Paper Application and Mail-in Option
Click the PDF PrimeTime Choices Enrollment Application 'Download File' link below the preview, to save, print and complete. You may mail the completed application to:
PrimeTime Choices
PO Box 9975
Canton, OH 44710
A drop box for completed applications is available at our office location:
PrimeTime Choices
Morrow House Building
2600 6th St SW
Canton, OH 44710
PrimeTime Choices
PO Box 9975
Canton, OH 44710
A drop box for completed applications is available at our office location:
PrimeTime Choices
Morrow House Building
2600 6th St SW
Canton, OH 44710
* Coverage is contingent upon PrimeTime Choices approval of this application.
Review the application below, to preview the questions.
Review the application below, to preview the questions.