Get covered today in just three easy steps!
Step 1: Fill out the Application and Print it
If you don't see the application. Please use the following link to download the STIDA application.
The STIDA application is in PDF format. If you are unable to view the application please download Adobe Acrobat Reader.
Step 2: Sign the application and mail it to the address listed below
P.O. Box 443
Brownsburg, Indiana 46112
Step 3: Payment
Please email email@example.com for payment information or call 1.800.378.4608 for more information.