Page 35 - Evaluation with Cover Letter for Henry Rose
P. 35

Virginia Medigap Policies  Age 65 Annual Premiums
                                                        Sex    Prem  Guar  Cross  Pre-Ex             Date
                   Company                     Area     M/F    Type  Issue  Over          Wait    Approved
          NAIC #71835                                                                               5/11/17
          Anthem BC/ BS
          1-800-916-2583                                                                           Effective
          www.anthem.com                         Z       M      AA       N        Y         6        7/1/17
          NAIC #71835                                                                               5/11/17
          Anthem BC/ BS
          1-800-916-2583                                                                           Effective
          www.anthem.com                         Z       F      AA       N        Y         6        7/1/17
          NAIC #56499
          Assured Life Association
          1-877-223-3666
          Policy Fee:  $25
          www.assuredlife.org                    Z       M      AA       N        Y         0       9/13/16
          NAIC #56499
          Assured Life Association
          1-877-223-3666
          Policy Fee:  $25
          www.assuredlife.org                    Z       F      AA       N        Y         0       9/13/16
          NAIC #61239
          Bankers Fidelity Life Ins. Co.
          1-866-458-7504
          www.bflic.com                          Z      M/F     AA       N        Y         0       6/23/16
          NAIC #61239
          Bankers Fidelity Life Ins. Co.
          1-866-458-7504
          www.bflic.com                          Z      M/F     AA       N        Y         0       6/23/16
          NAIC #53007
          Carefirst BlueCross BlueShield
          1-800-275-3802
          www.carefirst.com                      A       M      AA       *N       N         0      10/07/16
          NAIC #53007
          Carefirst BlueCross BlueShield
          1-800-275-3802
          www.carefirst.com                      A       F      AA       *N       N         0      10/07/16


          *Individuals  who apply for coverage  within  6 months of their Medicare  Part  B effective date (or  within the
          Guaranteed Issue period by other means) are guaranteed issue.  Members who apply outside the guaranteed
          issue period are subject to medical underwriting.















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