Request More Information on Health Insurance

LTCC is a trademark of Long Term Consumer Care, Inc. All other products mentioned are registered trademarks of their respective companies.

» Request Additional Plan Information «

Thank you for your interest in the benefit plans we offer. Please complete the following request form and select the plans you are interested in. At Temp-Plans.com, we understand the importance of protecting your privacy. Any personal information you provide will be considered strictly confidential and will NOT be shared with any third party organizations.

Name:

Company:

Address:

City:

State:

Zip:

Telephone:

Email:

How did you find us:

» Brochure & Application Download «

Online Brochures and Applications Available For Download
Click on the plan - Requires Adobe Acrobat

» Liberty Short Term Medical Applications

» The American Health Shield Application

» Careington Dental/Vision Brochure & Application

» Clarendon Freedom Short Term Medical Brochure & Application

» Assurant Short Term Medical Brochure & Application

» Overseas Travel Medical Plan Brochure & Application

» Information by Email «

For quicker service, we can also email you detailed information
on the following plans. Note: Your email address
will NOT be saved or added to any list.

	The American Health Shield (by email)
	Careington Dental/Vision Plan (by email)
	Clarendon Freedom STM (by email)
	Liberty Short Term Medical (by email)
	Assurant Short Term Medical (by email)

» Applications by Mail «

Please select the application you would like to receive
by regular mail. Many STM applications are state specific.
Please specify the application state if you need an application
for a state other then the state listed in your contact information.

	The American Health Shield STM or Download
	Clarendon Freedom Short Term Medical or Download
	Clarendon Term-Flex 12x3 Major Medical or Download
	Assurant Short Term Medical or Download
	Overseas Travel Medical Plan or Download
	Careington Dental / Vision Plan or Download

» Additional Information Requested «

At Temp-Plans.com, we understand the importance of protecting your privacy. Any personal information you provide will be considered strictly confidential and will NOT be shared with any third party organizations. For more information, please read our Privacy / Legal policy.