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Click here. Enter your Name here. Enter your Email here. Enter your Zip-code here. Click here if you need a health plan. Enter your Phone here. Select county. Click here if you need a short-term plan. Check here if you need individual & family health insurance. 92643.

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  1. Click here

  2. Enter your Name here Enter your Email here Enter your Zip-code here Click here if you need a health plan Enter your Phone here Select county Click here if you need a short-term plan Check here if you need individual & family health insurance 92643 Check here if you need health insurance for youth Select your coverage type Click here to continue Check here for senior health insurance

  3. Chose your effective date Choose your gender Enter age of the insured You don’t know what age is, enter DOB as format 40 Check here if smoking otherwise let it empty 30 Enter the number of children your have and click on Change to get more fields 5 Using the younger spouse or partner as a primary applicant. It may low your monthly rates. Click here to continue

  4. Click here to get new quotes Click here to Print PDF format Click here to Apply Click here to Print Click here to send mail Click here to choose plan group as your need Click on company’s name to view its plans Choose your type of plans (PPO or HMO) Click here to sort plan by rate Click here to sort plan by company Click here to sort plan by plan name Click here to continue Click on plan name to view its benefit Click here to Open file Click here to view plan detail Click here to Save file Click here to Close Click here to Cancel

  5. Check here to choose plan Check here to choose plan Click here to view comparison Check here to choose plan

  6. Click here to remove the plan Click here to apply the plan Click here to view plan detail

  7. Enter the insured’s names Enter SSN Click here to return Insurance Report JOHN L. PHAM 999-99-9999 999-99-9999 Julie D. Pham Jack Pham 999-99-9999 Check here to get application kit Check here if you need an agent contact you 14541 Brookhurst St. Westminster Click here to continue Apply Online johnlpham@yahoo.com 714-396-7651 714-531-3633 714-531-6335 Check here if you want us to send you application kit Check here to apply online Click here to continue

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