*Broker is an independent licensed agency authorized to offer Blue Cross and Blue Shield of Kansas City products in the BCBSKC service area.
Medical Insurance Services
Servicing Clients like you since 1987
in the Greater Kansas City Area
To download an application for individual coverage, please click here (.pdf file, 296 kb).
You will need Adobe Reader to view the quote forms. Version 7.0 will allow you to use all of the current functions. All previous versions will allow you to view and print your form.
