Quote

The Health Quote

NO Fees and No c.c required.

We do the work. Research all options and present your personal requests back to you.

We will walk you through your scenarios and help you sign up with any carrier you pick.

You don't pay any extra for this service.

We then follow up during the year for plan support and each year for a review.

We are here all year long for your health care needs.

Make The Health Quote your healthcare advocate.

Free of charge.

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Drop us a line and we’ll get back to you with detailed options!

Relationship Type

First name

Middle Initial

Last name

Phone #

Date of Birth

Zip

County

Coverage

Single

Spouse

Employee - Spouse

Employee - Child

Family

Waived

Number of Household Members

Household Income

Tobacco User?

Yes

Parent of child under 19?

Yes

Current Health Coverage

ACA - Marketplace

Private

Employer

Medicaid

Cobra

None

Carrier

Additional policies- Please check all that apply

Short Term Med

Hospital Idemnity

Dental

Vision

Term

Life Insurance

IUL

401K

Pension

Additional notes

SSN

Gender

Hire Date (Group Plans)

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First Name

Last name

Phone number

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The Health Quote

info@thehealthquote.com

Call us: +1 919 521 8483

Where to find us:

The Health Quote

North Carolina, Texas, D.C, Connecticut, and Virginia

United States

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