Four Seasons Insurance - Individual Health

These links will allow you to quickly apply for the coverage that you are looking for. The "Apply Online" links will allow you to get quoted or apply directly online.

The other links will bring you to forms and brochures which are available in PDF format. The most current version of Adobe Acrobat Reader is required to view these forms. It can be downloaded by clicking the following link:

All forms can be printed, filled out, and faxed to 219-663-1416 or sent to:

ATTN: Jim Zienin
10971 Four Seasons Pl.
Crown Point, IN 46307

If you have any questions, feel free to contact Jim Zienin at 219-663-0900 or by cell at 219-781-9490!

Individual Enrollment Application
Use this application to apply for all Anthem coverage. Application is valid for Anthem's Lumenos HSA, Premier or SmartSense plans; or BlueAccess Value or CoreShare coverage. In addition, application includes options for optional Dental Blue coverage.
-Medicare Supplement for individuals aged 65 and older

NEW - Anthem Health Insurance Brochures
Anthem's NEW Premier, SmartSense, and Lumenos HSA plans give you the best coverage customized to fit YOUR needs. See the brochure above to decide which Anthem plan is right for you.

NEW - Anthem Dental Blue
Anthem Dental Blue is offered as an option to all Anthem plans or as a stand-alone policy to cover all of your dental needs.

Short-Term Health Insurance
College graduate? Lapse in coverage? Short-term health insurance is for individuals looking for coverage that will last for 1 to 6 months.

NEW - Anthem Value Plans Brochure
The new CoreShare and BlueAccess Value plans give you the same Anthem service at a lower cost. See the brochure above to decide whether Anthem CoreShare or BlueAccess Value is the plan for you.

Change of Existing Coverage

Get a Quote or Apply Online
Use this link to get a quote or apply for Anthem traditional medical coverage or short term coverage.

Introducing Anthem's NEW Premier Plan!

Apply Today!