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Health Savings Account by Selected Benefits of Houston Texas

1) Choose your Insurance Carrier
2) Print and fill out the form as best you can
3) Fax it back to us at 877.718.8056 (or scan/email to info@selectedbenefits.com)
4) We'll call as soon as the application comes in

Aetna Application No application fee.

Assurant Health Application $20 Application fee does apply

Blue Cross Blue Shield Application (Select Blue Advantage, Select Choice, Select Saver plans) No Application Fee

Blue Cross Blue Shield Application (HSA-Health Savings Account plans only) No Application Fee

CIGNA Healthcare Application No application fee.

Humana One Application No application fee.

United Health No application fee.


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Selected Benefits, Inc
Steven Wendlandt - Licensed Agent
3000 Weslayan, Suite 273 | Houston Texas 77027 | Call 1-713-621-1440
Toll Free Mobile Phone Call 1-866-270-6209 | Toll Free Fax (877) 718-8056
info@selectedbenefits.com

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