Welch Brand Insurance Services
3970 FM 2181, Suite 200
Hickory Creek, Texas 75065
Phone: 940.220.7232
Fax: 888.310.1660

Email: insurance@ntin.net



Click to read our
Pledge of Performance

 

Counties:
Denton, Dallas, Cooke, Wise, Parker,
Collin and Tarrant

Including the cities of:
Denton, Lake Dallas, Hickory Creek, Corinth, Flower Mound, Lewisville, Argyle, Pilot Point, Plano, Frisco, Dallas, Keller, Forth Worth, Aubry, Sanger and Gainesville

 

Health Insurance Quote

Premium quotes are based on the rates effective at the time the quote is made. They are for informational purposes only and are subject to the accuracy of the information provided by the individual requesting the quote.

This is not an implicit offer of insurance. Actual rate quotations are based on an individual customer needs analysis and are calculated with specific information provided by the applicant to the agent.



 

 

 
Products and services are subject to all eligibility requirements stated in the policy.
 
Click here for UNICARE Quotes and Applications Online
 
Please compelete the following information and hit the "Submit" button.
 
Personal Information:
First Name:
Last Name:
Date of Birth:
 (mm/dd/yy)
Home Zip Code:
Do you use any tobacco products:
Spouse's First Name:
Date of Birth:
 (mm/dd/yy)
Do you use any tobacco products:
       
Child 1 First Name:
Date of Birth:
Child 2 First Name:
Date of Birth:
Child 3 First Name:
Date of Birth:
Contact Information:
Best Contact #:
Alternate #:
Fax #:
Email:
Occupation:
Current Coverage:
Carrier:
Monthly Premiums:
 $
Doctor Co-Pay:
 $
Prescription Co-Pay:
 /
Coinsurance:
Stop Loss:
(max out of pocket/per individual)
 $
Any current medical conditions?: