Payment Information

Mail-in Payment

Regular Mail

Colorado Health Insurance Cooperative
Dept. 3313
P.O. Box 123313
Dallas, TX 75312

Overnight Mail

Colorado Health Insurance Cooperative
P.O. Box 123313
1501 N. Plano Rd., Ste. 100
Richardson, TX 75081

Claims Submission

Refer to the address on your
Member ID card

 

Please fill following data

Please complete all fields marked*

OR
 
I authorize monthly deductions until I notify Colorado HealthOP of termination. I understand this payment will be applied on the last business day of the month prior to the billing period. For instance, payment would be applied on January 31st for February premium. This is different than the premium due date noted on my monthly invoice.

 

Our payment page is secured by 256 bit SSL web form encryption and a secure (https) connection to our payment web server.

Upon receipt of your enrollment from Connect for Health, you are authorizing us to apply payment as described above.
This is to confirm that, in keeping with all applicable laws, you’ve instructed Colorado HealthOP to apply your monthly premium payment against your Credit Card or Bank Account. It is expressly understood that the amount charged does not include or constitute any additional fees related to Colorado HealthOp’s acceptance of credit cards as a form of payment, if applicable.
Colorado HealthOP further represents that the credit card holder stated the authorization of this transaction and that Colorado HealthOP will be held harmless with respect to these instructions. It is understood and accepted that to provide additional security for your benefit, Colorado HealthOP may verify your billing address.