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Indiana Forms and Rates
Borshoff & Associates specializes in low cost health care in Indiana and Ohio.  Below are details and applications from some of our popular plans.  Please don't  hesitate to call if you have any questions.
Benefit Sheets and Brochures
(requires Adobe Acrobat Reader)

Medalist Brochure - Full color brochure - American Community Mutual's Medalist Health Care Plan for individuals and families

Indiana Health Benefits - A brief description of the benefits of the Medalist Health plan for Indiana Residents

Indiana Rate Sheets - Medalist monthly and EFT base rates

Indiana Short-Term - An interim health insurance plan for individuals who are between jobs,  temporarily laid off, waiting for group coverage. or seasonally employed

Applicatons
(requires Adobe Acrobat Reader)

Fax all applications to Borshoff.com (317) 846-0983.  A fax cover sheet is provided for your convenience.

Fax Cover Sheet

Medalist Application - Indiana health insurance application through American Community Mutual Insurance.  

Indiana Short-Term Application- short-term health coverage

 
  www.borshoff.com P.O. Box 104 • Carmel, Indiana 46082 • Phone: (317) 846-1005 • Fax: (317) 846-0983  
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