Health and Medical Insurance Quote

Providing “Low Cost - Best Value" Health and Medical Insurance Quotes, Medicare Advantage Plan quotes and coverage, COBRA replacement insurance quotes, Health Savings Account Insurance Quotes for the self-employed, family and individual. Student quote, children only quotes and dependent only quotes.

IMPORTANT NOTE: We cannot provide a quote unless ALL " * " fields are completed!

Name:
Address:
City/State/Zip:
Phone:	Eve: Day:
Fax:
E-mail:

Type of product
Dental	Yes No
Health	Yes No
Health Savings Account (HSA)	Yes No
COBRA Replacement	Yes No
Medicare Plans	Yes No
Short Term Medical	Yes No
Dependent Only	Yes No
International Medical Insurance	Yes No

Type of policy
Self	Yes No
Spouse	Yes No
Children	Yes No
Sex	Individual: Spouse:
Individual D.O.B.: Spouse D.O.B.:
Tobacco Use:	Individual: Spouse:
Number of Children	Ages:

Home | Site Map

Health of America Insurance Agency
2901 S Wayzata Blvd., Minneapolis, MN 55405-2126
Phone: 612-377-3222 or Toll Free 1-800-868-2333
Fax: 612-377-3444
Business hours: Monday-Thursday 8:30 am - 5:00 pm / Fri until 3:30 pm CST