There are three ways to apply for HIBI benefits.
- Apply online
- Print out paper application to complete and mail or fax to the HIBI Program
- Call our toll-free customer service line at (855) MyCOHIBI or (855) 692-6442 to start your application over the phone
Submit your application and documents by:
Toll-free fax: (855) 226-4424
Colorado HIBI Program
5615 High Point Dr.
Irving, TX 75038
This is not a physical address – please do not deliver applications in person
To process your application, you will need to send in the following information before you can officially be determined HIBI eligible and receive payments:
- A copy of the front and back of your insurance card
- Summary of benefits for your policy plan or desired policy plan
- Your health insurance rate sheet
- A recent paystub or other verification to show proof of your premium payment
Your employer must provide you group health coverage if you are eligible for HIBI, regardless of whether or not their open enrollment period has passed. Contact us for assistance.