Hi , I'm Fermin Azores

I’m proud to announce that all of our plans are compliant with the new Health Care Reform regulations! Selecting the right health plan can be confusing, which is why I’m here to help. To find out more about our new and improved plans, please contact me so we can review your health benefit needs. We have many health plans and I can help you find the one that best meets your needs.

To obtain the application status of a submitted application, please call (877) 373-9821.

My Contact Information:

Tel: 866-785-5093
Fax: 866-831-9386
Email: fermin.azores@anthem.com
Mon - Fri 8:30am - 5pm PST

PO Box 8888
Oxnard, CA 93031-9918

License Number: 371079

Here are our most popular plans

	Premier Plus 3500	SmartSense Plus 2000 Gen Rx	ClearProtection 3300	Lumenos HSA Plus Ind 4500	CoreShare Plus 7500	Tonik: Thrill Seeker (5000)

Plan Description	Premier plan offers unlimited doctor office visits with predictable copays, before the deductible. You have an option of 6 different deductibles. You will get a broad range of preventive benefits help focus on keeping you healthy. You get an annual routine eye exam.	Reliable, basic protection with some of our lowest monthly rates. Choose the annual deductible/monthly rate combination that works for you. Immediate benefits for the first three visits to a doctor. Your choice of prescription drug benefits, Generic or Upgrade RX.	ClearProtection is a lower-cost plan with immediate coverage for some doctors visits and long-term coverage for other benefits. ClearProtection offers three deductibles and moderate cost-sharing helps lower your monthly premiums.	The Lumenos® Health Savings Account (HSA) plan is a high deductible health plan compatible with a Health Savings Account. You can make contributions to your account, and withdraw the money to help pay for eligible medical expenses, including prescriptions, on a tax-favored basis	If you’re looking for a simple plan design with some of our lowest rates, CoreShare could be the plan that’s right for you. CoreShare offers a plan that includes higher cost-sharing that helps lower your monthly premiums.	This plan provides great all-around coverage—preventive, emergency, prescription, eyes and teeth — with affordable premiums that will suit your lifestyle, risk factors and budget.

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Additional Information	Print an Application Brochure & Benefits Guide Plan Description Prescreening Questionaire Rates (ef 4/1/2013) Rates (ef 7/1/2013)	Print an Application Brochure Plan Description Prescreening Questionaire Rates (ef 4/1/2013) Rates (ef 7/1/2013)	Print an Application Brochure Plan Description Prescreening Questionaire Rates (ef 4/1/2013) Rates (ef 7/1/2013)	Print an Application Brochure Plan Description Prescreening Questionaire Rates (ef 4/1/2013) Rates (ef 7/1/2013)	Print an Application Brochure Plan Description Prescreening Questionaire Rates (ef 4/1/2013) Rates (ef 7/1/2013)	Brochure Benefit Guide Print an Application Prescreening Questionaire Rates (ef 4/1/2013) Rates (ef 7/1/2013)

Additional coverage you may be interested in

Balance - Critical Illness and Accident Plan

Extra help, so you can focus on healing!
If you have an accident or are diagnosed with a critical illness, the last thing you want to worry about is money. You have health coverage for your medical bills, but other costs can pile up while you’re focusing on getting well. That’s where critical illness and accident can help.

SmartSense Plus 2500 Std RX (Child Only)

Colorado Child-Only Health Coverage
Qualified applicants under the age of nineteen are accepted on a guarantee issue basis without any limitations or riders based on health status. A carrier may deny coverage to an applicant for enrollment in a child-only plan if other creditable coverage is available, which can include current enrollment in a high-risk pool plan. Other eligibility requirements may also apply. Child-Only applicants under age nineteen will only be offered the SmartSense Plus 2500 Std RX (01GH) product. Applicants should apply separately using the Colorado Individual Enrollment Application in the link below.

Open Enrollment
The initial open enrollment will be held August 1-31 of 2011, followed by a 30-day waiting period with a policy effective date of October 1, 2011. After the initial open enrollment period, open enrollment periods occur every January 1-31 and July 1-31, followed by a 30-day waiting period with a policy effective date of March 1st or August 31st. Applications must be received during the open enrollment month.

Qualifying Events
Starting immediately, applications will also be processed for child only plans if Anthem receives the application within 30 days of a qualifying event listed below. Coverage can start on any day of the month after the date we receive your application for a qualifying event. The requested effective date is not a guarantee that the effective date will be the requested date in the event we agree to provide coverage.

Qualifying events include:
• Lost employer-sponsored health insurance;
• Lost eligibility under the Colorado Medical Assistance Act or the Children’s Basic Health Plan;
• Involuntarily loss of other existing coverage for any reason other than fraud, misrepresentation or failure to pay premium;
• Marriage or dissolution of marriage;
• Entry of a valid court or administrative order mandating the child be covered; or
• Birth or adoption

CO Prescreening Questionaire

Colorado Insurance Regulation 4-2-36 requires all health insurance carriers issuing individual health benefit plans to present a universal prescreening questionnaire to all applicants requesting coverage for January 1, 2012 or later effective dates. The questionnaire is short and simple, and asks specific health history questions that require “Yes” or “No” answers. The purpose of the questionnaire is to help applicants quickly determine if they have a condition that makes them eligible for CoverColorado (and ineligible for commercial coverage). It will allow the applicant to avoid completing a long form carrier application only to be declined and directed to CoverColorado. Applicants under 19 years of age who are applying for a child-only policy are not required to complete or submit the Prescreening Questionnaire. Per state and federal law, child-only policies are guaranteed issue. This means that the Prescreening Questionnaire should not be used as part of the process to enroll them.

Questionaire

Tonik Enhanced Dental

Brochure

Anthem Blue Individual PPO Dental

The Anthem Blue Dental PPO plan features coverage for routine checkups, X-rays and cleanings that begins the day your policy is effective. You will be covered for fillings after six continuous months of coverage, and for major dental care after 12 continuous months of coverage, offering significant cost savings on procedures such as root canals, crowns and dentures. With the Anthem Blue Dental PPO plan, you may visit any dentist you choose. However, your out-of-pocket costs will be lower if you use dentists in our network.

Brochure and Application

Useful Links

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Finish a Saved Application

	Name	Birthday	Gender	Smoker	Risk Tier	Rate Factor
Primary			M F
Spouse			M F
Child #1			M F
Child #2			M F
Child #3			M F
Child #4			M F
Child #5			M F
Child #6			M F
Child #7			M F
Child #8			M F