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Looking to replace existing coverage?

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Are any particpants or dependents pregnant?

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Has anyone been confined to a hospital in the past 24 months?

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Do any participants use tobacco?

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Are any participants currently disabled?

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Has anyone incurred $2,500 or more in medical expenses in the past 12 months?

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Is anyone receiving treatment or has been treated for cancer, stroke, heart, kidney, or circulatory disorder?

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Does anyone take any prescription drugs at this time?

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