Health Insurance Specials

Please complete the Quote Form, a specialist will contact you.

* Full Name
* Address
Address 2
* City
* Zip Code
State
* Phone
* e-mail

	Gender	Date of birth M/D/Y	Height	Weight	Smoker?
Applicant		/ /
Spouse		/ /

Children

Currently Insured?

Yes No

COBRA

(Check if applicable)

Pre-existing Conditions?

Yes No

Health Insurance for Group	(Check if applicable)
Health Insurance for Self Employed	(Check if Applicable)

Best Contact Time

Comments


If you have a pre-existing condition or have had a serious illness, we have excellent health insurance plans available. All plans are Fully Insured, Guaranteed Issue, Guaranteed Renewable, Stable Rates, Available in all 50 States. Additionally, all plans provide a "Certificate of Credible Coverage" and are HIPAA qualified. Plan Benefits:
> Doctor Office Visits > Daily Hospital Confinement > ICU/CCU Benefit > High Surgical Benefit (Applies to Inpatient & Outpatient surgery)	> Diagnostic, X-Ray & Lab Benefit > Preventive Care/Wellness Benefit > Prescription - $5 Co-Pay for over 400 Generic drugs. > Discounts on Brand name

If your COBRA benefits are coming to an end or your premium is exorbitant; There are alternatives available such as Short Term Medical, Individual Major Medical and Mini Medical plans. Contact us and a COBRA Specialist will discuss the options available with you.

In response to the sky rocketing costs of group insurance plans. we have put together a set of Limited Plans. These fully insured plans provide specified benefits in exchange for lower cost and price stability. Contact us and a Group Specialist will show you via Web Conference why businesses are switching over to these plans in record numbers.