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Primary Applicant

For the most accurate rates, please enter the date of birth of the male head of household when applying for coverage with a spouse/family.

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Disclaimer

* All rates are subject to change April 1 each year.

The rates herein are estimated for online benefits. If you are approved for coverage your rates could be equal to or higher than these rates

To begin the application process:

  1. Complete a Health Statement, where you provide information on your medical history for the past five years.
  2. If you are accepted for coverage, we will contact you within seven days with a guaranteed rate quote for health and optional dental coverage. Your answers help us to accurately determine rates for the plan in which you are interested. If any information is incomplete the Health Statement will be returned to you, resulting in delay of the review process.

This information is confidential and secure. Only authorized Blue Cross and Blue Shield of Kansas employees who will evaluate your health insurance coverage will have access to this statement. Completing the Health Statement in no way obligates you to purchase coverage.