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I verify that the contact information entered is correct, is my personal information and that I am over 18 years of age. I understand by checking this box I am giving permission for a licensed agent to contact me via phone, mail, email or text message, regarding the topic I selected, including Medicare and Medicare related products, regardless if my phone number is currently on any federal or local do not call list. I understand I can opt out at any time and no purchase is necessary. I understand that my data will not be sold to a third party.

Thank you, a licensed agent will be in contact within the next business day. If you would like immediate assistance please call 800-338-4564.

Life Plans Plus, LLC

PO Box 842

Marion IA 52302

info@lifeplansplus.com

(800)338-4564

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Life Plans+ and it's agents are not affiliated with or endorsed by the U.S. government or federal Medicare program. We do not offer every plan available in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options

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