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Saturday, February 04, 2012
*** Guaranteed Acceptance Health Care Benefits for your clients! Click here for more information. ***    *** Exciting new dental plan for CA, FL and TX residents ***
 
 
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Easy & Affordable Health Insurance

  Affordable health insurance alternative for your uninsured or uninsurable clients   
  Fill the GAPs in coverage on high deductible or HSA plans 
 

Alternative for employers wanting to offer quality health care benefits while keeping costs down

Marketing Materials & Forms
Guarantee Issue Health Insurance
Value Access Guarantee (Not available in: CA, CT, HI, ID, IN, MD, MN, MT, NH, NJ, NY, OR, SD, WA, WV)
Value Med Plan
VBA 24 Hour Accident Coverage
100% Medical Expense Benefit
Limited Medical Expense Benefit (Lower Cost Membership)
CallMD - Doctor on Call 24/7
CallMD - Available in All States and All Ages
VBA Trucker Occupational Accident Plan
VBA Trucker Occupational Accident Plan for all states except: NC, NJ, NY, OR
List Bill Forms
VBA Accident, Value Access Coverage
(VBA will process the monthly billing.)
Value Med Plan (GTL states)
(GTL will process the monthly billing.)
Value Med Plan (UNL states)
(UNL will process the monthly billing.)
HIPAA Authorization Forms - Required with every application
Value Med Plan (GTL/UNL)
Agent Underwriting Guidelines
Value Med Plans
Required & Miscellaneous
ValuePlans - State Approval Grid
Agent Authorization for Auto Bank Deposit
GAC Commission Statement Explanation
Commission Assignment Forms
Criminal Background Release for (Georgia and Mississippi Agents)
Value Med Plan Rate Calculation & Bank Draft form
PAYMENT CHANGE REQUEST FORM

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Bay Insurance Marketing, Inc.

Mailing Address P.O. Box 1575 | Palm Harbor, FL 34682
Street Address 615 N Jasmine Ave # B | Tarpon Springs, FL 34689

(800) 878-9399 · (800) 878-9467 (fax)

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