Self Insurance

Home Programs Members Agents Contact Us Enrollment Call Us at (636) 587-2000 Secure Enrollment Secure enrollment by encrypting all information. We respect your privacy and will never use your information without your consent. Payment Options    Pay by Visa, Mastercard or Check Any Questions? Please contact us with enrollment and membership questions. We are here to help you! PROGRAM RATES per month OPTIONS Select Dental Plan 1000 Dental Insurance Plan With $1000 Maximum Benefit Individual $45.00 Plus 1 $75.00 Family $109.00 Value Dental Plan 1000 Dental Insurance Plan With Value Benefits Individual $18.50 Plus 1 $28.50 Family $39.50 Rx Gold Plan The Smart Choice For Prescription Drug Benefits Individual $19.95 Plus 1 $27.95 Family $34.95 Medical Discount Program Healthcare Services Discount Program Individual $20.00 Family $25.00 Medical Discount Program with Accident Coverage Healthcare Services Discount Program With Accident Medical and AD&D Benefit Plans Family $54.95 UASB Option 1 ER $2,500 Benefit / AME $10,000 Benefit Individual $39.00 Individual plus Spouse $39.00 Individual plus Child(ren) $49.00 UASB Option 2 ER $5,000 Benefit / AME $25,000 Benefit Individual $47.00 Individual plus Spouse $47.00 Individual plus Child(ren) $57.00 Not all programs available in all states. Void where prohibited by law.  •  Privacy Policy  •  Terms & Conditions

Self Insurance  • Contact: Don Self  • Phone: (636) 587-2000  • E-mail: dself@earthlink.net