1. Click here

2. Enter your Zip-code here Click here to continue Select your coverage type Select county Check here for senior health insurance Check here if you need health insurance for youth Check here if you need individual & family health insurance Click here if you need a short-term plan Enter your Name here Enter your Email here Click here if you need a health plan Enter your Phone here 92643

3. Choose your gender Enter age of the insured You don’t know what age is, enter DOB as format Using the younger spouse or partner as a primary applicant. It may low your monthly rates. Check here if smoking otherwise let it empty Click here to continue Chose your effective date Enter the number of children your have and click on Change to get more fields 40 30 5

4. Click on company’s name to view its plans Click here to choose plan group as your need Click here to get new quotes Click here to sort plan by company Click here to sort plan by plan name Click here to sort plan by rate Choose your type of plans (PPO or HMO) Click here to continue Click on plan name to view its benefit Click here to view plan detail Click here to Close Click here to Apply Click here to Print Click here to send mail Click here to Print PDF format Click here to Open file Click here to Save file Click here to Cancel

5. Check here to choose plan Click here to view comparison

6. Click here to view plan detail Click here to remove the plan Click here to apply the plan

7. Enter the insured’s names JOHN L. PHAM Julie D. Pham Jack Pham 999-99-9999 999-99-9999 999-99-9999 714-531-6335 714-531-3633 714-396-7651 johnlpham@yahoo.com Check here to get application kit Check here if you want us to send you application kit Check here if you need an agent contact you Enter SSN Check here to apply online Click here to continue 14541 Brookhurst St. Westminster Click here to continue Apply Online Click here to return Insurance Report