to main content

Enrollment Kit

2026 KelseyCare Advantage Enrollment Kits

These materials are available in English and Spanish and can be used to enroll clients or email them directly.

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.

phone with talk bubble

We're Here to Help

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

Data Use: We use cookies and similar tools to make your use of this website easy and to keep it working properly. We may share data about you and how you use the site with third parties, such as analytics and marketing partners. Learn more in our Privacy Policy and Terms of Use. By continuing to use the site, you agree to this.