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Health Plan Only Deductible $ 1,500

Health Insurance Coverage program from N ational I nsurance A gency. Male SM( ) NON-SM (X ) Age 35 Female SM ( ) NON-SM ( X ) Age 35 Number of Children_______. $ 331 Per month Health Only Monthly Premium 75251 Texas Zip. DR visits Co pays____. CoPay____ RX Card. Hospital stays.

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Health Plan Only Deductible $ 1,500

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  1. Health Insurance Coverage program from National Insurance Agency Male SM( ) NON-SM (X ) Age 35 Female SM ( ) NON-SM ( X ) Age 35 Number of Children_______ $ 331 Per month Health Only Monthly Premium 75251 Texas Zip DRvisits Co pays____ CoPay____ RX Card Hospital stays Out Patient Surgeries X-Rays Lab Tests MRI’s Health Plan Only Deductible $ 1,500 Emergency Room ____Month Rate Guarantee ____ Million Major Medical Life Time Max ICU Coverage Cancer In/Outpatient Treatment Agent use Only Health Calculator Coverage Provided The Top Rated Carrier of________________

  2. Total Health & Critical Illness from National Insurance Agency Male SM( ) NON-SM (X ) Age 35 Female SM ( ) NON-SM ( X ) Age 35 Number of Children_______ Stroke $50,000 $311 New Monthly Premium w/ EZ Term and Critical Illness Rider Heart Attack $50,000 Death $100,000 DRvisits CoPay’s Invasive Cancer $50,000 Hospital stays RX Card Optional Out Patient Surgeries X-Rays $10,000 AD&D Coverage Terminal Illness $50,000 Higher Health Plan Deductible $ 3000 (Lowers Premium, provides More benefits) Lab Tests MRI’s $ __ , 000 Accident Coverage Emergency Room ____Month Rate Guarantee Paralysis $50,000 5M Major Medical ICU Coverage Major Organ Transplant $50,000 Cancer Treatment Blindness $50,000 Coronary Artery Bypass Graft $10,000 Kidney Failure $50,000 Agent use Only Health Calculator Three companies, ONE COMPLETE protection plan One of These Critical Problems is Highly Likely to Occur

  3. You can also add these benefits for a minimal charge . . . . . . • Return of Premium $ ____ • Disability Income $ _____ • Dental Coverage $______ • LTC $_____ Agent use Only Health Calculator

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