PHCS Ultra 3000 — Enrollment Application
Complete your application below. You’ll then get an email to review everything and sign.
Step 1 of 6CoverageApplicantHouseholdHealthPaymentReview
Your selectionMember Only · $900.00/mo · effective 12/01/2026
Choose your coverage
Monthly premium$900.00
Admin fee$10.00/mo
Recurring monthly draft$910.00
First month (incl. one-time $125.00 processing fee)$1,035.00
FF