There are errors on this page that you must correct before you can send us your info. You have errors on this page.
Do you want to correct the errors now or later?
You must click on either the "Add" button or the "No changes" button.
Access to this site and the information assets of this site are for official use only. Unauthorized access to this site and its information assets is prohibited. Unauthorized access to this site and misuse of its information assets may be prosecuted under Texas State statutes regarding the use of individually identifiable personal health information (PHI) and The United States regulations and laws regarding the use of individually identifiable personal health information (PHI). Successful prosecution of misuse of PHI may include imprisonment and/or financial sanctions as set forth in Standards for Privacy of Individual Health Information 45 CFR Parts 160 and 164.
Before you set up an account, we need to ask you some questions. This will help you know if you should apply for benefits on this site or for health insurance on HealthCare.gov.
The user name or password is incorrect. Please retype the user name and password, or sign up if you haven't already done so.
You tried to login 3 times in a row with either the wrong user name or password. To login again, click on either "Forgot user name" or "Forgot password" in the login box.
Your case visibility account has been disabled because of inactivity. Click here to view alternate account management instructions to re-activate your account.
User disabled with a temporary password.
Your application visibility account has been disabled because of inactivity. Click here to re-activate your account.
Your case visibility account has been disabled because of inactivity. Click here to re-activate your account. You need to pass a few authentication questions.