Michael W. Smith Agency

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Individual Health

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

Agency Link System

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We feature a full line of Health Care Plans including Major Medical Plans, HMO Plans, Medicare Supplement, Medicare Advantage, Medicare Part D prescription drugs and Short Term Major Medical Plans from Blue Cross & Blue Shield of Minnesota, Blue Plus, Assurant Health by Time Insurance Co., MEDICA.
Click the IMG graphic for information, rates and to 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
Street
City, State ZIP
E-mail
Phone
Fax:

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  Date of Birth Tobacco Use
Individual
Spouse

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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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Additional Comments

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Send mail to mwsmith@visi.com with questions or comments about this web site.

Since 1978
Michael W. Smith Agency

Copyright © 2000 Michael W. Smith Agency
Last modified: April 06, 2008