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  • Legacy Health Insurance
    641 Marketplace Drive #5
    Waconia, MN 55387
    info@LBCOnline.biz
    TimTheMedicareMan.com
    (952) 922-5677
  • Compliance Form - Individual/family

    Legacy Health Insurance has prepared the following compliance checklist to ensure we are meeting your needs. Read this form carefully and let us know if you have any questions.
  • Scope of Appointment

    It is important that you understand your healthcare coverage. During your meeting today we will discuss the following areas to ensure the plan you choose is the best fit for you at this time:

    • Network
    • Premium
    • Deductible
    • Max Out-of-Pocket

     

    Open Enrollment

    I understand that, unless I have a qualifying life event, such as a getting married, having a baby, or involuntarily losing health coverage, I may not be eligible to change my healthcare plan outside of the Open Enrollment Period. 

    If I have a qualifying life event I will contact my agent as soon as possible to make changes within 60 days or I will be ineligible to make a healthcare plan change. 

    If I make a change to my healthcare plan within the Open Enrollment Period (October 15th - January 15th) coverage will be effective January 1st - February 1st.

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