This form is used to collect the necessary information to determine whether an individual is eligible for health insurance coverage. In addition to gathering basic information, the medical insurance application also collects information regarding the applicant’s health history to verify that they are eligible and that the insurance company is not liable for any future medical claims. With paperwork and phone calls, depending on the insurance provider, the application process can be long and tedious for both the applicant and the insurance provider. Find out if the applicant is eligible for medical insurance coverage by creating your own medical insurance application form online.