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Michael W. Smith Agency

Revised:

May 06, 2015

Health / Medical

 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, Medicare Advantage Plans, Part D Medicare Prescription Drug Plans and Short Term Major Medical Plans from Assurant Health by Time Insurance, & 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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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
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Current Plan:  
Current Company:  

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Please Enter the Age of Each Dependent Child to be Covered

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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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Additional Comments

 

 

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Number of hits since August 15, 1998

 

 

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Copyright 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009 Michael W. Smith Agency