Getting Started
1. Complete the application.
2. Be sure to mark on the application under “Coverage
Requested” whether you want both dental and vision
insurance or only one of them.
3. Be sure to sign the application.
4. Mail or hand deliver the application back to the facility.
5. If you have any questions, please contact us 8:00am - 4:30pm EST,
Monday through Friday, at toll-free 1.800.843.7752.

Citizens Security Life Insurance Company
12910 Shelbyville Rd, Suite 300
Louisville, KY 40243
800.843.7752
www.SpecialCareIns.com

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