Provider Grants Program

Thank you for your interest in the Superior HealthPlan Grant Program. Grants of up to $5,000 are available to participating Superior providers and community organizations focused on promoting the health and well-being of the communities we serve. Applications must be completed in full and submitted online to be considered. All applications are reviewed by the Superior Grant Committee and will be awarded on a quarterly basis. Applicants will be notified of the committee’s decision by the tenth business day of the month following the end of the quarter. Deadlines for submissions are as follows:

Q1 – March 29, 2019
Q2 – June 28, 2019
Q3 – September 30, 2019
Q4 – December 31, 2019

Please note that submitting an online application does not guarantee funding. Please contact SHP.Grants@SuperiorHealthPlan.com with any additional questions.

Application for Grant

Date *

First Name *

Last Name *

Title *

Email *

Confirm Email *

Organization Name *

Street Address

Street Address Line 2

City *

State *

Zip Code *

County *

Telephone *

Type of Organization *

Healthcare Provider (Contracted Medical and/or Behavioral Health Provider) Community Organization (Community/Social Services Provider)

In an effort to better serve our members we are requiring community organization applicants to register (claim) and onboard (add contact information, accept referrals) their program through Superior Community Aids and Resources (CARES), our online social services resources directory. Organizations must be signed up for Superior CARES before grants are awarded. Organizations will not be considered for a grant unless they are registered with Superior CARES.

Please note: Direct providers of community-based services such as food, shelter, transportation etc. are required to register. This requirement does not apply to schools and Head Start programs.

For additional information on Superior CARES and to register your organization, please download the Superior CARES Quick Reference Guide (PDF).

I agree and understand the conditions of claiming my organization (if applicable) to receive grant funding from Superior HealthPlan.

Does the organization have 501c3 status? *

Yes No

Tax ID Number

Dollar amount requested (Please enter a value between 0 and $5,000) * Max $5,000

Briefly describe the organization's history, mission and goals. *

Briefly describe the purpose of funding request and how it will be used. *

Number of individuals, geographic area and population who will benefit from these funds (e.g., 30 children, ages 8-12, who are working to achieve grade-level performance in South Texas). *

Briefly describe any promotional benefits or brand awareness Superior would receive in exchange for this grant. *

Describe the sustainability of this grant (e.g., grant money will be used to host a one-time event or it will be a part of a six-month initiative, etc.). *