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By checking this box, you agree that you are requesting an automated quote for health insurance. The quote form is not an application for coverage. Should you choose to apply for one of the quotes, you hereby understand that your application may be medically underwritten based on your health, occupation, avocation and other factors. Your final offer may include a price increase, exclusions, riders and limitations for both health related issues as well as your occupation and recreational activities. You may also be declined for coverage based on the above factors and your answers on the application as well as your medical history. Please contact us by calling 1.888.600.0085 with any questions or to discuss the plan details.