*Individual Coverage
Download the individual application
Complete and return the application to the address below
**Group Coverage (3 or more employees)
Download the group application
Complete and return the application along with a copy of your current health plan and most recent premium invoice to the address below
Christian Church Health Care Benefit Trust
Attn: Ida Watkins
130 East Washington Street
Indianapolis, IN 46204
*Await response from our independent underwriter as to acceptance
**Await a specific quote from Churchwide Healthcare based upon independent underwriting