TXInsurance.com

Forms & resources

We are putting together a single place to find every form a client of TXInsurance.com might need — updating bank draft, verifying proof of income, signing consent forms, and submitting carrier applications. New forms will be posted here soon.

Coming soon

Need one of these now? Call 800-214-8976 / 281-747-9800 and we will email the correct form directly to you.

Dental enrollment: enroll yourself in a Cigna dental plan online right now — Cigna dental self-enrollment or shop Ameritas dental plans.

Bank draft / EFT authorization

Update or set up automatic premium payments from your bank account.

Coming soon

Proof of income

Document income for ACA subsidy eligibility and Marketplace verification.

Coming soon

Client consent form

Authorize TXInsurance.com to access your account, quote plans, and submit applications on your behalf.

Coming soon

Broker-of-record (BOR)

Designate TXInsurance.com as your agent of record on an existing policy at no cost to you.

Coming soon

Carrier enrollment applications

Common ACA, Medicare and dental carrier application forms in one place.

Coming soon

*Some ACA plans in some areas have a small one-time enrollment fee due to little or no broker compensation. Agency enrollment fees never apply to Medicare products.

Frequently asked questions

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