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Michael W. Smith Agency

Revised:

February 07, 2008

Individual Health

 763-535-7293

 

 

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Information

 

Let me know about any health problems you currently have or any special concerns you have.  Individual Medical Brochures can be found at: Health Brochures.

 

We feature a full line of Health Care Plans including Major Medical Plans, Health Savings Accounts, Medicare Supplements, Part D Medicare Prescription Drug Plans and Short Term Major Medical Plans from Assurant Health by Time Insurance, Blue Cross and Blue Shield of Minnesota, HeathPartners & MEDICA.
Click the IMG graphic for information, rates & apply for International Medical Insurance.   Coverage while you are outside your home country, for traveling or Foreign Nationals visiting the U.S.

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If you live outside of Minnesota click on the Agency Link System

 

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This is a request for a Minnesota health insurance quote, not a policy application.  Submitting this form does not obligate you to purchase any health insurance products.  Please complete this form as accurately as possible.  Health insurance rates are subject to change.
Name
Street
City, State ZIP         
E-mail
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Fax:
Current Plan:  
Current Company:  

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  Birthdate Tobacco Use
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Please Enter the Age of Each Dependent Child to be Covered

Child 1 Child 2 Child 3
Child 4 Child 5 Child 6

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Choose the plan(s) you wish information on.

Hold "Ctrl" key down to make multiple selections

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