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The health insurance leads program designed for south Florida
Independent Insurance Agents and Captive Insurance Agents
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The City Insurance Agents Lead Buying Advantage
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Florida Health Insurance
Leads Information Example
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CityInsuranceAgents.com - 3324 W. University Ave. # 285 - Gainesville, Florida 32607
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Applicant_First_Name: Bob
Applicant_Middle_Initial: W
Applicant_Last_Name: Smith
Applicant_Mailing_Address: 555 NW 45th Street
City: Hialeah
Zip_Code: 33012
Applicant_Email_Address: bobs@yahoo55.com
Applicant_Home_Phone: 305-555-5555
Applicant_Work_Phone: 305-555-4444
Extension_Number: 55
Contact_Me: Cell Phone
Applicant_Cell_Phone: 305-555-7777
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Applicant_Birth_Date: 5/21/1965
Applicant_Social_Security_#: 455-80-4595
Applicant_Gender: Male
Applicant_Height_In_Feet: 6
Applicant_Weight: 200
Smoker: No
Currently_Insured?: Yes
Currently_Insurance_Owned?: PPO
Current_Monthly_Premium: 275
Family_Health_Insurance_For: Applicant & Spouse
Age_of_Spouse: 45
Number_of_children: none
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Contact Information
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Coverage Information
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HMO: yes
HMO_co-pay_amount: $30
PPO: yes
PPO_deductible_amount: $250
Dental_Option: Yes
Vision_Option: Yes
Life_Insurance_Option: No
Recent_Serious_Health_Problems: No
AIDS,_ARC_or_HIV_positive: No
hospitalize,_confined_or_disabled_last_12_months:
No |
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CITY INSURANCE AGENTS
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The City Insurance Agents Lead Buying Advantage
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