WE WILL WORK WITH YOU TO CRAFT FINANCIAL STRATEGIES FOR YOU AND YOUR FAMILY

DON P. BAKER

DON P. BAKERDON P. BAKERDON P. BAKER
  • Home
  • Our Team
  • Homes For Sale
  • Life Insurance
  • MEDICARE
  • Forensic Photography
  • Contact Us
  • About Us
  • JUVENILE WHOLE LIFE
  • Credit Card/Paypal
  • HEALTH INSURANCE QUOTE
  • Books
  • More
    • Home
    • Our Team
    • Homes For Sale
    • Life Insurance
    • MEDICARE
    • Forensic Photography
    • Contact Us
    • About Us
    • JUVENILE WHOLE LIFE
    • Credit Card/Paypal
    • HEALTH INSURANCE QUOTE
    • Books

DON P. BAKER

DON P. BAKERDON P. BAKERDON P. BAKER
  • Home
  • Our Team
  • Homes For Sale
  • Life Insurance
  • MEDICARE
  • Forensic Photography
  • Contact Us
  • About Us
  • JUVENILE WHOLE LIFE
  • Credit Card/Paypal
  • HEALTH INSURANCE QUOTE
  • Books

Information Needed for a Quote

  

HEALTH INSURANCE QUOTE


Which type of insurance coverage would you like to receive a quote?


Medicare Supplement? Life Insurance? Cancer Insurance? Or, Dental Insurance?


First Name: 

Middle Initial:

Last Name:

Suffix:

Date of Birth:

Age:

Gender: Male? Female?

Phone Number:

Email:

HOME Address: 

City:

State:

Zip:

DO YOU USE TOBACCO? Yes….. No?.....

Save 10% for not using tobacco


Is someone resides in your household either with a spouse or with another person (but not more than three) that is age 60 or older and has continuously resided with the applicant for the last 12 months? Yes or No?


Get 10% off your monthly premiums if your spouse or anyone age 60 or older lives with you. 

Bank Account Withdrawal? YES or NO?   Credit Card Withdrawal? YES or NO?   


Automatic Bank Withdrawal?  YES or NO?   - Save $5 each month when you pay by Automatic Bank Withdrawal 


When do you want the Coverage to Start? MONTH? DAY? YEAR?



Find out more

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