Health Plan Only Deductible $ 1,500 X-Rays ____ Million Major Medical Life Time Max MRI’s ICU Coverage ____Month Rate Guarantee Emergency Room Cancer In/Outpatient Treatment Lab Tests Out Patient Surgeries Health Insurance Coverage program NIA from National Insurance Agency Coverage Provided The Top Rated Carrier of________________ $ 331 Per month Health Only Monthly Premium Texas Zip Male SM( ) NON-SM (X ) Age 35 Female SM ( ) NON-SM ( X ) Age 35 Number of Children_______ DR visits Co pays____ Hospital stays CoPay____ RX Card Agent use Only Health Calculator

Higher Health Plan Deductible $ 3000 (Lowers Premium, provides More benefits) X-Rays 5M Major Medical MRI’s ICU Coverage ____Month Rate Guarantee Emergency Room Cancer Treatment Lab Tests Out Patient Surgeries Total Health & Critical Illness NIA from National Insurance Agency Three companies, ONE COMPLETE protection plan One of These Critical Problems is Highly Likely to Occur Death $100,000 Stroke $50,000 Heart Attack $50,000 Invasive Cancer $50,000 $10,000 AD&D Coverage Terminal Illness $50,000 $ __, 000 Accident Coverage Kidney Failure $50,000 Coronary Artery Bypass Graft $10,000 Paralysis $50,000 Major Organ Transplant $50,000 Blindness $50,000 $311 New Monthly Premium w/ EZ Term and Critical Illness Rider Male SM( ) NON-SM (X ) Age 35 Female SM ( ) NON-SM ( X ) Age 35 Number of Children_______ DR visits CoPay’s Hospital stays RX Card Optional Agent use Only Health Calculator

You can also add these benefits for a minimal charge Return of Premium $ ____ Disability Income $ _____ Dental Coverage $______ LTC $_____ Agent use Only Health Calculator