Supported by CHRISTUS St. Michael Health System
*This is not an application for health insurance. Premium Support helps you pay the premium for health insurance that you buy from the Health Insurance Marketplace. Premium support is for individuals living in Bowie and Cass County’s only.
STEP 2: YOUR CONTACT INFORMATION
Ark-Tex Council of Governments will send a letter to your home/mailing address to tell you if you are eligible for financial help from Premium Support. Would you like the Ark-Tex Council of Governments to contact you another way?
STEP 3: INFORMATION ABOUT YOUR HEALTH INSURANCE
Before you bought insurance at the Health Insurance Marketplace, what insurance did you have?
STEP 5: READ AND SIGN THE APPLICATION
You must CHECK next to all of the sentences to submit your application.