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  • EMS Care Subscription

    Subscription covers July 1, 2021 through June 30, 2022. Open enrollment through July 31, anytime thereafter subscription will not backdate and will only provide eligible subscriptions with coverage from date of purchase through June 30, 2022.
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    EMS Care - Individual/ Individual and Spouse EMS Care for individual and/or individual plus spouse. Please note that if you are not married, you must file and pay for two separate EMS Care subscriptions.
    $ 60.00
       
    EMS Care - Family EMS Care for your whole family! Please note that this applies only to your spouse and dependants. If you have an adult child, in-law, etc. residing with you, they will need a separate EMS Care subscription.
    $ 85.00
       
    Total
    $ 0.00
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  • Last 4 of Social Security Number

  • Please click one of the PayPal options to complete payment and submit the form.

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