PPO Select Basic^SM, a Preferred Provider Health Insurance Plan also offers affordable, age-banded rates for child-only coverage. Other health insurance carriers may require you or your spouse to purchase coverage to insure your children. But with PPO Select Basic, premiums for child-only coverage are based on the age of your child, not whether you purchase other coverage. One application per child is required. For a complete description of benefits, limitations, and exclusions, please refer to the *Outline of Coverage.

* Texas Department of Insurance Form: PPO-CCHBP-OC-2