r YES! I want to find out more to make sure I have the right medical insurance protection for my family. I understand that the information I receive through email may be limited and a meeting would provide better information.
I understand, during our meeting, I won’t be asked to buy anything, and there will be no high pressure whatsoever. The purpose of our meeting is simply for you to share some important ideas and information with me.
Name:
Address:
Mobile:
Office Phone:
Fax:
Email:
The best day and time to reach me is: Day: Time:
Do you have a medical insurance policy right now?
Yes ______ No _______ Group ________ Individual _______
If Yes, what is your monthly or yearly premium?
RM _____ a month RM _____ a year
Your First Few Pages of Your Policy Contract Will Have the Following Information.
Room & Board Limit:
Annual Limit:
Lifetime Limit:
Coverage Until Age:
Waiver of Premium: Yes____ No____
Co-Insurance: _____%
I will get back to you within the next 48 hours with feedback on your medical insurance policy. Please note that the feedback will be dependent on the information that is received.
Thank you and best regards.
al jazzura khan
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