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Q1. At the present time are you (the member) or your spouse working?*

Q2. Do you or your spouse have group health plan coverage through an employer?*

Q3. Do you have group health plan coverage through a family member other than your spouse?*

Acknowledgement *

Always at Your Service

Call Member Services at 713-442-CARE (2273)
or toll-free at 1-866-535-8343 (TTY: 711)

8 a.m.– 8 p.m. | 7 days a week | From October 1 to March 31

8 a.m.– 8 p.m. | Monday – Friday | From April 1 to September 30

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