USA INSURANCENET.COM PREPARED FOR: Tim Green
ONLINE ACCESS CONSECO HEALTH QUOTES
     
QUOTE GOOD FOR: 10 DAYS POLICY TERM: 12 Months
 
Preparation Date: 11/03/2000
State/Zip: FL/32082
NAMES
AGE GENDER SMOKER
1. Tim Green 56 MALE NO
5. Janice Green 56 FEMALE NO
 
RX card included with $250, $500, and $750 deductible plans ONLY.
Include initial 12 month rate guarantee.
 
Premium Summary for Conseco Medical Insurance Company's
Med IV Personal Major Medical Insurance
****** RHP Quote ******
PLAN -A- RHP 50% of $2,000 DEDUCTIBLE(S) $750
Basic Premium $487.84
Administrative Fee $7.50
MONTHLY COST: $495.34
QUARTERLY COST: $1,486.02
PLAN -A- = WE SUGEST THIS PLAN FOR SAVINGS
There is a one time $10.00 non-refundable application fee.
 
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customer service:954.927.0255

         
These quotes, dated 11/03/2000, was calculated by MED IV Personal Major Medical Proposal System for Windows
version 2.01.00 Actual rates will be the rates in effect on the date the application is signed. All quotes are
subject to verification by Conseco Medical Insurance Co., Schaumburg, IL. [A1.551 Tr1.3216 Cpy1 SRU1 RAdj1
APMF1 PMF1 Lf0 Mat0 D5000/0.515 ]