Carrier Links
A number of carriers make their medical insurance applications for individual/family coverage available online. Since each insurance carrier develops its own medical underwriting guidelines, it is often better to talk with us before completing the application process. We do not want any client to be declined coverage and the discussion about medical history is helpful in targeting the best carrier for an individual's needs. Once a specific carrier and insurance plan is chosen, applications may be completed and faxed directly to Carlton Insurance LLC. Some carriers offer online application completion. We often work with clients and complete the online application together, either in person or over the telephone. Alternatively, clients can click on one of the following links and complete the application directly with the carrier.

Assurant Health SHORT TERM Individual Application
Assurant Health Student Application

LifeWise of Oregon Individual Application
![]()
PacificSource Individual Application
PacificSource Short-Term Application

![]()
HealthNet Indvidual Application

LifeWise of Washington Individual Application
