Group Health Insurance Sample

Group Health Insurance Leadid:  888881

Group Health Insurance

Do you have group health insurance?:  No

Do you currently own an annuity:  I do not currently have insurance

What type of health plan are you interested?:  HMO plan

How many years have you been in business?:  5 or more

How many full time employees would you like to insure including owners and partners?:  12

What industry is your business in?:  Office

How many active Owners/Partners?:  2

Customer Information

Full Name:  Henery ******

CAddress:  *** 25th st

City:  Brooklyn

State:  NY

Zip:  14555

Email Address:  ******@gmail.com

Primary Phone:  ***-***-4567 ext: 21

Secondary Phone:  ***-***-5544

Best Time To Contact:  Morning