Student Health Plan Applications

Student Health Plan Applicants Must Reside In Minnesota.

• Persons under the age of 19 are eligible only as dependents under an eligible parent/legal guardian applicant.
• The preexisting condition limitation does not apply to any covered person under 19 years of age.
  

Coverage will begin 30 days from Mailroom Receipt Date. Please refer to Section G of Application for details.

Click Here to Compare Blue Cross Plans

Application for an Individual Health Contract for Personal Blue

Personal Blue Benefits Brochure & Rates

PLEASE NOTE YOU MUST HAVE INTERNET EXPLORER 7 (IE7) OR ABOVE TO VIEW E-APPLICATION LINK BELOW

Click Here To Access The Blue Cross Personal Blue E-Application

Personal Blue Dental Options

Individual Contracts Only

Simply Blue Application

Simply Blue Brochure & Rates

PLEASE NOTE YOU MUST HAVE INTERNET EXPLORER 7 (IE7) OR ABOVE TO VIEW E-APPLICATION LINK BELOW

Click Here To Access The Blue Cross Simply Blue E-Application

Simply Blue Dental Options

Individual Contracts Only

GoBlue Application

GoBlue Brochure & Rates

PLEASE NOTE YOU MUST HAVE INTERNET EXPLORER 7 (IE7) OR ABOVE TO VIEW E-APPLICATION LINK BELOW

Click Here To Access The Blue Cross GoBlue E-Application

INSTACARE Application

INSTACARE Application - Temporary Health Coverage

INSTACARE Major Medical Contract - Please print a copy for your records

INSTACARE Key Benefit Summary & Rates

PLEASE NOTE YOU MUST HAVE INTERNET EXPLORER 7 (IE7) OR ABOVE TO VIEW E-APPLICATION LINK BELOW

Click Here To Access The Blue Cross InstaCare E-Application

Blue Cross Product Guide

Click Here To Find A Doctor

You will be prompted to complete a brief form to obtain a PIN Number so that you may access the E-Application Website

HealthPartners Traditional Application

HealthPartners Traditional Individual Health Plan - Summary of Benefits

HealthPartners Traditional Individual Health Plan - Rates

HealthPartners Compass Plan Application

HealthPartners Compass Plan Brochure

HealthPartners Compass Rates

Click Here To Access The Health Partners E-Application

Click Here To View Providers

The Columbian Life program is available to Bethel University students only.

Individual Application Form

Individual Medical Benefits Schedule and Rate Sheet - Please print a copy for your records

Claim Form

Contact: Tim Donovan at The David Agency:
E-mail: timd@davidagencyinc.com
Telephone: 952-277-0674
Toll Free: 1-877-827-5824 Ext. 674