858.309.8801
bill@hammetthealth.com
Authorized Independent Agent: Bill Hammett IV CA L#0E04722
Insurance. Simplified.
Individuals
Groups
Seniors
Dental
Short-Term
Travel
Life

 

Choose the insurance company to view their forms.

  • Aetna
  • Healthnet
  • Kaiser

Forms: Anthem Blue Cross of California

Application Forms
IFP Individual and Family Plans
Medicare Supplement Plans (over 65 years old)
  • Pre 65 Medicare Supplement Plans (under 65 years old)
Freedom Blue Application for Seniors: Medicare Advantage Plan
 
Short Term Health Plans Brochure and Application
 
Automatic Payment Forms

Auto Pay IFP from your Credit Card or Checking

Auto Pay Medicare Supplement from your Checking Acct
Auto Pay Part D Drug Plans: Medicare Rx Part D - Checking or Savings Only
 
Dental Forms

Individual Dental (IFP and Stand-Alone)

Senior Dental Information

 
Individual and Family Health Plan Brochures (IFP)
IFP Plan Benefit Sheets
 
Medicare Supplement Plan and Medicare Advantage Plans(Seniors)
Medicare Health Plans at a Glance - Trifold Blue Cross
Medicare Supp Summary of Benefits

Freedom Blue PPO Medicare Advantage Plans

 

Major Risk

 
Part D Prescription Drug Plan Brochures (Seniors)
 
Rates for IFP, GI, Medicare Supplement and Part D Plans
Rate Guide: IFP Individual and Family Plans, Dental and Life (128 pages)
Rates: GI Guaranteed Issue IFP Plans (HIPAA Plans)
Rates: Term Life Rates
Rates: Medicare Supplement
Rates: Medicare Supplement (pre 65 years old)
Rates Part D Prescription Drug Plans
Rates: Short Term Brochure Rates and App
 
 
Service Forms for Existing Blue Shield Members

Transfer Form IFP (Underwritten) : To change plans when "upgrading." To unbundle or bundle your policy. Subject to Medical Underwriting.

Resources and Contacts Member Serive Phone #s and Fax#s
 
Agent Resource Guides
 
Underwriting
Underwriting Guide IFP : Application Guide
Underwriting Probable Request Form
 
Small Group
 

 

 

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Applications
Service Forms
Agent Resources
Refer Us
Products
Individuals
Individual & Family Plans
Youthcare / Dependent Coverage
Short Term Health Plans
Student Health Plans
International Plans
Medicare-Eligible Plans
Self-Employed Plans

Guaranteed Issue Plans HIPAA

Groups & Employers
Self-Employed Health Plans
Employer-Sponsored Plans
Small Groups (2-50)
Mid-Large Groups (50+)
Cheap Dependent Coverage
Dental
Vision

COBRA

Seniors
Original Medicare
Medicare Supplements
Medicare Advantage Plans
Medicare HMO, PPO and PFFS
Part D Prescription Drug Plans

Dental
Individual Dental Plans
Group Dental Plans
California Dental PPO
California Dental HMO
Discount Dental

Short-Term
Temporary Plans
Student Insurance
New-Hires

Life
Term Life
Permanent

Travel
Mexico
International


Tax Advantaged
Government Programs
HSA Health Savings Accounts
FSA Flexible Spending Account
HRA Health Reimbursement Account

MSA Medical Savings Account

Medi-Cal
California's Medicaid Program

AIM
Assistance for Infants and Mothers

MrMIP
Major Risk Medical Insurance
MRMIB

Healthy Families
Childrens Health Insurance Program CHIP
State Children's Health Insurance Program SCHIP

Medicare
Medicare Part A
Medicare Part B
Medicare Part C
Medicare Part D


Hammett Health Insurance Services is an Authorized Independent Agent for Blue Shield of California, Blue Cross of California, Aetna Life Insurance Company, Kaiser, Humana, HTH Worldwide, Pacificare, American General Life Insurance Company, Anthem Blue Cross Life and Health Insurance Company, AXA Equitable Life Insurance Company, Blue Shield of California Life and Health Insurance Company, Golden Rule Insurance Company, PRUCO Life Insurance Company, TransAmerica Life Insurance Company, and West Coast Life Insurance Company. We are proud to serve as Board Members of the San Diego Association of Health Underwriters SDAHU
President: Bill Hammett bill@hammetthealth.com Senior Account Manager: Rebeca Lopez rebeca@hammetthealth.com

Copyright 2007 All Rights Reserved