Request an Individual / Family HSA Insurance Quote Please give information ONLY on persons who are to be included in the quote. If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Primary Insured First Name * Last Name * Email * Phone * Zip Code * Birth Date * Spouse Information Tobacco Use Yes No Spouse Tobacco Use Please select Yes No Sex * Male Female Spouse Sex Male Female Spouse Birth Date Children Information Child 1 Sex Male Female Child 1 Birth Date Child 2 Sex Male Female Child 2 Birth Date Child 3 Sex Male Female Child 3 Birth Date Child 4 Sex Male Female Child 4 Birth Date Child 5 Sex Male Female Child 5 Birth Date To determine if you qualify for a federal subsidy, will your "2017 household, adjusted gross income" be"? Please select Household size of 1: $11,880-$47,080 Household size of 2: $16,020-$63,720 Household size of 3: $20,160-$80,360 Household size of 4: $24,300-$97,000 Household size of 5: $28,440-$113,640 Household size of 6: $32,580-$130,280 -OR- Based on Household Size, my income exceeds these levels. From Our Blog Why would I consider small business health insurance in 2018 for my employees? What will my Texas health insurance options look like in the near future? Open enrollment for Texas health insurance is closed. 2017 Health Insurance Open Enrollment is Nearing a Close What are my choices during the 2018 season of health insurance open enrollment with in Houston?