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Enrollment Kit

2025 KelseyCare Advantage Enrollment Kits

These materials are available in English and Spanish and can be used to enroll clients or email them directly. Each kit includes the following:

If using these forms, please print them and ensure your clients sign them before submission back to KelseyCare Advantage.

Looking for a paper enrollment kit?

Please speak to your Broker Manager.

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We're Here to Help

Please Contact a Broker Support Specialist at 713-442-4949 (TTY: 711) or email us at kcabrokersupport@kelseycareadvantage.com

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