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 group or individual major medical health insurance in force on the policy effective date?
2. Are you or any person applying for coverage now pregnant?
3. Is any proposed insured currently eligible for Medicaid?
4. Within the past 5 years have you or any person applying for coverage been aware of, received an abnormal test report for, been diagnosed with, been treated by or received follow-up care with a member of the medical profession, taken medication for or had a device surgically implanted or in place for:
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heart disorder, heart attack, coronary artery disease, coronary bypass or stent |
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peripheral vascular disease or carotid artery disease |
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stroke or other neurological disorder |
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cancer or tumor |
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paraplegia, quadriplegia or multiple sclerosis |
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stem cell transplant |
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emphysema or COPD (chronic obstructive pulmonary disease) |
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insulin-dependent diabetes |
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liver disorder |
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kidney disorder other than stones |
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degenerative disc disease or herniated disc |
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rheumatoid or psoriatic arthritis |
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degenerative joint disease of the knees or hips |
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alcohol or drug abuse or dependency |
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hemophilia |
5. Within the past 5 years, has any person proposed for coverage tested positive for exposure to the HIV infection, or been diagnosed as having Acquired Immune Deficiency Syndrome (AIDS) or AIDS -Related Complex (ARC) cause by the HIV infection or other sickness or condition derived from such infection?
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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
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