FLORIDA HEALTH INSURANCE

Qualifying Questions - For Secure 12 X 3 Health Insurance Plan

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If you can answer "NO" to the following questions, you are eligible for the health Secure 12 X 3 temporary health insurance plan:

1.  Will there be any other health insurance in force on the policy date?.

2.   Is the proposed insured, spouse, or any dependent child now pregnant?

3.   Is any proposed insured currently eligible for Medicaid?

4. Within the past 5 years have you or any person proposed for coverage been aware of, diagnosed, treated by a member of the medical profession, or taken medication for cancer or tumor, stroke, heart disease including heart attack, chest pain or had heart surgery, COPD (chronic obstructive pulmonary disease) or emphysema, liver disorder, degenerative disc disease or herniation/bulge, rheumatoid arthritis, degenerative joint disease of the knee, insulin -dependant diabetes (not applicable to DC residents) alcohol abuse or chemical dependency?

5.   Have you or any person proposed for coverage been diagnosed or treated for Acquired Immune Deficiency Syndrome (AIDS), AIDS related complex, or any other immune system disorder? Answer this question “no” if you have tested positive for HIV but have not developed symptoms of the disease AIDS

6.    Has any person proposed for coverage not been a legal resident of the United States for the last 12 consecutive months?

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Standard Security Life Insurance Company of New York

Standard Security Life Insurance Company of New York is rated A (Excellent) for financial condition by A.M. Best Company, as of 06/04. A.M. Best ratings range from A++ to D.

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John K. Arnold
Florida Health Insurance

Group, Employee Benefits & Individual Health Insurance Specialist
Website Address  www.floridahealthinsurance.com

E-Mail: John K Arnold    

Phone: 407-592-0311
Phone: 888-592-0311 X 701
Fax:     407-386-7053
Skype:    john.k.arnold
Twitter:  fl_health_insur

If outside the US, it is best to e-mail as we can respond more quickly.  Thanks.

Let me know how I can help you.

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