Ken Smith, CLU, FLMI
166 A1A, North Suite 204
Ponte Vedra Beach, FL 32082
Phone: (904) 273-5704
Fax: (904) 273-5700
Cell: (904) 703-8540
E-mail: ksmith@kensmithinsurance.com
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INSTANT Health Quote

 

Health Savings Accounts put you in control. To find out if a Health Savings Account is right for you, please complete the following information and Ken will contact you shortly,or just click on the Golden Rule or CelticCare link (below left) for a confidential direct quote.

INDIVIDUALS AND FAMILIES:

Name:
Zip Code:
Insured's Date of Birth:
/
/
Gender:
Male Female
Smoker:
Yes No
Insurance Need:
(check all that apply)
Life
  Health
  Long-Term Care
  Health Savings Account
  Other
E-mail Address:
 

 

BUSINESS:

Business Name:
Business Zip Code:
Number of Employees:
(including owners)
Insurance Need:
(check all that apply)
Life
  Dental
  Other
E-mail Address:
 
 
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