You can use the following paper applications applicable to your state for short term health insurance. Credit card payments can be either mailed or faxed to us.

Application for use in MI, MO, NV, OH for up to 6 months.
Application for use in AL, AR, AZ, DC, IA, IL, NC, PA, SC, TX, WI and WY for up to 12 months.
Application for use in LA for up to 12 months.
Application for use in KY for up to 6 months.

Alternatively, you can apply online.