Individual SOLO plans
Your ConnectiCare broker will send you an email invitation that provides detailed information about the online enrollment process, or you can click the button below to apply yourself. Remember to select your broker from the list provided. Plus, you will be able to check online for an updated status of your application once it's submitted.
Applying with paper application
- Please complete the 2019 Individual Application and follow the instructions on how to submit.
- For dependents under age 18, the application must have a parent/guardian’s signature and date, and the parent/guardian’s full name must be printed on the application. Dependents age 18 and over must sign and date the application themselves.
2019 Open enrollment dates
November 1st - December 14th
Monday - Friday, 8 a.m. - 8 p.m.
Saturdays, 9 a.m. - 3 p.m.
December 15th, 8 a.m. - midnight
at a ConnectiCare center