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$30,000 - $35,000
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Are you currently enrolled in Medicare Parts A or B?
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Have you used Tobacco Products within the last 12 months?
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Are you looking to include your spouse in your Health Insurance plan?
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What is your spouse's gender?
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What is your spouse's date of birth?
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Has your spouse used tobacco products within the last 12 months?
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Are you looking to include your children in your Health Insurance plan?
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What is your child gender?
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