McAlpin Agency, Inc.

[Home] [Products] [What's New] [Feedback]

Health Insurance

IIA Logo

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

Agency Link System

wpe15.jpg (1263 bytes)

We feature a full line of Health Care Plans including Major Medical Plans, HMO Plans, Medicare Supplements and Short Term Major Medical Plans from Blue Cross & Blue Shield of Minnesota, Blue Plus, FORTIS, HealthPartners, MEDICA & MidAmerica Mutual.   FORTIS Medical Savings Account
Global Health Care Click the map for information & quotes on International Medical Insurance.   Coverage while you are outside your home country, for traveling or Foreign Nationals visiting the U.S.

wpe15.jpg (1263 bytes)

This is a request for a Minnesota health insurance quote, not a policy application. Submitting this form does not obligate you to purchase any products. Please complete this form as accurately as possible. Health insurance rates are subject to change.

General Information

Name
Street
City, State ZIP
E-mail
Phone
Fax:
Agent Request

wpe15.jpg (1263 bytes)

  Birthdate Tobacco Use
Individual
Spouse

wpe15.jpg (1263 bytes)

Please Enter the Age of Each Dependent Child to be Covered
Child 1 Child 2 Child 3
Child 4 Child 5 Child 6

wpe15.jpg (1263 bytes)

Choose the plan(s) you wish information on.

Hold "Ctrl" key down to make multiple selections

wpe15.jpg (1263 bytes)

Additional Comments

wpe15.jpg (1263 bytes)

[Home] [Products] [What's New] [Feedback]
Send mail to mwsmith@visi.com with questions or comments about this web site.

Michael W. Smith Agency

Copyright © 1997 Michael W. Smith Agency
Last modified: March 21, 2000