View the description of coverage, covered expenses and list
of exclusions online.
We strongly recommend using the secure online enrollment system and
avoid using downloaded paper enrollment forms. Downloaded forms, if used, are in PDF format. To download a free reader, visit www.adobe.com.
Forms for download are listed on the
Site Map. If you do not see the form you need, please make a request at the bottom
of this page and it will be e-mailed or faxed to you.
If applying with a paper application fax a copy
toll-free to (800) 609-0683 or
e-mail a copy to to speed up processing.
Always keep a copy of your enrollment forms for your own records.
Mail the original completed enrollment forms to CelticEnrollment.com,P. O. Box 333, Newport, NJ 08345. Make sure that all questions are answered or processing
will be delayed. Do not mail applications to any other address or your
application will be delayed.
Expect to receive a
confirmation by e-mail within 24 hours of receipt of your enrollment
forms.
Insurance coverage is not in force until approved by the underwriter.
Do not cancel other coverage until notified that your new policy is in force
A conditional binder of coverage or temporary coverage may be available
during the underwriting period. Please discuss this with your benefits
adviser.
The time required from the submission of an application form
for permanent renewable coverage to delivery of
your ID cards varies from 7 days to 30 days depending on whether additional
information is required by the underwriter after reviewing the initial
application.
Enrollment applications submitted are not always approved as
requested. Many applicants will be ineligible or offered coverage at
higher rates or with modifications to the coverage. Please discuss
this with your benefits adviser.