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Tobacco use? YESNO
Dependents also needing coverage? SpouseChild 1Child 2Child 3Child 4
Dependents tobacco use? SpouseChild 1Child 2Child 3Child 4
Although it is not required to get a quote, a discussion of any pre-existing conditions, medications used, and your medical needs is important in presenting the correct plans for your situation. Are there any specifics you would like to share? Why do you need a quote? (Such as: Lost insurance, current coverage is not good, Cobra is too expensive, etc.)
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