positive for HIV but have not developed symptoms of the disease AIDS.
  7. Has any person proposed for coverage NOT been a legal resident of the United States for the last 12 consecutive months?

Note: If you have Non Insulin Dependent Diabetes or you have been declined for health coverage in the past, Click Here for the Secure Lite STM or Here for the Secure 12x3 STM.  These two plans do not decline for non-insulin dependent diabetes and they do not ask if you have been declined for health coverage in the past.

 
 
Long Term Consumer Care, Inc.
N27 W23960 Paul Road Suite 201 ~ Pewaukee, WI  53072
Toll Free: 1.800.544.9505  Fax: 1-262.523-1910